NON-SURGICAL AND SURGICAL TREATMENTS OFFERED:

 

After a differential diagnoses is made, the discussion and explanation that follows will inform you of the most likely condition affecting you and the requirement for any further tests.  If deemed appropriate, treatment will tend to start with non-surgical interventions like activity modification, weight loss, advice regarding oral or topical medication, orthotics, walking aids, physiotherapy, Extracorporeal Shock Wave Therapy, injections and local infiltrations, etc...               If surgery is offered as thought to be the required treatment for your condition's stage, information will be provided about its advantages and the associated most common risks. As the sufferer of the condition, only if you are sure and agree that you want to go ahead, will the proposed operation be organised. 

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TOTAL HIP REPLACEMENT

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I perform over 100 Total Hip Replacements per year. I have very low infection and dislocation rates. Minimally Invasive Surgery is performed in all patients. The Mini-Posterior Total Hip Replacement approach is one of such minimally invasive surgery option and I have performed around 1500 such hip replacements. Each case requires a different implant and technical solution. I have started to perform the Direct Anterior Approach to the hip and at times also using the Anterior-PATH technique. These Anterior Approaches are muscle sparing and provide a speedier early rehabilitation with less early postoperative restrictions required but they do not seem to have an advantage beyond the 3rd month after surgery. You will receive a full explanation of what procedure you will benefit most from and why.  ERAS (enhanced rehabilitation and surgery) protocols are used in all my hip replacements.

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TOTAL KNEE REPLACEMENT

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I perform around 100 knee replacements per year. The vast majority are Total Knee Replacements. I use Medial Pivot Knee Replacement implants that have been shown to provide a more natural feel after knee replacements and more stability with patients achieving higher activity and satisfaction scores. I have performed around 1200 such knee replacements. I do offer also Robotic Assisted Knee Replacements with the ROSA robot, which is very accurate for positioning the implant but I am not enthused by the design of the implant used in that type of surgery, hence, I do not routinely perform knee surgery using the robot. ERAS protocols are used in all my knee replacements.​

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KNEE ARTHROSCOPY

 

This is "key-hole" surgery in the knee used for: 1. Partial Menisectomy (excision of tears of the meniscus); 2. Repair of meniscus (suturing for certain tears of the meniscus); 3. Chondroplasty (for small articular cartilage lesions); 4. Fixation of osteochondral lesions ( to treat osteochondritis dissecans or traumatic lesions); 5. Excision of osteophytes ( removal of bone growths in early osteoarthritis); 6. Removal of loose bodies

 

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JOINTS INJECTIONS AND INFILTRATIONS

 

Depending on the intrusiveness of the symptoms, the diagnoses and the stage of the hip or knee joint pathology, there might be situations when I might advise less invasive procedures. I am in a position to offer injections into tendons, ligaments and joints themselves. Some may require to be performed under Xray control. Some will need to be done in theatres. The type of injections can be a cocktail of LOCAL ANAESTHETIC AND STEROID, a filtrated and concentrated growth factors and proteins injection taken from your own blood called PROTEIN RICH PLASMA INJECTION and, a new injectable implant, called ARTHROSAMID, that requires oral antibiotic prophylaxis prior to its injection. 

 

THE ABOVE REPRESENT 90% OF OPERATIVE PROCEDURES PERFORMED IN MY PRACTICE. 

 

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