loan
liabilities

An appropriate level of gearing depends on the industry that a company operates in. Therefore, it’s important to look at a company’s gearing ratio relative to that of comparable firms. The capital gearing ratio is the ratio of all capital with a fixed return (i.E., Preference share capital plus long-term liabilities) to all capital with a variable return (i.E., Ordinary share capital). Financial institutions use gearing ratio calculations when deciding whether to issue loans.

The degree of gearing, whether low or high, reveals the level of financial risk that a company faces. A highly geared company is more susceptible to economic downturns and faces a greater risk of default and financial failure. This means that with the limited cash flows that the company is getting, it must meet its operational costs and make debt payments.

Control and manage gearing ratio

Finance Strategists is a leading financial literacy non-profit organization priding itself on providing accurate and reliable financial information to millions of readers each year. On the other hand, even a slight improvement in such a company’s ROCE can lead to a large increase in its ROE. The following information has been taken from the balance sheet of L&M Limited. Hence, the capital provided by these two is said to offer a fixed return.

debt and equity

For example, agricultural companies often require short- term borrowing. By lowering their capital-gearing ratio, these companies can expand their scope and increase their profitability. Capital gearing ratio is a useful tool to analyze the capital structure of a company and is computed by dividing the common stockholders’ equity by fixed interest or dividend bearing funds.

https://1investing.in/ is the amount of debt – in proportion to equity capital – that a company uses to fund its operations. A company that possesses a high gearing ratio shows a high debt to equity ratio, which potentially increases the risk of financial failure of the business. The capital gearing ratio is the ratio of all capital with a fixed return (i.e., preference share capital plus long-term liabilities) to all capital with a variable return (i.e., ordinary share capital). A company is said to be low geared if the larger portion of the capital is composed of common stockholders’ equity. On the other hand, the company is said to be highly geared if the larger portion of the capital is composed of fixed interest/dividend bearing funds. Through this ratio, investors can understand how geared the firm’s capital is.

Convert Debt

Suppose the total requirement of capital of a company is Rs. 20,00,000 and the expected rate of return is 12%. If the entire capital consists of Equity Shares only, there will be no Trading on Equity, but will simply be a return @ 12% on Rs. 20,00,000, by way of dividends. Operating profit margin looks at profits after charging non-production overheads. Gross margin on the other hand focuses on the organisation’s trading activities.

Return on capital employed measures the return that is being earned on the capital invested in the business. Candidates are sometimes confused about which profit and capital figures to use. Profit before interest and tax , can also be given as Operating profit.

Besides, flexibility in the capital structure is not possible, except in case of liquidation, if the entire capital is raised by the issue of equity shares. The same, however, is possible if the capital is financed by the issue of debt capital. The quick ratio recognises that inventory often takes a long time to convert into cash. In practice a company’s current ratio and quick ratio should be considered alongside the company’s operating cash flow.

Unlike other financial ratios, a gearing ratio focuses more on the concept of financial leverage than on the exact ratio calculation. To calculate it, simply add up the long- and short-term debts then divide them by the equity. But in the case of 2nd company, this ratio is 8,00,000/10,00,000 i.e., 80%, so it is low geared. Assume that a company can issue three types of securities, i.e., equity shares, preference shares and debentures.

Gearing ratios represent a measure of financial leverage that determines to what degree a company’s actions are funded by shareholder equity in comparison with creditors’ funds. In other words it is the proportion between the fixed interest or dividend bearing funds and non fixed interest or dividend bearing funds. Equity share capital includes equity share capital and all reserves and surpluses items that belong to shareholders. Fixed interest bearing funds includes debentures, preference share capital and other long-term loans.

What is Capital Gearing?

A company’s capital-gearing ratio will determine the amount of debt that it can afford to incur. In order to have a high gearing ratio, a business needs to have more debt than it can handle. But this can only be done when the business has a strong financial position. A higher capital-gearing-ratio means that it should be diversified in order to increase profits. A gearing ratio is a measure of financial leverage, i.e. the risks arising from a company’s financing decisions. Trading On EquityEquity trading refers to the corporate action in which a company raises more debt to boost the return on investment for equity shareholders.

This is why it is important to take into consideration a company’s sector of activity when analysing its gearing ratio, as standards vary depending on the type of business. Although gearing ratios are widely used, certain limitations are worth mentioning. To reimburse part of your debt, your board of directors may authorise the sale of company shares. This option, which is seldom used by companies, can sometimes pay off up to 30% of debt.

