SCOTTISH Network: Scottish Centres for Orthopaedic Treatment & Innovation in Surgery & Healthcare SCOTTISH Network member institutions: University of St Andrews, NHS Golden Jubilee, NHS Fife, Edinburgh Orthopaedics, SCOTnet, University of Strathclyde

A multi-centre clinical research network across Scotland,
advancing orthopaedic and musculoskeletal science.

Linking national hospitals, academic medicine and clinical practice to generate high-quality evidence in orthopaedic surgery and musculoskeletal health.

What SCOTTISH Stands For
S Scottish
C Centres
O Orthopaedic
T Treatment
T Translation
I Innovation
S Surgery
H Healthcare

Member Institutions

Research Programmes

Published Studies

Nationwide Cohort Study · Trauma

The Epidemiology and Outcomes of Periprosthetic Femur Fractures: The Scottish National Audit of Periprosthetic Femur Fractures (SNAP Femur)

Kennedy MJ, Clement ND, Farrow L, Kennedy IW, Harding T, SCOTnet SNAP Femur Group, Blacklock C, Penfold RS, Clarke JV, Duckworth AD, MacLullich AMJ, Walmsley PJ, Hall AJ

The Bone & Joint Journal · 2026;108-B(5):707–715 · doi:10.1302/0301-620X.108B5.BJJ-2025-0979.R1

A nationwide retrospective cohort study of 328 periprosthetic femur fractures managed across 16 Scottish centres in 2019. One-year mortality was 20.8% (SMR 2.74). Independent mortality predictors included interprosthetic fracture (aHR 2.65), male sex (aHR 1.76), older age, and higher pre-injury frailty. Management strategy was not independently associated with mortality after adjustment.

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Scoping Review · Metabolic & Joint Health

GLP-1 Receptor Agonists and Weight-Loss Strategies for Individuals with Obesity and Hip or Knee Osteoarthritis

McCann C, Clement N, Murray A, Kearney R, Madigan S, Gee C, Walmsley P, Morrison S, Chopra S, Hall A

British Journal of Sports Medicine · Epub ahead of print, 2026 · doi:10.1136/bjsports-2025-111225

A PRISMA-ScR scoping review of 199 studies examining weight-loss strategies in adults with obesity and hip or knee osteoarthritis, with focus on the emerging role of GLP-1 receptor agonists. Of 36 studies directly assessing GLP-1-RAs, 14 reported original data. Evidence is strongest for knee OA; hip OA data remain limited. GLP-1-RAs are recommended as adjuncts within supervised, multimodal musculoskeletal care.

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Scoping Review · Patient & Public Perception

Perceptions of Robot-Assisted Arthroplasty Among Patients and the Public

Morrison SR, Clement ND, Clarke JV, Gee C, Chopra S, Hall AJ

Bone & Joint Open · 2026;7(6):733–743 · doi:10.1302/2633-1462.76.BJO-2026-0007.R1

A PRISMA-ScR scoping review of 16 studies (3,957 participants) exploring patient and public perceptions of robot-assisted surgery (RAS) in arthroplasty. Four themes emerged: interest, understanding, concerns, and influences on preference. Patients showed high interest but commonly overestimated RAS benefits and prevalence of use, with trust in the operating surgeon remaining a stronger influence than the technology itself.

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Contact Us

Get in touch

Research enquiries, collaboration proposals, and data access requests are welcome. We aim to respond within five working days. Chief Investigator: Dr Andrew J Hall, School of Medicine, University of St Andrews.

Also reach us via

SCOTTISH Network is a collaborative academic research network. Enquiries regarding individual clinical referrals or NHS services should be directed to the relevant NHS board directly. Associated networks: SCOTnet (Scottish Collaborative Orthopaedic Trainee Research Network), Scottish Arthroplasty Project (Public Health Scotland), STRIKERS Elite Sports Group.

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About the Network

Clinical research, built across Scotland

SCOTTISH Network links three Scottish institutions across national hospital, academic and clinical settings. The network was established to conduct collaborative, high-quality research in orthopaedic surgery and musculoskeletal health, addressing questions that require population-scale data and multi-site expertise.

Research outputs are designed to inform clinical practice, national audit, and health policy across Scotland and beyond.

