Publications

Honorary Professor Michael James McNicholas BSc, MB ChB, FRCS(Ed & Glasg), MD, FRCSEd (Tr & Orth), FFSEM RCSI Honorary Professor, Directorate of Sport – University of Salford www.healthcare.salford.ac.uk/sport

1. Book chapter

Chapter 19. Trauma of the knee leg ankle and foot. MJ McNicholas and WA Hadden.
Fundamentals of Orthopaedics and Traumatology. Al Jafri, Mills and Frostick. (Eds.)
Greenwich Medical Media ISBN: 1841100455. Pub Date: May 2004

Golf injuries in Scotland.
MJ McNicholas, A Nielsen, RP Knill-Jones
Science and Golf III. Proceedings of the 1998 World Scientific Congress of Golf.
Human Kinetics, Champaigne, Il., USA. Chapter 9, pp 62-72.

2. Refereed Journal Papers

A Comparison of Star Excursion Balance Test reach distances between ACL deficient patients and asymptomatic controls.
L Herrington, J Hatcher, A Hatcher, M McNicholas.
The Knee. 16(2009) 149-152.

Improved Data Illustration in Complex Multi-Ligament Knee Reconstruction Surgery Through the Historical Principles of Florence Nightingale and John Venn
Paul D Meyers, Mike J McNicholas.
Acta Orthopaedica 2008 Apr; 79(2):24-8.

Total Hip Arthroplasty and the Golfer: A Study of Participation and Performance before and after Surgery for Osteoarthritis.
JE Arbuthnot, H Dashti, WA Hadden, MJ McNicholas.
Journal of Arthroplasty. 2007 Jun;22(4):549-52.

Outcomes of Meniscal Repair: A prospective study
I.P. Pengas, J.V. Banks, E. Britton, A. Hatcher & M.J. McNicholas.
CME Orthopaedics 2006; 4(2): 48-52.

An investigation to examine the inter-tester and intra-tester reliability and sensitivity of the Rolimeter® knee tester.
Hatcher, J., Hatcher, A., Arbuthnot, J. & McNicholas, M.
Journal of Orthopaedic Research 23:6, 1399-1403. 2005.

A new mechanical testing device for measuring anteroposterior knee laxity.
Schuster, A. J., McNicholas, M. J., Wachtl, S. W., McGurty, D. W., Jakob, R. P.
Am. J. Sports Med. 32:1731-1735, 2004.

Total knee replacement and patello-femoral pain.
J Arbuthnott, MJ McNicholas, DW McGurty, DI Rowley
The Surgeon, Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland.
Aug 2004; 2 (4): 230 – 233.

Ligament repair and reconstruction in traumatic dislocation of the knee.
RYL Liow, MJ McNicholas, JF Keating, RW Nutton.
J Bone Joint Surg [Br]. 2003; 85 (6): 845 - 851.

Meniscectomy and osteoarthrosis.
A Hawkins, MJ McNicholas.
CME Orthopaedics. 2001; 2 (2): 59 – 62.

Total meniscectomy in adolescence. A thirty-year follow-up study.
MJ Mc Nicholas, T Adalberth, P Abdon, DW McGurty, A Lindstrand, LS Lohmander, DI Rowley.
J Bone Joint Surg [Br]. 2000; 82 (2): 217-221.

The influence of external knee moments on the outcome of total meniscectomy.
MJ McNicholas, S. Gibbs, S Barker, J Linskill D McGurty, DI Rowley.
Gait and Posture. 2000; 11: 233-238.

Observer agreement analysis of MRI grading of knee osteoarthritis.
MJ Mc Nicholas, AJ Brooksbank, CM Walker.
J R Coll Surg Edinb 1999; 44(1): 31-33.

Meniscal regeneration in the long-term after total meniscectomy?
S Barker, MJ Mc Nicholas, D Kader, P Abdon, T Adalberth, D McGurty, DI Rowley, CM Walker.
Awarded the Michael Turner Memorial Prize.
J R Coll Surg Edinb Dec 1998; 43, 400-403.

Haematoma Block: an effective post-operative analgesic technique.
W Peel, MJ McNicholas, J Colvin, P Williams.
Acute Pain. 1999; 2(1); 33-35.

3. Invited articles

The Daresbury elective orthopaedic surgery unit.
BBC TV News. 1/2/02.