But to get a big picture, you need to look beyond one or two years of data. You need to look at the last capital gearing ratio isade of the company’s capital structure and then see whether Company A has been maintaining high gear for a longer period. But if it’s not the scenario and they have borrowed some debt for their immediate need, you can think about investment . Financial gearing ratios are a group of popular financial ratios that compare a company’s debt to other financial metrics such as business equity or company assets.

A company is said to have a high capital gearing if the company has a large debt as compared to its equity. Capital gearing, also known as financial leverage, is the financial ratio that looks at the proportions of the company’s borrowings and its capital which are used for funding the business. In general, the company is usually considered risky if it has a large proportion of the borrowings. This is due to the interest and principal repayment is a legal obligation that the company must meet to avoid insolvency. As a result, a higher capital gearing usually means a higher risk for the company. ● For instance, the total debt to equity ratio can reflect a risky financial structure without actually indicating a poor financial situation.

current assets

Often, lenders for debt structured as senior will disregard a firm’s short-term obligations when calculating the gearing ratio, as senior lenders receive priority in the event of a business’s bankruptcy. Capital gearing is a British term that refers to the amount of debt a company has relative to its equity. In the United States, capital gearing is known as “financial leverage.” A company should follow the policy of high gear during inflation or boom period as the profits of the company are higher and it can easily pay fixed costs of debentures and preferences shares. Capital gearing can also be calculated by comparing the total debts to total debts plus equity which is often referred to as debt to equity + debt ratio. The levels of capital gearing vary from one industry to another, hence it is difficult to determine what level of capital gearing is considered too high.

Net tangible assets are obtained by subtracting the intangible assets and the current assets from total assets. Loan capital plus preference capital constitute the amount of long-term debt. Alternatively, long-term debt can be derived by subtracting current liabilities from total liabilities. The total capitalisation of the above two companies is the same i.e.

This measures the ability of the organisation to generate sales from its capital employed. Generally, the higher the better, but in later studies you will consider the problems caused by overtrading . Commonly a high asset turnover is accompanied with a low return on sales and vice versa. Retailers generally have high asset turnovers accompanied by low margins.

On the other hand, it may also happen that no profit is left after paying the debenture holders and preference shareholders. A gearing ratio compares the funds a company borrows relative to its equity, or capital. There are several ways a company can try to indirectly manage and control its gearing ratio, usually by profit, debt and expense management​​. Our Next Generation trading platform​ offers Morningstar fundamental analysis sheets​, which provide quantitative equity research reports for many global shares.

The last thought would be the company needs to maintain an adequate debt ratio that fits its best. Suppose a company reported the following balance sheet data for fiscal years 2020 and 2021. In contrast, a higher percentage is typically better for the equity ratio. In an economic downturn, such highly-levered companies typically face difficulties meeting their scheduled interest and debt repayment payments . “Gearing ratio” can also be an umbrella term for various leverage ratios.

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Anuj Punnoose

Postgraduate Researcher

PROFILE:

More than 24 years of experience as a Physiotherapist. Led the Trauma and Orthopaedic inpatient Physiotherapy team based at Cambridge University Hospitals for 16 years. East of England regional Physiotherapy specialist for Young Adult Hip Disorders.

Extensive experience in Trauma and Orthopaedics and Musculoskeletal rehabilitation.

Highly skilled clinician and leader with an excellent clinical and academic track record.

Areas of interests are Hip and groin disorders in the young adult population, joint replacement surgeries and pelvic and lower Limb trauma.

Recipient of the NIHR funded Integrated Clinical Academic Doctoral Fellowship award, April 2022. 

RESEARCH PROJECT:

Title: Prehabilitation for patients undergoing hip arthroscopic surgery for Femoroacetabular Impingement syndrome- a feasibility study

Femoroacetabular impingement syndrome (FAIS), resulting from abnormal acetabular or femoral head/neck morphology is a well-known pathological entity found in young active adults. Patients with FAIS often have pain, stiffness and functional limitations. Hip arthroscopy is often recommended when conservative management has failed to address the symptoms. However, the road to recovery is often lengthy due to a multitude of factors. This study will evaluate the feasibility, suitability and acceptability of a novel prehabilitation programme within an NHS setting and inform the design of a future large-scale trial testing the effectiveness of prehabilitation in patients undergoing hip arthroscopy.

Recent Publications:

Metcalfe A, Parsons H, Parsons N, et al.(2022): Subacromial balloon spacer for irreparable rotator cuff tears of the shoulder (START:REACTS): a group-sequential, double-blind, multicentre randomised controlled trial. Lancet 2022;399(10339):1954-1963. doi: 10.1016/S0140-6736(22)00652-3.

