Treatment

A guided hip injection involves inserting a small quantity of local anaesthetic and anti-inflammatory steroid into your hip joint. The procedure is performed in the operating theatre using an X-ray machine to guide the needle.

Arthroscopy is a surgical procedure that gives us a clear view of the inside of a joint. This helps us diagnose and treat joint problems. During hip arthroscopy, we insert an arthroscope into your hip joint. This camera displays pictures on a television screen. We may recommend hip arthroscopy if the patient has a painful condition that does not respond to nonsurgical treatment. Nonsurgical treatment includes rest, physical therapy, and medications or injections that can reduce inflammation.

Open surgical hip dislocation refers to a procedure in which the ball-and-socket hip joint is surgically dislocated so that the natural hip joint can be repaired. Open hip dislocation can be an extremely effective way to correct complex hip disorders while preserving the natural hip joint.

The hip is a ball-and-socket joint. The socket is formed by the acetabulum and the ball is the femoral head. The bone surfaces of the ball and socket are covered with articular cartilage - a smooth tissue that cushions the ends of the bones and enables them to move easily. In a healthy hip, the synovial membrane makes a small amount of fluid that lubricates the cartilage and eliminates almost all friction during hip movement. Bands of tissue called ligaments (the hip capsule) connect the ball to the socket and provide stability to the joint. 

In the majority of cases, total hip replacement enables people to live richer, more active lives free of chronic hip pain. Over time, however, a hip replacement may fail for a variety of reasons. In a revision total hip replacement, we remove some or all the parts of the original prosthesis and replace them with new ones. Revision total hip replacement is a longer, more complex procedure that requires extensive planning, and specialised implants and tools to achieve a good result. 

Knee arthroscopy gives us clear view of the inside of the knee. Technical advances have led to high definition monitors and high resolution cameras. These pieces of technology along with other improvements have made knee arthroscopy a very effective tool for treating knee problems.

The bone structure of the knee joint is formed by the femur, the tibia, and the patella. The ACL is one of the four main ligaments within the knee that connect the femur to the tibia. The ACL runs in the middle of the knee, preventing the tibia from sliding out in front of the femur, as well as providing rotational stability to the knee.

PCL prevents the tibia from moving backwards too far. An injury to the PCL requires a powerful force. PCL has two parts that blend into one structure that is about the size of a person's little finger. A common cause of injury is a bent knee hitting a dashboard during a car accident or a football player falling on a knee that is bent.

Three bones (femur, tibia and patella) meet to form the knee joint. Bones are connected to other bones by ligaments. In your knee, there are four primary ligaments including two collateral ligaments and two cruciate ligaments. Collateral ligaments are found on the sides of the knee. The medial collateral ligament (MCL) is on the inside and the lateral collateral ligament (LCL) is on the outside. They control the sideways motion of the knee. Cruciate ligaments (ACL, PCL) are found inside the knee. Direct contact to the knee or hard muscle contraction can injure a knee ligament. It is possible to injure two or more ligaments at the same time.

The knee is made up of the femur, the tibia, and the patella. The ends of these three bones where they touch are covered with articular cartilage, which protects the bones and enables them to move easily. The menisci are located between the femur and tibia. These C-shaped wedges act as "shock absorbers" that cushion the joint. Large ligaments hold the femur and tibia together and provide stability and the long thigh muscles give the knee strength.

In unicompartmental knee replacement or patellofemoral joint replacement, only a portion of the knee is resurfaced. This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee. 

In the clear majority of cases, total knee replacement enables people to live richer, more active lives free of chronic knee pain. Over time, however, a knee replacement may fail for a variety of reasons. In a revision total knee replacement, we remove some or all the parts of the original prosthesis and replace them with new ones.