Biographical profile.
Who’sWho in Science and Engineering. 6th Edition. 2002-2003.
Marquis Who’s Who, New Providence, N.J., USA.

Better results from earlier treatment of golfing injuries.
Golf Science International. February 2000.
MJ McNicholas.

Does it have to hurt?
Ageing, injuries and facilities.
MJ McNicholas. World Scientific Congress of Golf Trust. Monograph Vol. 2. 1999

The 1996 British Orthopaedic Research Society Travelling Fellowship to Sweden.
BORS Newsletter, Feb. 1997.

4. Electronic publications

Braces for ACL Injured Knees. Who Needs Them? Who Uses Them?
Meyers, PD, McNicholas, MJ.
Jan 2007: Donjoy New Practice www.aircast.com/news/uk/index.html
Autologous Chondrocyte Implantation for Chondral Defects of the Knee. The ACTIVE Trial.
Meyers PD, McNicholas MJ.
www.mcnicholaskneeclinic.co.uk/presentations.htm
Clinical Evaluation of the Injured Knee.
Meyers PD, McNicholas MJ.
www.mcnicholaskneeclinic.co.uk/presentations.htm
Posterior Cruciate Ligament Reconstruction.
Meyers PD, McNicholas MJ.
www.mcnicholaskneeclinic.co.uk/presentations.htm
Posterolateral Corner Injury and Reconstruction.
Meyers PD, Banks JV, McNicholas MJ. www.mcnicholaskneeclinic.co.uk/presentations.htm
The use of CT in ankle fracture dislocations prior to theatre.
I.P. Pengas, E. Andrew, M.J. McNicholas, J. Klafkowski
Eurorad- electronic journal. 2005.

Basic arthroscopy of the knee.
MJ McNicholas.
Universities of St Andrews and Dundee. CD interactive textbook.
Orthopaedic Skills Unit, University of Dundee, 2002.

External fixation of pelvic fractures. Why? When? How?
MJ McNicholas.
Section 8. Intavent Orthofix Invitational Course. Interactive CD-ROM.
Orthopaedic Skills Unit, University of Dundee, 2000.

Preoperative planning of total knee arthroplasty.
MJ McNicholas, JP Martindale.
Section 3. Basic Knee Arthroplasty Course. Interactive CD-ROM.
Orthopaedic Skills Unit, University of Dundee, 2000.

The biomechanics of total knee arthroplasty.
MJ McNicholas, DI Rowley.
Section 5. Basic Knee Arthroplasty Course. Interactive CD-ROM.
Orthopaedic Skills Unit, University of Dundee, 2000.

Basic arthroscopy of the knee.
MJ McNicholas.
Universities of St Andrews and Dundee. Interactive CD-ROM.
Orthopaedic Skills Unit, University of Dundee, 2000.

Fractures of the neck of femur.
MJ McNicholas.
Section 4. Synthes, Basic Principles of fracture fixation. Interactive CD-ROM.
Module 1- Plates, screws and wires.
Orthopaedic Skills Unit, University of Dundee, 2000.

Presentations from the Sports Medicine Theme.
Science and Golf III: World Scientific Congress of Golf. CD-ROM. July 1998.
Producer: MJ McNicholas.
Orthopaedic Skills Unit, University of Dundee
In association with the University of St Andrews and the World Scientific Congress of Golf.

5. Conference papers

Dynamic Weight Bearing Views of the Patellofemoral Joint Description and Validation of a New Techinique
Pengas, I. P.1, Pillai, A.2, Gayed, W.3, McNicholas, M.4
Effort 2011 Copenhagen

VIEWING THE PATELLOFEMORAL JOINT IN A DYNAMIC MODE.
I.P. Pengas, A. Pillai, W. Gayed, MJ. McNicholas, BASK Cardiff 2011
Staged Tibial tuberosity distalisation and Patellofemoral joint replacement.
M Balal, G Hastie, PG Sherry, MJ McNicholas
EFORT Copenhagen, 2011

Staged Tibial tuberosity distalisation and Patellofemoral joint replacement.
M Balal, G Hastie, PG Sherry, MJ McNicholas
BASK Cardiff 2011

Outcome of ACL reconstruction in “overweight” patients.
Moez, Graham, A Hatcher, MJ McNicholas
BASK Cardiff 2011

Surgical demonstration: ascopic maci
8th Biennial ISAKOS Congress to be held in Rio de Janeiro, Brazil on May 15-19, 2011.

