Surgery

The Direct Anterior Approach (DAA) is technique for performing total hip replacement. By approaching the hip from the front, the procedure is performed through an interval between muscles aiming to minimise soft tissue disruption. For appropriately selected patients, there is some evidence that this may result in less early postoperative pain, a faster initial recovery, improved early mobility, and a lower risk of revision for dislocation. While not suitable for every patient, the DAA is an excellent option for many individuals undergoing hip replacement, with long-term outcomes comparable to other established surgical approaches. The choice of surgical approach is individualised and depends on your anatomy, underlying condition, and your surgeon’s experience and expertise.

The posterior approach is one of the most commonly performed and well-established techniques for total hip replacement worldwide. It provides excellent exposure of the hip joint, allowing accurate implant positioning and has an extensive track record of outstanding long-term results. During the procedure, the hip is approached through the muscles at the back of the hip, with careful repair of the soft tissues at the end of the operation to help restore stability. For appropriately selected patients, the posterior approach provides excellent pain relief, improved function, and durable long-term outcomes. The choice of surgical approach is individualised and depends on your anatomy, underlying condition, and your surgeon’s experience and expertise.

Ceramic hip resurfacing using the ReCerf® Hip Resurfacing Arthroplasty system is a bone-preserving alternative to total hip replacement that uses ceramic bearing surfaces rather than traditional metal-on-metal implants. By preserving the femoral head and neck, it aims to maintain more of your natural bone while providing excellent joint function for carefully selected patients, in particular younger patients with advanced joint disease and good quality underlying bone. The use of ceramic bearings avoids concerns associated with metal wear and may expand the suitability of hip resurfacing to a broader range of patients, including selected women. Although early clinical results are encouraging, ReCerf® is a relatively new technology and long-term outcome data are still being established. Careful patient selection and surgical expertise remain essential to achieving the best possible results.

The ADEPT® metal-on-metal hip resurfacing system is a bone-preserving alternative to total hip replacement designed for carefully selected patients, particularly younger, active individuals with good bone quality. Unlike a conventional hip replacement, the femoral head is preserved and resurfaced rather than removed, helping to maintain more of the patient’s natural bone. When used in appropriately selected patients and implanted by experienced surgeons, the ADEPT hip resurfacing system has demonstrated excellent long-term outcomes and allows many patients to return to a high level of activity. As with all metal-on-metal hip resurfacings, careful patient selection and ongoing follow-up are important because of the potential for metal wear and adverse reactions in a small number of patients.

Hip arthroscopy is a minimally invasive (“keyhole”) surgical procedure used to diagnose and treat a variety of conditions affecting the hip joint. Through small incisions, a camera and specialised instruments are used to address problems such as labral tears, femoroacetabular impingement (FAI), cartilage injuries, loose bodies, and inflammation within the joint. The aim of hip arthroscopy is to relieve pain, improve hip function, and preserve the natural joint, helping to delay or prevent the progression of arthritis where appropriate. It is most commonly performed in younger and more active patients with carefully selected indications and forms an important part of modern hip preservation surgery.

Most patients with greater trochanteric pain syndrome (GTPS) often called gluteal tendinopathy or trochanteric bursitis improve with non-surgical treatment, including physiotherapy, activity modification, strength and conditioning, and selected injection therapies. Surgery is reserved for the small number of patients with persistent symptoms despite comprehensive conservative management or those with significant gluteal tendon tears. Depending on the underlying pathology, surgery may involve gluteal tendon repair or reconstruction, removal of inflamed bursal tissue (bursectomy), iliotibial band release, or treatment of associated hip conditions. The aim is to relieve pain, and to restore the strength and function of the hip abductor muscles, allowing for comfortable sleep, a safe return to work and ultimately everyday activities.

Proximal hamstring repair and reconstruction are performed to treat complete hamstring tendon ruptures and selected high-grade partial tears that result in significant pain, weakness, or loss of function. In acute injuries, the torn tendons can often be repaired by reattaching them to the sitting bone (ischial tuberosity). In more chronic injuries, where the tendons have retracted or the tissue quality is poor, reconstruction using a tendon graft may be required to restore function. The aim of surgery is to relieve pain on sitting, restore strength and endurance, and help patients safely return to work, everyday activities, and sport through a structured rehabilitation program.

Hip fracture fixation is performed to stabilise a broken hip using screws, plates, or an intramedullary nail, allowing the bone to heal in the correct position. The type of fixation depends on the location and pattern of the fracture, your age, bone quality, and activity level. The primary goals of surgery are to relieve pain, restore mobility, and enable patients to return to walking and everyday activities as safely and as quickly as possible. Early surgery, combined with comprehensive rehabilitation, plays an important role in reducing complications and optimising recovery in what are often significant injuries in a vulnerable population. Surgery is undertaken in conjuction with significant multidisciplinary management with physicians, anaesthetists, occupational therapists, physiotherapists and social workers as required.

Knee replacement is one of the most effective surgical treatments for relieving pain and restoring function in patients with advanced knee arthritis. During the procedure, the damaged cartilage and bone are replaced with artificial components designed to recreate the smooth movement of a healthy knee. The aim of surgery is to reduce pain, improve mobility, correct deformity where present, and help patients return to everyday activities with greater comfort and confidence. Advances in implant design, surgical techniques, and rehabilitation have resulted in excellent long-term outcomes for the vast majority of patients.

Knee reconstruction encompasses a range of procedures designed to restore the stability, function, and anatomy of an injured knee. It is most commonly performed for ligament injuries, including anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), medial collateral ligament (MCL), and lateral collateral ligament (LCL) injuries. Depending on the nature of the injury, surgery may involve ligament reconstruction using tendon grafts, repair of meniscal tears, and treatment of damaged chondral (cartilage) surfaces to restore joint function and help protect the knee from further degeneration. The goal is to restore a stable, functional knee and enable a safe return to work, sport, and everyday activities through a structured rehabilitation program.

Knee arthroscopy is a minimally invasive (“keyhole”) surgical procedure used to diagnose and treat a wide range of conditions affecting the knee joint. Through small incisions, a camera and specialised instruments are used to treat problems such as meniscal tears, cartilage (chondral) injuries, loose bodies, ligament injuries, and areas of inflammation within the joint. The aim of knee arthroscopy is to relieve pain, improve knee function, and restore mobility while preserving the natural joint whenever possible. It is commonly performed for sports injuries and other mechanical knee problems, allowing most patients to return home on the day of surgery and begin rehabilitation soon afterwards.

Lower limb trauma surgery is performed to treat fractures and other serious injuries involving the hip, femur, knee, tibia, ankle, foot and surrounding soft tissues. The aim of surgery is to restore normal anatomy, provide stable fixation, and allow early mobilisation while promoting optimal healing. Depending on the injury, treatment may involve plates, screws, intramedullary nails, or joint replacement for selected fractures. Every treatment plan is tailored to the individual injury, with the goal of relieving pain, restoring function, and helping patients safely return to their normal activities through a comprehensive rehabilitation program.