Cobb was a demy at Magdalen College, Oxford, from where he graduated in 1982. He completed his early surgical training at St Thomas' Hospital, 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.
Justin Cobb was a demy at Magdalen College, Oxford, from where he graduated in 1982.[1][2] 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.[3] At the RNOH, as orthopaedic registrar,[4] his work with Gordon Blunn and Peter Walker in the Biomedical Engineering Unit, led to being awarded the Hunterian Professorship.[1][a] He completed his master's in 1991 with a thesis titled "Prognostic factors in operable osteosarcoma".[6]
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.[2][7] In 1992, he delivered the Hunterian oration.[1][6][7]
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.[6] 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.[1][6][8] In 1999 they co-founded the spinout 'Acrobot'.[9] Cobb operated with the robot first in 2000.[10][11] Acrobot was originally designed to be used in total knee replacement surgery with application for use in unicompartmental knee arthroplasty (UKA).[12] 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.[11] He subsequently reported a randomized, double-blinded study comparing the Acrobot with traditional knee surgery.[11][13] It showed that the tactile-guided robot-assisted UKA was more precise than the traditional manually performed UKA.[11][13] 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.[11] Acrobot was acquired by Stanmore Implants in 2010.[12] When the FDA approved Acrobot for clinical use in the USA, Mako surgical acquired the company, prior to Stryker acquiring Mako.[12] His research has also included themes relating to designing new devices such as for ceramic hip resurfacing,[14][15] 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.[1]
Sir Michael Uren Building, houses the MSk laboratory
Cobb is credited for developing the MSk laboratory at Imperial's Charing Cross campus, later based in the Sir Michael Uren Hub.[3][20]Sir Michael Uren pledged £40m towards a building designed as a hub for scientists, engineers, clinicians and patients.[21] It was opened in December 2020 with Cobb and Alison McGregor as the MSk Lab's directors.[20][22]
Cobb, J.; Henckel, J.; Gomes, P.; Harris, S.; Jakopec, M.; Rodriguez, F.; Barrett, A.; Davies, B. (February 2006). "Hands-on robotic unicompartmental knee replacement: a prospective, randomised controlled study of the acrobot system". The Journal of Bone and Joint Surgery. British Volume. 88 (2): 188–197. doi:10.1302/0301-620X.88B2.17220. ISSN0301-620X. PMID16434522.
Willis-Owen, CA; Brust, K; Alsop, H; Miraldo, M; Cobb, JP (December 2009). "Unicondylar knee arthroplasty in the UK National Health Service: an analysis of candidacy, outcome and cost efficacy". The Knee. 16 (6): 473–8. doi:10.1016/j.knee.2009.04.006. PMID19464898.
Hart, Alister J.; Satchithananda, Keshthra; Liddle, Alexander D.; Sabah, Shiraz A.; McRobbie, Donald; Henckel, Johann; Cobb, Justin P.; Skinner, John A.; Mitchell, Adam W. (15 February 2012). "Pseudotumors in Association with Well-Functioning Metal-on-Metal Hip Prostheses: A Case-Control Study Using Three-Dimensional Computed Tomography and Magnetic Resonance Imaging". Journal of Bone and Joint Surgery. 94 (4): 317–325. doi:10.2106/JBJS.J.01508. PMID22336970.
1 2 Leelasestaporn, Chumroonkiet (2018). "6. Robotic UKA". In Sugano, Nobuhiko (ed.). Computer Assisted Orthopaedic Surgery for Hip and Knee: Current State of the Art in Clinical Application and Basic Research. Singapore: Springer. p.64. ISBN978-981-10-5244-6.
This page is based on this Wikipedia article Text is available under the CC BY-SA 4.0 license; additional terms may apply. Images, videos and audio are available under their respective licenses.