Services

Hip and Knee Problems

Hip Problems I Treat

Arthritis of the Hip in adults and the elderly
Arthritis of the Hip in young patients
Complex hip problems following:
    Osteoarthritis and Rheumatoid/Inflammatory Arthritis 
    Congenital dislocation/dysplasia of the Hip
    Perthes disease, Slipped upper femoral epyphysis
    Fractures
    Infection
    Avascular Necrosis
    General diseases of the skeleton
    Previous Hip fusion/arthrodesis
    
Treatments:
    Total Hip Replacement, enhanced recovery
    Complex Hip Replacement (pelvic and femoral reconstruction)
    High performance hip replacement bearings ceramic, xlink p
    Osteotomy
    Core decompression for avascular necrosis
    Bone Grafting for cystic collapse of the femoral head and acetabulum
    Hip Injection for the relief of pain
Treatment of Complications following previous hip replacement/resurfacing

Revision Hip Surgery
    Loosening of previous hip replacement/resurfacing
    Dislocation following hip replacement
    Infection following hip replacement/resurfacing
    Fractures following hip replacement/resurfacing
    Leg length problems following hip replacement
    Replacement of worn out hip replacements
    Assessment and treatment of painful hip replacements/resurfacing

Treatment of Hip Problems following Previous Fracture
    Treatment of painful hips following fracture treatment
    Hip replacement following hip fractures
    Removal of painful metal work following hip fractures
    Skeletal deformity and arthritis following hip fracture
    Avascular necrosis following hip fracture
    Treatment of infection following hip fracture fixation

Knee Problems I Treat

Arthritis of the Knee in young patients
Arthritis of the Knee in adults and the elderly
Complex knee Problems following
   Deformity due to growth defects or fracture around the knee
   Congenital abnormalities around the knee
   Problems following bone and joint infection around the knee
Treatments:
    Total Knee replacement
    Complex total Knee Replacement
    Arthroscopy, treatment of cartilage tears and articular defects
    Osteotomy
    Cortisone injection
Knee problems following injury / early wear and tear / inflammation
    Arthroscopy treatment of damaged/torn cartilages
    Arthroscopic micro-fracture of cartilage defects to regenerate cartilage
    Arthroscopic removal of loose bodies from knees
    Arthroscopic assessment/biopsy of the painful knee
    Needle aspiration of knee for diagnostic purposes
Treatment of Complications following Previous Knee Replacement

Revision Knee Surgery
    Loosening of previous knee replacement
    Ligament Instability following knee replacement
    Infection following knee replacement
    Fractures around knee replacements
    Persistent deformity or stiffness following knee replacement
    Replacement of worn out knee replacements
    Assessment and treatment of painful knee replacements
    Needle aspiration of painful knee replacement for diagnostic purposes

Treatment of Knee Problems following Previous Fracture
    Treatment of painful knees following fracture treatment
    Knee replacement following knee fractures
    Removal of painful metal work from fractures around the knee
    Arthritis and skeletal deformity as a result of previous fracture

Medico-legal Sevices

I have over 25 years of medico-legal experience. 

Personal Injury

I am able to provide  opinions and reports in cases of personal injury  in general orthopaedics and trauma, including fractures and soft tissue injury, with specialised reports into complex lower limb problems.(claimant and defendant) 

Clinical Negligence

I am able to provide opinions and reports into clinical negligence (claimant and defendant) concerning hip and knee problems following trauma and issues related to  particularly hip and knee replacement

If you are a patient and would like a medico-legal opinion of any form from me you I would need to be instructed via your legal representative (solicitor) on your behalf.

Expert Witness

I am able to provide opinions to help with inquests, clinical investigations and surgical implant (hip and knee) related issues.
 

Health Service Redesign

Having worked at all levels within the health service including managerial experience up to  board level as well as having been National Clinical Director for MSK for over 6 years I am willing to provided support for service redesign as well as advice in managing complex service issues.


 WARNING - Medical Information on the Internet

Whilst the internet is a valuable resource for information I would warn anybody seeking medical advice to discuss any potential treatment with their family doctor and other specialist in the field before embarking on treatment. Information on the internet is not subject to editorial control and may represent views that are not generally accepted or offer opinions that are overstated and go unchallenged. It is also important to ensure that those offering treatment are qualified to do so.