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, EWST, injections and local infiltrations, etc... If surgery is offered and agreed 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 that you want to go ahead, will the proposed operation be organised.
TOTAL HIP REPLACEMENT
I perform just over 100 Total Hip Replacements per year. I have very low infection and dislocation rates. Minimally Invasive Surgery is performed in selected patients. Each case requires a different implant and technical solution. 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.
TOTAL KNEE REPLACEMENT
I perform over 150 knee replacements per year. The vast majority are Total Knee Replacements. I use Patient Specific Guides (PROPHECY) for personalised positioning of knee replacement implants. This provides greater accuracy of alignment and a theoretical better long term survival for the implants. ERAS protocols are used in all my knee replacements.
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
THE ABOVE REPRESENT 90% OF OPERATIVE PROCEDURES PERFORMED IN MY PRACTICE as a NORTH WALES ORTHOPAEDIC SURGEON.
ABDUCTOR TENDON REPAIR/ ADDUCTOR TENDON RELEASE/ ILIO-PSOAS RELEASE/ ILIO-TIBIAL BAND LENGHTHENING.
FOREFOOT SURGERY: CORRECTION OF BUNIONS AND TOE DEFORMITIES.