Epidemiology
National-level cohort studies drawing on Scottish health data to establish the burden and outcomes of orthopaedic conditions.
Clinical Outcomes
Rigorous evaluation of surgical and non-surgical interventions, with mortality, function and patient-reported outcomes as primary endpoints.
Musculoskeletal Health
Translational and systematic research into metabolic, pharmacological and lifestyle determinants of joint health and surgical outcomes.
Collaborative Science
Trainee-led and consultant-supervised research through SCOTnet and national audit infrastructure, with multi-disciplinary authorship.

Project Authors

Investigators

Dr Andrew J Hall
Chief Investigator & Co-Chair
School of Medicine, University of St Andrews; Golden Jubilee University National Hospital; STRIKERS Elite Sports Group, Dublin
SNAP Femur · GLP-1 OA · RAS Perceptions
Prof Christopher W Gee
Co-Chair
Golden Jubilee University National Hospital; University of Strathclyde; Centre for Sustainable Delivery
GLP-1 OA · RAS Perceptions
Dr Nick D Clement
School of Medicine, University of St Andrews; Edinburgh Orthopaedics, Royal Infirmary of Edinburgh; Scottish Hip Fracture Audit, Public Health Scotland
SNAP Femur · GLP-1 OA · RAS Perceptions
Dr Phil J Walmsley
School of Medicine, University of St Andrews; Scottish Arthroplasty Project, Public Health Scotland; National Treatment Centre - Fife Orthopaedics, Victoria Hospital, Kirkcaldy
SNAP Femur · GLP-1 OA
Prof Jon V Clarke
Golden Jubilee University National Hospital; University of Strathclyde; Scottish Arthroplasty Project, Public Health Scotland
SNAP Femur · RAS Perceptions
Mr Conor McCann
School of Medicine, University of St Andrews; Golden Jubilee University National Hospital
GLP-1 OA
Mr Scott R Morrison
School of Medicine, University of St Andrews; Golden Jubilee University National Hospital
GLP-1 OA · RAS Perceptions
Dr Swati Chopra
Golden Jubilee University National Hospital
GLP-1 OA · RAS Perceptions
Mr Calum Blacklock
Edinburgh Orthopaedics, Royal Infirmary of Edinburgh
SNAP Femur
Prof Andrew D Duckworth
Edinburgh Orthopaedics, Royal Infirmary of Edinburgh; Centre for Population Health Sciences, Usher Institute, University of Edinburgh
SNAP Femur
Dr Luke Farrow
Aberdeen Royal Infirmary; University of Aberdeen
SNAP Femur
Mr Thomas Harding
Ninewells Hospital, Dundee
SNAP Femur
Dr Ronan Kearney
Blackrock Clinic, Dublin
GLP-1 OA
Mr Ian W Kennedy
Queen Elizabeth University Hospital, Glasgow; School of Medicine, University of Glasgow
SNAP Femur
Mr Matthew J Kennedy
Golden Jubilee University National Hospital; School of Medicine, University of St Andrews
SNAP Femur
Prof Alasdair M J MacLullich
Edinburgh Orthopaedics, Royal Infirmary of Edinburgh; Scottish Hip Fracture Audit, Public Health Scotland
SNAP Femur
Prof Sharon Madigan
University of Limerick; Sport Ireland Institute, Dublin
GLP-1 OA
Prof Andrew Murray
Edinburgh Orthopaedics Sports Medicine Research
GLP-1 OA
Dr Rose S Penfold
Scottish Hip Fracture Audit, Public Health Scotland; Centre for Population Health Sciences, Usher Institute, University of Edinburgh
SNAP Femur

SCOTnet SNAP Femur Group

Collaborating members credited under the SCOTnet SNAP Femur Group authorship on the SNAP Femur study (Bone & Joint J 2026;108-B(5):707-715).

Karen Adam Roberto Alho Matthew Arnold Justine Burt Isabelle Cochrane India Cox Joseph Duncumb Anthony Gibson Hamzah Hanif Euan Harris Aurélie G. C. Hay-David Alan Howieson Jun Leow Quintin Liao Sam MacKenzie Alistair Macey Fahd Mahmood Kirsty Milne David Munn Graeme Nicol Mannix O’Boyle Roshan Raghavan Lauren Ross Paul Ryan Mariam Sattar Rob Sinnerton Henrietta Stockdale Janice Wong