Justin Cobb
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Justin Peter Cobb is a British professor of orthopaedic surgery at Imperial College London, known for introducing
medical robot A medical robot is a robot used in the medical sciences. They include surgical robots. These are in most telemanipulators, which use the surgeon's activators on one side to control the "effector" on the other side. Types * Surgical robots: These ...
ics into orthopaedic surgery. He is a member of the Royal Medical Household and was royal orthopaedic surgeon to the Queen. He is on the staff at King Edward VII's Hospital (KEVII) and is civilian advisor in orthopaedics to the Royal Air Force (RAF). His research has also included themes relating to designing new devices such as for ceramic hip resurfacing, 3D printing in orthopaedics, and training in surgical skills. He is a director of the MSk laboratory based in the
Sir Michael Uren Hub The Sir Michael Uren Hub is a 13-storey building on the north side of the elevated A40 Westway in London, designed by Allies and Morrison for the purpose of Imperial College's biomedical engineering research. It contains a 160-seat auditorium, ...
. Cobb was a demy at Magdalen College, Oxford, from where he graduated in 1982. He completed his early surgical training at
St Thomas' Hospital St Thomas' Hospital is a large NHS teaching hospital in Central London, England. It is one of the institutions that compose the King's Health Partners, an academic health science centre. Administratively part of the Guy's and St Thomas' NHS Foun ...
, The Middlesex and the Royal National Orthopaedic Hospital (RNOH). In 1991 he was appointed consultant at The Middlesex and University College Hospital (UCH), and worked at the London Bone Tumour Unit, and in trauma and general orthopaedics. He is a recipient of the Hunterian Professorship, awarded for his work on surgery and osteosarcoma. Together with engineer Brian Davies from Imperial, he developed the world's first haptic based robotic assistant known as 'Acrobot', used to assist in knee surgery. In 1999 he operated on the wounded following the London nail bombings, and he treated the injured following the 2005 attacks in London.


Education and training

Justin Cobb was a demy at Magdalen College, Oxford, from where he graduated in 1982. He moved to London as a senior house officer in 1984, and completed his junior surgical training before rotating through orthopaedic firms at St Thomas', The Middlesex and the RNOH, including working for Sir Rodney Sweetnam in 1985. At the RNOH, as orthopaedic registrar, his work with Gordon Blunn and Peter Walker in the Biomedical Engineering Unit, led to being awarded the
Hunterian Professorship The Hunterian Professorship, named after John Hunter (surgeon), John Hunter, is the title awarded to a surgeon who is elected to deliver the Hunterian lecture at the Royal College of Surgeons of England (RCSE). According to British surgeon Harold ...
. He completed his master's in 1991 with a thesis titled "Prognostic factors in operable osteosarcoma".


Surgical career

In 1991 Cobb was appointed consultant at The Middlesex and UCH, and worked at the London Bone Tumour Unit, and in trauma and general orthopaedics. In 1992, he delivered the Hunterian oration. In 1992 he received his first grant from the special trustees of The Middlesex and UCH, for the purpose of research in robotics in orthopaedic surgery. Together with engineer Brian Davies from Imperial College, his work led to the development of 'Acrobot', the world's first haptic based robot for orthopaedics. In 1999 they co-founded the
spinout Spinout or Spin Out may refer to: *Corporate spin-off, also known as a spin-out, a type of corporate action where a company turns a portion of itself into a separate business *Spinout (driving), failure when braking Entertainment * ''Spinout (fil ...
'Acrobot'. Cobb operated with the robot first in 2000. Acrobot was originally designed to be used in
total knee replacement Knee replacement, also known as knee arthroplasty, is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability, most commonly offered when joint pain is not diminished by conservative sources a ...
surgery with application for use in
unicompartmental knee arthroplasty Unicompartmental knee arthroplasty (UKA) is a surgical procedure used to relieve arthritis in one of the knee compartments in which the damaged parts of the knee are replaced. UKA surgery may reduce post-operative pain and have a shorter recove ...
(UKA). It allowed the surgeon to stay in touch with the patient and control the cutting tool at the same time as moving the robotic arm. He subsequently reported a randomized, double-blinded study comparing the Acrobot with traditional knee surgery. It showed that the tactile-guided robot-assisted UKA was more precise than the traditional manually performed UKA. Where only 40% of traditionally operated knees were in the desired orientation, all of the robotic assisted knees were found to be within the desired two degrees offsimon orientation. Acrobot was acquired by Stanmore Implants in 2010. When the FDA approved Acrobot for clinical use in the USA, Mako surgical acquired the company, prior to Stryker acquiring Mako. His research has also included themes relating to designing new devices such as for ceramic hip resurfacing, 3D printing to allow a minimally invasive joint preservation surgery, training in surgical skills, and looking at the impact of exercise, disability and drugs on bone health and material properties. In 1999, along with plastic surgeon Gus McGrouther, he treated the wounded following the London nail bombings. He was appointed chair of orthopaedics at Imperial College London in 2005. That year he had also treated the wounded of the
2005 London bombings The 7 July 2005 London bombings, often referred to as 7/7, were a series of four coordinated suicide attacks carried out by Islamic terrorists in London that targeted commuters travelling on the city's public transport system during the mo ...
. As member of the Royal Medical Household, he was appointed royal orthopaedic surgeon to the Queen in 2008. He is on the staff at King Edward VII's Hospital, and within the Royal Air Force, he is a civilian advisor.


MSk laboratory

Cobb is credited for developing the MSk laboratory at Imperial's Charing Cross campus, later based in the
Sir Michael Uren Hub The Sir Michael Uren Hub is a 13-storey building on the north side of the elevated A40 Westway in London, designed by Allies and Morrison for the purpose of Imperial College's biomedical engineering research. It contains a 160-seat auditorium, ...
. Sir Michael Uren pledged £40m towards a building designed as a hub for scientists, engineers, clinicians and patients. It was opened in December 2020 with Cobb and
Alison McGregor Alison Hazel McGregor is a British physiotherapist and biomedical engineer who is a professor at Imperial College London. Her research is focused on the musculoskeletal system and the mechanisms/impacts of injury. She has previously served as th ...
as the MSk Lab's directors.


Honours

Cobb was appointed Commander of the Royal Victorian Order (CVO) in the
2023 New Year Honours The 2023 New Year Honours are appointments by some of the 15 Commonwealth realms to various orders and honours to recognise and reward good works by citizens of those countries. The New Year Honours are awarded as part of the New Year celebration ...
for his services as orthopaedic surgeon to the Queen.


Personal and family

In 1985, he married Iona, a general practitioner, and they have four children.


Selected publications


Books

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Articles

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See also

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List of honorary medical staff at King Edward VII's Hospital for Officers The King Edward VII's Hospital for Officers (KEVII) was established first as Sister Agnes' hospital in 1899 by Sister Agnes, and was then formally opened as King Edward VII's Hospital for Officers in 1904 by King Edward VII, who selected and app ...


Footnotes


References


External links

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Video following Soho bomb blast 1999
(May 1999) {{DEFAULTSORT:Cobb, Justin 21st-century British medical doctors Year of birth unknown Year of birth missing (living people) British orthopaedic surgeons Alumni of Magdalen College, Oxford Academics of Imperial College London 20th-century British medical doctors Living people Date of birth missing (living people) Honorary medical staff at King Edward VII's Hospital for Officers