Knee & Hip Treatment Specialties

Total Knee Replacement

Total Knee Replacement surgery is an operation that involves replacing a worn out knee with an artificial joint.

The most common reason for knee replacement surgery is severe osteoarthritis of that knee.

It can be done in patients who have had previous injuries or fractures to their knee and the residual sequel of that is now severe osteoarthritis.

The surgery involves refashioning the ends of the femur and tibia bones which form the knee joint in a very advanced and technical manner. The artificial knee joint is then placed on the cut ends of the bones.

Total Hip Replacement

Total Hip Replacement surgery is an operation that involves replacing a worn out hip with an artificial joint.

The most common reason for hip replacement surgery is severe osteoarthritis of that hip. It can also be done in patients who have had previous injuries or fractures and in previous hip conditions like dislocated hips when born, Perthes disease, Slipped Capital Femoral Epiphysis and Avascular Necrosis leading to severe arthritis.

The surgery involves removing the arthritic part of the hip joint and replacing it with an artificial socket and ball joint. The articulation between these is important and a ceramic bearing can be used.

Knee Arthroscopy (Key Hole Surgery)

Arthroscopy is keyhole surgery used to diagnose and treat problems within the knee joint.

Arthroscopy instruments are small, so small cuts in the skin are needed. This has the advantage of faster healing time and lower risk of infection.

The procedure is used to treat tears of the cartilage, (meniscus), removing fragments of loose bone or cartilage, drilling of bone to promote healing of cartilage and treatment of cruciate ligament injuries.

Both the cartilage on the inner and outer aspect of the knee can be torn or frayed and both can be suitable for knee arthroscopy.

Revision Total Knee Replacement
(Re Do Joint Replacement Surgery)

This surgery is an operation that involves replacing a previous knee replacement with a further new artificial joint.

The most common reason is loosening of the previous implant. This loosening could be due to infection or due to wear and tear of the implant which has been present for many years. The other causes for revision surgery are misalignment or instability and fractures around the knee replacement.

Revision surgery is more complicated than a primary (initial) total knee replacement.

The surgery involves removing the old implant and then putting in a new implant which is a more complex artificial joint.

Intra-Articular And Peri - Articular Injections

Steroids or other substances can be injected directly into a joint (intra-articular injection) or into the soft tissue close to the joint (peri-articular injection).

Conditions where injections can be used to diagnose and treat:

A) Trochanteric bursitis.
B) Gluteus medius tendinopathy.
C) Snapping ilio tibial band. (Clicking hip ).
D) Ischial tuberosity bursitis.
E) Patients with both hip pain and back pain.
F) Labral tear (tear of cartilage within the hip joint).
G) Femoroacetabular hip impingement FAI.
H) Knee intra- articular injections for arthritis.

Physiotherapy/ Non-Surgical Treatment & Orthopaedic Counselling

Recommended for patients who do not require surgical treatment.

These modalities are as vital as “high tech” surgery. These are used in:

A) Post-operative period of an operation.
B) Soft tissue and ligament injuries not needing surgery.
C) Patella (knee cap) dislocations.
D) Patella and quadriceps tendinitis.
E) Osteoarthritis of the knee which is not severe enough for an operation.