Arthroscopic Matrix-Induced Condrocyte Implantation (MACI): Operative Technique And Early Prospective Outcome Study Results.
MJ McNicholas. 8th Biennial ISAKOS Congress to be held in Rio de Janeiro, Brazil on May 15-19, 2011.

Patellofemoral instability treated by Arthroscopic Trochleoplasty – two to three year results
P N Unnikrishnan, P D Meyers, A Hatcher, M Caplan, J Fairclough, M J McNicholas ISAKOS, Rio Brazil 2011

Sport in Warrington: our inspiration. Sports personality of the Year Judge, Editorial: Warrington Guardian Newspaper 20/09/10

Warriors of Warrington Sports Medicine Meeting. WGH 10/8/10

“Cut and Run” Rapid life saving amputation using fire service hydraulic cutting equipment in entrapped trauma victims.
Mr S J Robinson, Mr M J McNicholas, Dr M Forrest, Mr I Dunbar Prof A P Payne
The British Trauma Society Annual Scientific Meeting, Manchester, 19th- 21st of May 2010 Absract Book,oral presentation abstract 1A.26, page 75

The Changing Treatment Algorithm for articular cartilage lesions.
Arthroscopic MACI implantation.
Session Chair case study review and discussion.
Second Annual Current Concepts in Cartilage Repair with the MACI implant.
June 19 2010. Berlin, Germany.

A mid term follow up of microfracture to articular cartilage defects of the knee.
N Jarvis, M McNicholas.
Abstract number: 1149, 12th Combined Meeting of the Orthopaedic Associations 12-17 September 2010, Scottish Exhibition & Conference Centre, Glasgow, UK. 2010

Outcomes of combined ACL reconstruction and high tibial osteotomy
M Cartwright-Terry, A Hatcher, A Ahmed, M J McNicholas
Warrington General Hospital, Warrington, UK. 2010

A mid term follow up of microfracture to articular cartilage defects of the knee.
N Jarvis, M McNicholas.
P482. EFFORT/SECOT Madrid. 2-5th June 2010

The efficacy and durability of microfracture to articular cartilage lesions of the knee; a mid-term follow up cohort study
Jarvis NE, Hatcher, A, McNicholas MJ.
Faculty of Sports and Exercise Medicine, RCPI and RCSI, Annual Meeting, Dublin, Ireland. September 2010.

Reconstruction of anterior cruciate ligament deficient knees with and without posterolateral corner reconstruction: a prospective outcome study.
J Banks, A Hatcher, M McNicholas.
BASK, 7th Apr 2009, ISAKOS, Osaka, Japan. 2009

Outcomes of opening wedge high tibial osteotomy.
M Cartwright-Terry, A Hatcher, M McNicholas.
BASK, Edinburgh, 3rd Apr 2009.

Outcome of combined ACL reconstruction and opening wedge high tibial osteotomy.
M Cartwright-Terry, A Hatcher, M McNicholas.
Faculty of Sports and Exercise Medicine, RCPI and RCSI, 2nd Annual Meeting, Dublin, Ireland. September 2009.

The Ilizarov Frame And Fixation Of Difficult Tibial Fractures In A District General Hospital.
Roche A, Badri, Jones CL, McNicholas MJ.
SICOT, Hong Kong. August 2008.

Does body mass index change following total knee replacement. A prospective study.
R Shariff, M Manickham, M McNicholas.
EFFORT 11-15 May 2007 Florence, Italy. JBJS [Br} 2009. 91-B Supp1.

Does body mass index change following total knee replacement. A prospective study.
R Shariff, M Manickham, M McNicholas.
EFFORT 11-15 May 2007 Florence, Italy. JBJS [Br} 2009. 91-B Supp1.

Alternatives to total knee replacement.
MJ McNicholas, Wansbeck Basic knee arthroplasty course. 4th May 2009.

The SUMMIT Trial of Articular Cartilage Repair Using Matrix-induced Autologous Chondrocyte Implantation (MACI) mini-open technique versus microfracture.
M McNicholas, Spire Cheshire Hospital, 14th April, 2009.