Y Kuroda, M Young, H Shoman, A Punnoose, A R Norrish, V Khanduja (2020): Advanced rehabilitation technology in orthopaedics-a narrative review. Int Orthop 2021;45(8):1933-1940. doi: 10.1007/s00264-020-04814-4.DOI: 10.1007/s00264-020-04814-4

Punnoose, Anuj; Weiss, Ori; Khanduja, Vikas; Rushton, Alison (2019): The effectiveness of Prehabilitation in Patients undergoing Orthopaedic Surgery- A systematic review and meta-analysis. BMJ Open 2019;9:e031119. Doi: 10.1136/bmjopen-2019-031119

Anuj Punnoose; Alan Norrish; Katie Pak (2016): Extracorporeal Shock Wave Therapy for Achilles and Patellar Tendinopathy: Meta-Analysis and a Systematic Review of the Literature. Journal of Physiotherapy and Physical Rehabilitation, Feb 2016                                                     DOI: https://doi.org/10.4172/2573-0312.1000124

A Punnoose; C Gallagher; J Matthews; V Khanduja (2015): Rehabilitation of a National Taekwondo Player Following Arthroscopic Hip Surgery: Successfully Achieving a Return to Gold Medal Winning Performance Levels’. Journal of Novel Physiotherapies, Apr 2015.         DOI: https://doi.org/10.4172/2165-7025.1000262

Sonia Ubong

MPHIL STUDENT

Sonia E. Ubong is currently undertaking her Master’s in Medical Sciences (Surgery) in the Division of Trauma and Orthopaedic surgery, at the University of Cambridge.

Her research is focused on investigating the relationship between Cam-type Femoroacetuabular Impingement and patients with Axial Spondylarthritis and Psoriatic Arthropathy.

Sonia was drawn to a career in Trauma and Orthopaedic surgery due to the variety in the demographic of patients and the practical nature of the speciality. Inspired by experiences as a medical student at King’s College London, Sonia recognised that although technical excellence and clinical judgment are imperative for all surgeons, a commitment to the study of fundamental pathology is essential for advancing the field of Orthopaedic Surgery. It is through this understanding that Sonia is now working on several projects at the Young Adult Hip Research group under Mr Vikas Khanduja’s guidance.


Sport has been a strong feature of Sonia’s career. She earned her Cambridge Blue in the 2022 Rugby Varsity match at Twickenham. Her keen interest in sport has ultimately led to her growing interest in orthopaedic pathologies that affect young adults.

Students being able to explore their interests in Orthopaedic surgery is extremely important to Sonia. As such, she currently sits on the British Orthopaedic Medical Society Association (BOMSA) collaborating with medical schools to enhance the student experience and exposure to Orthopaedic surgery.

Arman Memarzadeh

MBBS, FRCS (Tr and Orth), PGCME

Arman is a consultant in trauma and orthopaedics at Cambridge University Hospitals. Having completed his higher surgical training on the Cambridge rotation, he completed further fellowship training at the Fortius clinic in London, Leeds, and Oxford University Hospitals. He was also awarded a BOA travelling fellowship to visit Chicago and Philadelphia (Rothman Institute).

His clinical specialist interest is in knee surgery, sports and arthroplasty. Arman has been awarded a number of prizes, including the Trinity Cup, Cambridge Trainee of the Year and a research grant from Addenbrooke’s Charitable Trust. 

 
Arman has three children and enjoys watching, and sometimes playing, a variety of sports.
MD Summary
 
Arman took one year out of his surgical training program to start an MD research project, investigating the effect of pre-operative muscle strength on the outcomes of hip arthroscopy. The first part of the project was to validate a strength measurement protocol using an isokinetic dynamometer, according to the ‘Cambridge Protocol’. This showed high inter- and intra-observer correlation for the protocol, and was published in 2022. 
 
The second part of the project will correlate pre-operative strength with post-op outcomes; it has received ethical approval and is due to be completed by the end of 2022.

He has published over 20 articles in peer reviewed journals, with work presented at international conferences.

