Meniscal Repair

Some meniscal tears of appropriate configuration and location and especially in younger patients are suitable for repair rather than trimming.  The procedure is performed arthroscopically (through key-hole surgery).  After careful assessment of the tear and freshening of the torn edges, the repair is performed by stitching the torn meniscus back together.  After the procedure, patients […]

Meniscal Trimming

A variety of different types of meniscal tears can occur.  Certain tears are suitable for meniscal repair and this is particularly the case in younger patients.  A vast majority of tears, however, are best treated by trimming the tear.  This is because the torn bit of meniscal cartilage irritates the joint causing swelling, pain and […]

Knee Arthroscopy

What is Knee Arthroscopy? Knee arthroscopy is one of the most commonly performed knee operations. It is a key-hole procedure performed through two tiny (5mm) surgical cuts (incisions) either side of the lower end of the kneecap. Through these incisions a special fibre optic camera allows the inside of the knee joint to be viewed and […]

Knee Joint Injections

Injections into the knee joint are performed without the need for x ray guidance.  These injections can be used to help to diagnose the knee as the source of pain (diagnostic knee joint injection) or can be used to help relieve knee pain (therapeutic knee joint injection). Diagnostic knee injections involve the injection of a […]

Revision (re-do) Hip Replacement

Sometimes hip joints that have been previously replaced must be replaced again.  This can be required for a number of reasons, but common reasons for re-doing the hip replacement include: -the previous hip replacement reaching the end of its life and wearing out -complications developing either early after the original procedure or some years later, […]

Hip Resurfacing

In this type of hip replacement the cup is similar to other types but the stem is different as it is not really a stem at all, but rather a larger ball that sits over the existing native femoral head (which is specially shaped using instruments to allow it to fit).  This is different to […]

Hip Replacement

Total hip replacement (THR) is one of the most successful of all medical interventions.    It is used to treat hip arthritis from any cause and aims to relieve pain and restore mobility and function. THR is usually performed under a general or spinal anaesthetic. The first successful THR was developed in the UK by […]

Hip Arthroscopy

Hip arthroscopy is a comparatively new technique practiced by relatively few surgeons.  Just like knee arthroscopy it is performed under a general anaesthetic and involves making tiny incisions through which the inside of the joint is examined and procedures are performed. Unlike the knee joint, the hip joint is a ball and socket joint with […]

Hip joint injections

Injections into the hip joint are usually performed under local anaesthetic using x-ray guidance or sometimes ultrasound guidance to accurately position the needle in the hip joint.  These injections can be used to help to diagnose the hip as the source of pain (diagnostic injection to arthritic hip) or can be used to help relieve […]

Hoffa’s Syndrome Treatment

The fat pad is a pad of fat that lies behind the knee cap and patella tendon.  It can become inflamed and swollen and can cause pain by becoming trapped in the front of the knee joint when the knee is straightened. Hoffa’s Syndrome can arise after a specific injury or can arise without a specific […]