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Research, Publications and Academic Work
Shelain Patel
Advancing Foot and Ankle Surgery Through Research and Education
Mr Shelain Patel is a Consultant Orthopaedic Foot & Ankle Surgeon at the Royal National Orthopaedic Hospital (RNOH), Stanmore, London. Alongside his clinical practice, he has an established interest in orthopaedic research, academic collaboration and surgical education.
His research focuses on improving the understanding, assessment and treatment of foot and ankle conditions. This includes foot and ankle deformity, arthritis, cartilage and osteochondral injuries, surgical reconstruction, imaging techniques and the measurement of clinical outcomes.
Mr Patel has contributed to peer-reviewed scientific publications, book chapters and consensus publications. He is actively involved in research at the Institute of Orthopaedics and Musculoskeletal Science at the RNOH and has contributed to the wider orthopaedic community through journal reviewing, professional activities and postgraduate surgical education.
His academic work supports an evidence-informed approach to clinical practice, helping to evaluate established treatments, investigate new techniques and improve the assessment of outcomes following foot and ankle surgery.
Research interests
Foot and ankle arthritis and reconstruction
A key area of interest is the assessment and surgical treatment of complex foot and ankle conditions, including arthritis, deformity and problems requiring reconstructive surgery.
Research in this area helps clinicians understand the factors that influence surgical planning, the correction of deformity, the selection of appropriate procedures and the outcomes patients can expect.
This work is relevant to patients with complex foot and ankle problems, including those who may require reconstructive surgery, ankle fusion or ankle replacement.
Learn more about ankle arthritis and its treatment and ankle replacement surgery.
Foot deformity and biomechanics
Foot shape, alignment and biomechanics play an important role in the development, assessment and treatment of many orthopaedic conditions.
Mr Patel has contributed to research examining foot posture, three-dimensional imaging, cavovarus deformity and the assessment of complex foot alignment. This includes collaborative work using weight-bearing imaging techniques to improve understanding of the relationship between clinical examination and skeletal anatomy.
Such research can help inform surgical planning and improve the assessment of patients with complex deformities.
Cartilage and osteochondral injuries
Damage to the cartilage and underlying bone of the ankle and foot can cause pain, swelling, stiffness and limitations in activity.
Research into osteochondral lesions and other joint injuries helps improve understanding of diagnostic investigations, treatment options and the factors that influence recovery.
These conditions may require a combination of clinical assessment, specialised imaging and carefully selected non-operative or surgical treatment.
Diagnostic imaging and assessment
Accurate diagnosis is essential when planning treatment for complex foot and ankle conditions.
Mr Patel has contributed to collaborative research examining imaging methods and measurement techniques used to assess foot and ankle anatomy. This includes work investigating weight-bearing CT and the relationship between clinical assessment and three-dimensional measurements.
Improved assessment methods may help clinicians characterise deformity more precisely and make better-informed decisions about treatment.
Surgical techniques and clinical outcomes
Evaluating surgical techniques and patient outcomes is an important part of evidence-based orthopaedic practice.
Peer-reviewed research allows clinicians to compare treatment approaches, assess complications and examine the benefits and limitations of different procedures. Systematic reviews and collaborative studies can also help identify areas where further research is needed.
The ultimate aim is to support informed clinical decision-making and improve the quality of care provided to patients.
Selected peer-reviewed publications
Mr Patel has contributed to a range of peer-reviewed publications in orthopaedic surgery, foot and ankle surgery, biomechanics and clinical assessment.
The following are examples of published research to explore.
1. Position, size and orientation of the peroneus longus tubercle in patients with cavovarus feet
The Foot, 2026.
This study examines the anatomical characteristics of the peroneus longus tubercle in patients with cavovarus foot deformity. Understanding variations in foot anatomy may help clinicians assess complex deformity and plan treatment.
Read the publication on PubMed
2. Distal Metatarsal Articular Angle and First Metatarsal Pronation: A Weightbearing CT Correlation Study
Foot & Ankle International, 2026.