Top Publications:

  1. Validating the Cambridge Protocol: Reliability of Hip Muscle Strength Measurements Using a Motorized Dynamometer and Electromyography
    Memarzadeh A, Morrison AP, Merzbach V, Ferrandino M, Arora A, Claydon-Mueller LS, Khanduja V. Sports Health (2022) DOI: 10.1177/19417381211056869
  2. Infographic: Measuring hip muscle strength in patients with femoroacetabular impingement and other hip pathologies
    Mayne E, Raut P, Memarzadeh A, Arora A, Khanduja V. British Journal of Research (2019);
    DOI 10.1302/2046-3758.86.BJR-2019-0113
  3. Measuring hip muscle strength in patients with femoroacetabular impingement and other hip pathologies: a systematic review
    Mayne E, Memarzadeh A, Raut A, Arora A, Khanduja V. Bone Joint Res (2017) 5:1–7.
    DOI: 10.1302/2046-3758.512
  4. Standardising muscle strength measurement protocols in femoroacetabular impingement: RE: Impaired hip muscle strength in patients with femoroacetabular impingement syndrome.
    Letter to editor
    J Sci Med Sport. 2018 Feb;21(2):110. doi: 10.1016/j.jsams.2017.07.016. Epub July 2017

Sunil Kamar

Postgraduate Researcher
Mr Sunil Kumar is an Orthopaedic Surgeon with a special interest in Young Adult Hip Surgery. He completed his orthopaedic training in the East of England based around Cambridge. 

He is completing a Hip Preservation Fellow at Northumbria prior to taking up a substantive consultant position at Addenbrookes Hospital, Cambridge. 

 

Mr Sunil Kumar maintains an active academic interest in research and teaching. He is a keen educationalist and a Member of Faculty of Surgical Trainers. His interest in outcomes in young adult hip pathology led him embarking on a journey to establish core outcome set in hip preservation surgery.

Research Summary
 
Project: Core Outcome Measure in Hip Preservation Surgery 
Publishing articles on hip preservation surgery (HPS), made me aware of the usage of patient reported outcome measures (PROMs) in YAH pathologies with no consistency amongst different studies. The project plan consists of (1) Evaluating the different PROMs used in HPS via a systematic review, (2) qualitative interview of patients to get feedback regarding the outcomes relevant to those suffering from non-arthritic hip pain and (3) finally a consensus study amongst expert from around the world via a Delphi process to come to a conclusion of the core outcome set (COS) in HPS, which has the potential to become a standard for future trial in HPS.

Top 5 Publications:

  1. Khanduja V, Darby N, O’Donnell J, Bonin N, Safran MR; International Microinstability Expert Panel. Diagnosing Hip Microinstability: an international consensus study using the Delphi methodology. Knee Surg Sports Traumatol Arthrosc. 2022 Apr 30. doi: 10.1007/s00167-022-06933-4. Epub ahead of print. PMID: 35499620.
  2. Sunil Kumar KH, Garner M, Khanduja V. An evidence-based update on the management of articular cartilage defects in the hip. J Clin Orthop Trauma. 2022 Mar 17;28:101830. doi: 10.1016/j.jcot.2022.101830. PMID: 35371918; PMCID: PMC8968056.
  3. Vemulapalli KV, Sunil Kumar KH, Khanduja V. Registry Studies Use Inconsistent Methods to Account for Patients Lost to Follow-up, and Rates of Patients LTFU Are High. Arthrosc Sports Med Rehabil. 2021 Oct 28;3(6):e1607-e1619. doi: 10.1016/j.asmr.2021.07.016. PMID: 34977612; PMCID: PMC8689216.
  4. Yarwood W, Sunil Kumar KH, Ng KCG, Khanduja V. Biomechanics of Cam Femoroacetabular Impingement: A Systematic Review. Arthroscopy. 2022 Jan;38(1):174-189. doi: 10.1016/j.arthro.2021.05.066. Epub 2021 Jun 18. PMID: 34147642.
  5. Sunil Kumar KH, Mamarelis G, Pettit M, Khanduja V. Management of Stiffness following Total Knee Arthroplasty: International Survey on Surgeon Preferences. SICOT J. 2021;7:30. doi: 10.1051/sicotj/2021008. Epub 2021 Apr 30. PMID: 33929314; PMCID: PMC8086424.

Andronic Octavian

Postgraduate Researcher
Born and raised in Republic of Moldova, I then have pursuit my medical studies in Romania where I graduated in 2017 at the University of Medicine and Pharmacy in Iasi. After moving to Switzerland for my orthopaedic surgical training at Balgrist University Hospital in Zurich, I soon began a Ph.D. research degree under the supervision of Mr. Vikas Khanduja in Cambridge, United Kingdom. 
 
I am currently in my final year of orthopaedic training and plan to complete a Fellowship subspecialty training in Primary and Revision Hip and Knee Arthroplasty and Orthopaedic Trauma at the University of Western Australia in Perth under the supervision of Prof Piers Yates in 2023 .
 