Sports Medicine: Surgical Demonstration: Articular Cartilage Repair Using Matrix-induced Autologous Chondrocyte Implantation (MACI) mini-open technique.
M McNicholas
8th Apr 2009, ISAKOS, Osaka, Japan.

Managing Articular Cartilage Injuries in the Knee with the MACI® Implant.
M McNicholas
7th Apr 2009, ISAKOS, Osaka, Japan

COMBINED ANTERIOR CRUCIATE & POSTEROLATERAL CORNER INJURY - A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME
JV Banks, I Pengas, A Hatcher, P Meyers, D Sprott, MJ McNicholas .BASK, Edinburgh, 3 Apr 2009.

Double bundle reconstruction of the posterior cruciate ligament: a prospective outcome study.
J Banks, A Hatcher, M McNicholas.
BASK, Edinburgh, 3 Apr 2009.

Filming of surgical demonstration: Articular Cartilage Repair Using Matrix-induced Autologous Chondrocyte Implantation (MACI) mini-open technique.
M McNicholas
Paris Hotel, Las Vegas, 26 February 2009.

Managing Articular Cartilage Injuries in the Knee with the MACI Implant.
M McNicholas.
AAOS, Las Vegas. 25 February 2009.

Braces for ACL Injured Knees. Who Needs Them? Who Uses Them?
Meyers, PD, McNicholas, MJ.
Royal College of Surgeons of Ireland. Annual Scientific Conference,
Dublin 21st -22nd Sept 2007
Database for Knee Ligament Injuries: A method for prospective data collection and analysis.
I.P. Pengas, A. Hatcher, P. Murphy, M.J. McNicholas.
International Society of Arthroscopy, Knee Surgery & Orthopaedic Sports Medicine (ISAKOS), Florence, Italy, May 2007.

Laxity after ACL Reconstruction - A Prospective study using the 'ROLIMETER'
M Rathinam, IP Pengas, A Hatcher, MJ McNicholas
ISAKOS congress, Florence, Italy on May 27 – 31, 2007.

Subjective Evaluation of ACL reconstructions – A Prospective study
M Rathinam, IP Pengas, A Hatcher, G Stables, JE Arbuthnot, MJ McNicholas
ISAKOS congress, Florence, Italy on May 27 – 31, 2007

Sports Activity in Recreational athletes after ACL Reconstruction
M Rathinam, IP Pengas, A Hatcher, JE Arbuthnot, MJ McNicholas
Annual Meeting of the AAOS, February 14-18, 2007 in San Diego, CA.

A Prospective study of knee laxity after ACL Reconstruction
M Rathinam, IP Pengas, A Hatcher, MJ McNicholas
Annual Meeting of the AAOS, February 14-18, 2007 in San Diego, CA

A controlled clinical trial to examine the effects of chronic ACL deficiency on proprioception using the Star Excursion Balance Test
Hatcher, J., Herrington, L.
13th Commonwealth International Sports Conference, Melbourne, March 2006.

Posterolateral corner reconstruction of the knee - a prospective study of clinical outcome.
I.P. Pengas, J. Banks , A. Hatcher, M.J. McNicholas.
British Trauma Society meeting, Athens, October 2005.
Injury Extra Volume 38, Issue 1, January 2007, Page 30.

Meniscal repairs: isolated and in combination with other knee procedures.
I.P. Pengas, J. Banks, E. Britton, A. Hatcher, M.J. McNicholas.
Faculty of Sports and Exercise Medicine, RCPI and RCSI, 2nd Annual Meeting, Dublin, Ireland. September 2005. Br. J. Sports Med

Development of the “Warrington Knee Injury Database”.
I.P. Pengas, M.J. McNicholas.
British Association of Sports Rehabilitators and Trainers (BASRaT), National Clinical Symposium & AGM, Birmingham, Centennial Centre. May 2005.

Anterior cruciate ligament reconstruction: A study of the effect of radiological image guidance on tunnel placement
Stables G, McNicholas MJ.
5th Biennial Congress of ISAKOS. Hollywood, Florida, USA. April 2005

Arthrometry and anterior cruciate ligament rupture: Intra and inter-user reliability of the Rolimeter™ in the diagnosis of anterior cruciate ligament rupture.
G Stables, J Arbuthnot, J Hatcher, MJ McNicholas.
5th Biennial Congress of ISAKOS, Hollywood, Florida, USA. April 2005.