This research investigates the relationship between the distal metatarsal articular angle and first metatarsal pronation using weight-bearing CT imaging, contributing to the understanding of first-ray alignment and hallux valgus assessment.
Read the publication on PubMed
3. Forefoot Morphotypes in Cavovarus Feet: A Novel Assessment of Deformity
Foot & Ankle International, 2024.
This study explores different forefoot morphological patterns in cavovarus feet and contributes to the assessment and classification of a complex foot deformity.
Read the publication on PubMed
4. What is the best fixation technique for isolated talonavicular arthrodesis? A systematic review
The Foot, 2023.
This systematic review evaluates the evidence on fixation techniques for talonavicular fusion, a procedure used in the treatment of selected painful and complex foot conditions.
Read the publication on PubMed
5. Relationship between foot posture index and weight bearing computed tomography 3D biometrics to define foot alignment
Gait & Posture, 2020.
This study investigates how a clinical measure of foot posture relates to three-dimensional measurements obtained using weight-bearing CT. It contributes to the understanding of how clinical examination and advanced imaging can be used together to assess foot alignment.
Read the publication on PubMed
6. First Metatarsophalangeal Joint Arthrodesis Using an Intraosseous Post and Lag Screw With Immediate Bearing of Weight
The Journal of Foot & Ankle Surgery, 2019.
This publication examines a surgical technique for fusion of the big toe joint, including an approach designed to permit immediate weight-bearing in the post-operative shoe in appropriately selected patients.
Read the publication on PubMed
Explore the complete publication record
The selected studies above represent only a sample of Mr Patel's academic work. For a complete and up-to-date list of publications, citations and co-authored research, visit his academic profiles.
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Google Scholar: View publications and citation profile
Research, collaboration and academic practice
Foot and ankle research is a collaborative process involving surgeons, researchers, radiologists, allied healthcare professionals and other specialists.
Working within an academic orthopaedic environment provides opportunities to investigate clinical questions, evaluate surgical techniques and contribute to the wider understanding of musculoskeletal conditions.
Mr Patel's research activities sit alongside his clinical work at the RNOH, a specialist orthopaedic centre, and his involvement in surgical training and professional education.
Research findings must be considered alongside the wider body of evidence, individual patient circumstances and the limitations of each study. No single publication can determine the best treatment for every patient, but high-quality research helps clinicians make more informed decisions.
Surgical education and professional development
Education is an important part of Mr Patel's professional work. He has contributed to the training of orthopaedic registrars, departmental teaching and postgraduate surgical education, and is regularly involved in orthopaedic courses and training programmes.
He has received a Top Teacher award from UCL Medical School and has undertaken professional development through the BOA Clinical Leaders Programme, supported by the British Orthopaedic Foot & Ankle Society.
Sharing research, teaching surgical principles and discussing complex clinical cases are important ways of supporting the next generation of orthopaedic surgeons.
What does this research mean for patients?
For patients, research provides a foundation for understanding the available treatment options, their potential benefits and their limitations.
An evidence-informed consultation combines the best available research with clinical experience, a careful examination and an understanding of the patient's priorities.
For patients with foot and ankle conditions, this may involve discussing:
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The likely cause of symptoms and the findings of clinical investigations.
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The benefits and limitations of non-surgical treatment.
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The range of available surgical options.
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The potential risks and expected recovery following surgery.
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The uncertainties in the evidence and the factors that may influence individual outcomes.
The purpose is to help patients make informed decisions about their care, with treatment tailored to their diagnosis, health, activity requirements and personal goals.
Explore the clinical information pages on ankle arthritis, ankle replacement and the wider range of foot and ankle conditions.
Contact
To arrange a consultation regarding a foot or ankle condition, please visit the contact page.
For clinicians and researchers interested in professional collaboration or academic discussion, the publication profiles linked above provide further information about Mr Patel's research interests and published work.