I am pursuing my long-term goal of becoming a complete hip surgeon and am blessed to be part of the young adult hip group led by Mr. Vikas Khanduja in Cambridge, a place where the world of hip replacement is continually evolving.
 
100-word Research Summary for Ph.D. at Anglia Ruskin University:
My Ph.D. Thesis aims to investigate effective treatments and management strategies in patients with FAI and concomitant Tönnis Grade 2 or greater hip OA.  
 
We aim to perform a series of studies to elucidate the current evidence of the efficacy of all treatment types for femoroacetabular impingement and concomitant hip degeneration and then elaborate a Delphi Consensus with an international expert panel.

These projects would then constitute the evidence-based design of a subsequent randomized controlled trial that would define guidelines for the gold standard treatment approach in this patient subpopulation.

Top 5 Publications:

  1. Andronic O, Claydon-Mueller LS, Cubberley R, Karczewski D, Sunil-Kumar KH, Khanduja V. Inconclusive and Contradictory Evidence for Outcomes After Hip Arthroscopy in Patients With Femoroacetabular Impingement and Osteoarthritis of Tönnis Grade 2 or Greater: A Systematic Review. Arthroscopy. 2022 Jan 31:S0749-8063(22)00027-5. doi: 10.1016/j.arthro.2022.01.024
  2. Plachel F, Jo OI, Rüttershoff K, Andronic O, Ernstbrunner L. A Systematic Review of Long-term Clinical and Radiological Outcomes of Arthroscopic and Open/Mini-open Rotator Cuff Repairs. Am J Sports Med. 2022 Feb 18:3635465211073332. doi: 10.1177/03635465211073332.
  3. Andronic O, Hincapié CA, Burkhard MD, Loucas R, Loucas M, Ried E, Rahm S, Zingg PO. Lack of Conclusive Evidence of the Benefit of Biologic Augmentation in Core Decompression for Nontraumatic Osteonecrosis of the Femoral Head: A Systematic Review. Arthroscopy. 2021 Dec;37(12):3537-3551.e3. doi: 10.1016/j.arthro.2021.04.062.
  4. Andronic O, Unterfrauner I, Jud L, Fritz B, Viehöfer AF, Fröhlich S, Imhoff FB, Wirth SH. Outcomes of Tibialis Anterior Tendon Reconstruction with Autograft or Allograft. Foot Ankle Int. 2022 Jan;43(1):2-11. doi: 10.1177/10711007211029956. Epub 2021 Jul 26.
  5. Ernstbrunner L, Andronic O, Grubhofer F, Camenzind RS, Wieser K, Gerber C. Long-term results of reverse total shoulder arthroplasty for rotator cuff dysfunction: a systematic review of longitudinal outcomes. J Shoulder Elbow Surg. 2019 Apr;28(4):774-781. doi: 10.1016/j.jse.2018.10.005. 

Richard Holleyman
MBBS, MSc, FRCS (Tr&Orth)

Specialty Trainee in Trauma & Orthopaedic Surgery, Health Education North-East, Newcastle upon Tyne, UK.
British Hip Society and Orthopaedic Research UK Research Fellow.
 
Richard is a registrar in Trauma & Orthopaedic surgery based in the North-East, and is currently undertaking a PhD studying outcomes following hip surgery using national datasets. Richard is privileged to have been awarded research fellowships from the Royal College of Surgeons of England (Shears Fellowship), Orthopaedic Research UK, the British Hip Society, and the National Hip Fracture Database (honorary) in support of his work.
 
He has a passion for epidemiological research and informatics, having worked extensively with large national datasets including the Non-Arthroplasty Hip Registry (NAHR, where he has helped produce the annual report since 2017), National Joint Registry (NJR), National Hip Fracture Database (NHFD), and Hospital Episode Statistics (HES). Over the last decade, Richard has developed particular expertise in the linkage and modelling of complex local and population level data for research, health surveillance, and quality improvement and has worked with, and consulted for, a number of public and private organisations.
 
Richard’s PhD encompasses analysis of outcomes following young adult hip surgery (using NAHR data), hip fracture surgery (using NHFD data) and now, as part of a recently awarded fellowship co-funded by the British Hip Society and Orthopaedic Research UK, he is working with the research committee to examine the outcomes following complex hip arthroplasty (particularly revision/re-do surgery) and their determinants using linked data from the NJR and NHS Digital (Hospital Episode Statistics).

Richard’s publications are available here