Total Knee Replacement in the young patient: A prospective study
J Arbuthnot, G Stables, MJ McNicholas.
5th Biennial Congress of ISAKOS, Hollywood, Florida, USA. April 2005.

Osteochondritis Dissecans and AO Hook Fixation
I P Pengas, J Arbuthnot, M J McNicholas.
British Association for Surgery of the Knee. Newcastle-upon-Tyne. March, 2005.

Painful open 3b pilon fracture, 40 years on: To amputate or reconstruct?
I.P. Pengas, M.J. McNicholas.
ATACC / Trauma.org International Trauma Conference:
Trauma 2004 “Roadside to Critical Care”
Crowne Plaza Hotel, Liverpool 23rd November 2004.

Concurrent Validity of the Knee Injury and Osteoarthritis Outcome Score (KOOS) and the Modified Functional Index Questionnaire (MFIQ).
Hatcher, A., Eliot, A., McNicholas, M. Johnson, L. & Selfe, J
CSP Annual Congress, Birmingham, UK. 2004.

Arthrometry and anterior cruciate ligament rupture: Intra and inter-user reliability of the Rolimeter™ in the diagnosis of anterior cruciate ligament rupture.
Stables G, Arbuthnot J, Hatcher J, McNicholas M.
11th ESSKA Congress & 4th World Congress on Sports Trauma.
Athens, Greece. May 2004

Intra-operative imaging in anterior cruciate reconstruction surgery:
A comparative study of outcomes.
G Stables, MJ McNicholas.
11th ESSKA Congress & 4th World Congress on Sports Trauma.
Athens, Greece. May 2004.
ACL reconstruction: Our recent experience and results.
Stables G, McNicholas MJ.
John Moores University/CKC meeting, Liverpool. December 2003.

Knee ligament reconstruction: Early results from the Warrington knee injury database (WKD)
McNicholas MJ, Stables G.
AGM of the British Association of Sport and Exercise Medicine (North West), November 2003.

ACL surgery, getting it right first time: The use of intra operative laxity measurement.
Stables G, McNicholas MJ.
Sports Knee Surgery Meeting – University of Warwick. October 2003.

Total hip replacement and golf: Impact on participation and performance
Arbuthnot J, Stables G, Dashti H, Mc Nicholas M,
Annual Conference of the British Association of Sport and Exercise Medicine (BASEM). University of Sheffield. September 2003
Br. J. Sports Med. 2003; 37: 464-470 (Abstract)

Total Hip Arthroplasty and Golf: the effect of THA on golf participation and performance.
Arbuthnot J, Dashti, McNicholas MJ.
European Congress of Sports Medicine, Hasselt, Belgium, May 2003.

The Ilizarov External Fixator in the Trauma Theatre
Arbuthnot JE, McNicholas MJ.
National Association of Theatre Nurses Study Day, Liverpool. May 2003.

Golf and Total Hip Arthroplasty.
Arbuthnot JE, Dashti H, McNicholas MJ.
2nd European Congress of Sports and Traumatology, Monaco, May 2003.

The Return to Golf after Total Hip Arthroplasty.
Arbuthnot JE, Dashti H, McNicholas MJ.
Spring Meeting, North West Orthopaedic Association, Wrightington Conference Centre, Wrightington Hospital. April 2003

The Twin Tunnel Technique for ACL Reconstruction Revision Surgery: A new technique developed in Japan described for the first time in the revision situation.
Arbuthnot J, McNicholas MJ.
British Association of Sports and Exercise Medicine, North West AGM.
March 2003.

The objective measurement of knee laxity.
A Hawkins, MJ McNicholas.
Warwick sports knee surgery meeting proceedings

Total knee replacement and patellofemoral pain.
MJ McNicholas, DW McGurty, DI Rowley
J Bone Joint Surg [Br] Suppl. III, 2000; 82-B: 246.

Inter- and intra- reliability of the axial Puddu-Chambat view for diagnosis of posterior cruciate ligament lesions.
M Assal, MJ McNicholas, J Menetrey, D Fritschy.
ESSKA 2000 Book of Abstracts, 2000; 10.05, p 56.

Does teleradiography really save money?
P A Allcock, N A Munro, M J McNicholas, D F Finlayson, F A Khaweri.
J Bone Joint Surg [Br] Suppl. I, 2000; 82-B: 73-74.

