Hip joint replacement surgery is commonly required to treat joints damaged from wearing out, osteoarthritis or other forms of joint disease including rheumatoid arthritis. Arthritis causes pain in the area of the hip and sometimes the pain is referred to the thigh or the knee. People with arthritic hip joints usually experience stiffness in the joint range of motion causing difficulties in activities such as getting in and out of cars, putting on shoes etc. Both pain and stiffness result in limitation in function e.g. reduced walking distance and difficulty in sporting activity. In these procedures the damaged joint surface is removed and replaced with artificial surfaces normally made from metal (chromium cobalt alloy, titanium), plastic (high density polyethylene) or ceramic, which act as alternative bearing surfaces for the damaged joint. In addition to traditional joint replacement I perform minimal invasive surgery and hip resurfacing. These operations are major procedures which require the patient to be in hospital for several days, followed by a period of rehabilitation, usually 4-6 weeks. Hip replacement (PPTX, 4.1 MB)

Knee joint replacement surgery is indicated for damaged joints, most commonly as a result of arthritis (both osteoarthritis and rheumatoid arthritis). I use state-of-the-art technology in joint replacement surgery, utilising computer assisted navigation surgery. Knee replacement can be either total or partial replacement, depending on the extent of the damage in the joint. Knee arthroscopy is useful for anterior cruciate ligament reconstruction and repair of torn cartilage (meniscus and articular). I have been using Robotic assisted knee replacement since 2017.

Foot and Ankle Surgery - Conditions treated include fractures, bunions, ankle sprains, torn ligaments. Ankle Arthroscopy Two or three small incisions (cuts) are made in the ankle and a small telescopic instrument with a tiny camera attached (arthroscope) is inserted. This allows the surgeon to look inside the joint, identify problems and, in some cases, operate. Tiny instruments can be passed through the arthroscope to remove bony spurs, damaged cartilage or inflamed tissue.

Over the last 30 years a large number of orthopaedic procedures on joints have been performed using an arthroscope, where a fiber optic telescope is used to look inside the joint. Through this type of keyhole surgery, fine instruments can be introduced through small incisions (portals) to allow surgery to be performed without the need for large cuts. This allows many procedures to be performed as a day stay and allows quicker return to normal function of the joint. Arthroscopic surgery is less painful than open surgery and decreases the risk of healing problems. Arthroscopy allows access to parts of the joints which can not be accessed by other types of surgery. I perform arthroscopy of the knee and ankle joints. Knee arthroscopy is performed in cartilage (meniscus) tears where the injured meniscus is repaired or trimmed depending on the nature of the tear. It is also performed in articular cartilage (joint surface) surgery and anterior and posterior cruciate ligament surgery. Knee Arthroscopy: Post-operative Rehabilitation (DOCX, 895.3 KB)

Both trauma and degenerative wear and tear may result in tendon problems that may require surgery. Ligaments are specialised soft tissue structures that surround and stabilise joints. Ligaments may be injured as a result of excessive force subjected to the joint as in accidents or sporting injuries. Not all ligament injuries require surgical operation; treatment may include resting, splint or cast immobilisation and anti-inflammatories. Certain ligament injuries will require surgical repair. Most of these procedures involve some sort of splintage after the surgery followed by a period of rehabilitation, normally supervised by a physiotherapist.

The division of a crooked or bent bone to improve alignment of the limb. These procedures normally involve some form of internal fixation, such as rods or plates, or external fixation which involves external wires and pins to hold the bone. The type of procedure for fixation will be explained when the surgery is planned.

For elderly patients joint replacement surgery is commonly required to treat damaged joints from wearing out arthritis or other forms of joint disease including rheumatoid arthritis. In these procedures the damaged joint surface is removed and replaced with artificial surfaces normally made from metal (chromium cobalt alloy, titanium), plastic (high density polyethelene) or ceramic which act as alternate bearing surfaces for the damaged joint. These operations are major procedures which require the patient to be in hospital for several days and followed by a significant period of rehabilitation. The hospital has several ways of approaching the procedure for replacement and the specifics for the procedure will be covered at the time of assessment and booking of surgery. Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation.