Contact information
Julie Damnjanovic
julie.damnjanovic@ndorms.ox.ac.uk
Research groups
Grants and funders
- Action Medical Research Project Grant GN2721
Funded by Action Medical Research - Cerebral palsy: investigating the effectiveness of surgery to improve walking
Funded by Action Medical Research - Three NIHR HTA grants awarded to Professor Tim Theologis
Websites
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Oxford Gait Laboratory
Clinical Lead
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British Society for Children's Orthopaedic Surgery
President
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Gait and Posture
Emeritus Editor
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Oxford Foot Model
Development of biomechanical model for the study of foot motion
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Oxford Foot and Ankle Children's Questionnaire
Development of international validated measure of foot-related disability
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James Lind Alliance
priorities in paediatric lower limb surgery
Tim Theologis
MSc, PhD, FRCS
Associate Professor
- Honorary Senior Clinical Lecturer
- Former Consultant Orthopaedic Surgeon
Mr Tim Theologis has been a Consultant Orthopaedic Surgeon in Oxford since 1996 and a Honorary Senior Clinical Lecturer at the University of Oxford since 1999. His clinical and research work focuses on children with cerebral palsy and neuromuscular disorders. He maintains a strong clinical and research link with the Oxford Gait Laboratory at the Nuffield Orthopaedic Centre. He is Treasurer of the British Society for Children's Orthopaedic Surgery, Emeritus Editor of Gait and Posture and Clinical Lead for Paediatric Orthopaedics and the Gait Laboratory at Oxford.
Previous research has led to the development of the Oxford Foot Model, a biomechanical model for the study of foot motion during walking. This has been adopted internationally by researchers, clinicians and the motion analysis industry as the standard tool for analysis of foot motion in children and adults. The development of the Oxford Foot and Ankle Children's Questionnaire, a validated measure of foot-related disability, was also an important milestone in the understanding of paediatric foot conditions and their impact on lifestyle.
The 'keyhole' or 'minimally-invasive' technique in performing both bony and soft tissue procedures as part of multi-level surgery in children with cerebral palsy has been developed through research at the Oxford Gait Laboratory. It involves surgical techniques which are used in other conditions in children but have not previously been used in the context of surgery in cerebral palsy. It causes less trauma and scarring to the muscles and is quicker to perform compared to open, conventional techniques. Children are able to mobilise immediately following surgery and improvements in walking ability have been shown to be at least as good as with conventional multi-level surgery.
In 2016 he led the development of a Research Committee under the auspices of BSCOS, the British Society of Children's Orthopaedic Surgery. He has chaired the Committee since and has completed a Delphi process among BSCOS members on research priorities, a network with the clinical trial units, the Royal Colleges, the NIHR and the BOA. International networking with the North American equivalent (IMPACCT) and the Paediatric Orthopaedic Society of North America ensued. He has subsequently secured funding from BSCOS, the BOA and from NDORMS to undertake a James Lind Alliance priorities setting project on lower limb surgery in children with orthopaedic conditions.
Having completed these tasks with the BSCOS Research Committee, he was granted BRC funding, which started in April 2017, in order to undertake paediatric orthopaedic research. The aim is to lead and drive excellent quality academic research in children's orthopaedics at Oxford and nationally. The BRC funding marked a step change in his career as it gave him the time and opportunity to build collaborations, write grant applications, appoint graduate students to undertake research and a develop a national group of collaborators willing to recruit patients into trials.
His current research plans are divided into 3 themes: general paediatric orthopaedics, cerebral palsy and foot conditions.
Key publications
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Journal article
Morris C. et al, (2008), J bone joint surg br, 90, 1451 - 1456
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Journal article
Thompson N. et al, (2010), J bone joint surg br, 92, 1442 - 1448
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Journal article
Stebbins J. et al, (2006), Gait posture, 23, 401 - 410
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Journal article
Grammatopoulos G. et al, (2016), Clin orthop relat res, 474, 1216 - 1223
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Collagen accumulation in muscles of children with cerebral palsy and correlation with severity of spasticity.
Journal article
Booth CM. et al, (2001), Dev med child neurol, 43, 314 - 320
Recent publications
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Journal article
Theologis T. and Perry DC., (2024), The bone & joint journal, 106-B, 422 - 424
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Journal article
Morrow EM. et al, (2023), Disabil rehabil, 1 - 9
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Journal article
Mitchell PD. et al, (2023), The bone & joint journal, 105-B, 815 - 820
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Journal article
Theologis T. et al, (2023), The bone & joint journal, 105-B, 227 - 229
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Journal article
Theologis T. et al, (2023), The bone & joint journal, 105-B, 230 - 230