Der Rolimeter – Ein neues, billiges und einfaches Testgerat zur Bestimmung der vorderen und hinteren Schublade.
Schuster A, McNicholas MJ, Wachtl S, Jakob RP.
59. Jahreskongress der Schweizerische Gesellschaft fur Orthopaedie Programm. Sept 1999.

Radiographic validation of the knee varus/valgus angle estimation of a three dimensional gait analysis technique.
MJ Mc Nicholas, J Linskill, S. Fairgrieve, D McGurty, DI Rowley.
J Bone Joint Surg [Br] Suppl. IV, 1997; 79B: 457.

Synovial fluid from knee joints after total meniscectomy has a much higher nitrite concentration than serum, suggesting local production of nitric oxide.
MJ Mc Nicholas, T Adalberth, MJ Drysdale, DI Rowley, DW McGurty, P Abdon, RG Knowles.
J Bone Joint Surg [Br] Suppl. III, 1997; 79-B: 357.

A thirty year follow-up study of total meniscectomy in adolescence.
MJ McNicholas, DI Rowley, D McGurty.
J Bone Joint Surg [Br] Suppl. II, 1997; 79-B: 175-6.

The influence of transverse knee rotation on 3-D kinetic data.
S Fairgrieve, J Linskill, MJ McNicholas.
Gait and Posture. Dec. 1997; Vol. 6, No. 3: 263.

A thirty year clinical, radiological and magnetic resonance imaging follow-up study of total meniscectomy in adolescence.
MJ McNicholas, DW McGurty, T Adalberth, P Abdon, CM Walker, DI Rowley
The European Journal of Radiology, Abstract Supplement, Abstract no 12, 1997.

The Tayside Experience of the Ilizarov external fixation system.
MJ Mc Nicholas, JR Buckley, AJG Swanson.
J R Coll Surg Edinb; Vol 41, June 1996: 188.

Gait Analysis observations of high tibial osteotomy by opening and closing wedge techniques.
MJ Mc Nicholas, J Linskill, S. Fairgrieve, JR Buckley, G Macleod, MS Turner, DI Rowley.
J Bone Joint Surg [Br] Suppl. I, 1996; 78-B: 38.

6. Papers in Print

Dysfunction of the posterior cruciate ligament in total knee arthroplasty
James Edmund Arbuthnot, Olwyn Wainwright, Gareth Stables, Manickam Rathinam, David I. Rowley, Michael J. McNicholas
Accepted: 26 July 2010
Knee Surgery, Sports Traumatology, Arthroscop

The effect of total knee arthroplasty on body mass index – A prospective study. Raheel Shariff, Manirathnam Manickham, Alwyn Wainwright, M McNicholas Journal of Orthopaedics, Trauma and Rehabilitation Accepted 19 July, 2010

The operative technique of arthroscopic delivery of the MACI Implant.
Cartilage.

Patellofemoral instability treated by Arthroscopic Trochleoplasty – two to three year results
P N Unnikrishnan, P D Meyers, A Hatcher, M Caplan, J Fairclough, M J McNicholas

Posterolateral reconstruction of the knee: a prospective study of clinical outcome.
J.V. Banks, I.P. Pengas, M.J. McNicholas

Functional outcome of golfers undergoing total knee replacement.
S Coogan, A Hatcher, P Meyers, MJ McNicholas.

Knee Osteochondritis Dissecans (OCD) lesions treated by AO Hook system fixation system; A mean four year follow-up.
Ioannis P. Pengas , Michael Kokkinakis, Paul Meyers, James Arbuthnot, Michael J McNicholas Arthroscopy: The Journal of Arthroscopic and Related Surgery Manuscript Number: ARTH-10-511

Papers submitted and under review

Contact Information The clinic is based in North Cheshire easy to travel to by road train or air McNicholas Knee Clinic Fir Tree Close, Stretton Warrington Cheshire WA4 4LU Tel: 01925 215 040 Fax: 01925 215 039 For directions to the clinic please follow this link to Google Map Consultant in Trauma and Orthopaedic Surgery Warrington Hospital NHS Trust Lovely Lane Warrington Cheshire WA5 1QG Tel. 01925 662919 Fax. 01925 662211 For directions to the clinic please follow this link to Google Map