SURGICAL PROCEDURES & CONDITIONS OF THE HIP

OPERATIVE MANAGEMENT OF HIP PAIN

A diagnosis of hip pain will usually be made on the basis of history, examination and imaging findings. Hip pain symptoms arising from the hip joint itself usually result from loss of articular cartilage within the hip joint. This causes inflammation which is usually chronic resulting in pain and stiffness. Sometimes there are secondary features of back pain and knee pain as a result of a prolonged gait disturbance (limp).

HIP REPLACEMENT SURGERY

Hip replacement surgery is designed to change the natural history of an and restore function and relieve pain. This is one of the more successful orthopaedic procedures in achieving good pain relief and restoration of function.

Hip Arthroscopy

Hip Osteotomies

Hip Replacement – Anterior Minimally Invasive

Hip Replacement Revision

SURGICAL PROCEDURES & CONDITIONS OF THE KNEE

KNEE REPLACEMENT SURGERY

Knee replacement surgery, which is essentially resurfacing of the articular surfaces of the joint and reducing inflammation and therefore pain in the knee, has a high success rate in relieving symptoms. Approximately ninety-five out of every hundred joint replacement procedures give good pain relief for a prolonged period of time following the surgery. Knee replacement procedures have become more common due to the aging population.

FULL KNEE REPLACEMENT

• In those patients where there is arthritis throughout the knee which is severe, a full knee replacement will be recommended.

PARTIAL OR UNICOMPARTMENTAL KNEE REPLACEMENT

• In those patients with only limited arthritis in one part of the knee, the partial knee replacement procedure may be possible. The advantages of a partial knee replacement are that the procedure is a smaller operation with faster recovery time.

RECONSTRUCTION OF THE ANTERIOR CRUCIATE LIGAMENT (ACL)

Surgical reconstruction of the anterior cruciate ligament is performed in situations where there is ongoing instability in the knee as a result of the lack of functioning of the anterior cruciate ligament or in most people who want to return to sports that require a quick change in direction.

When a tear of the anterior cruciate ligament occurs the ligament does not automatically heal. The torn ends of the cruciate ligament will not approximate and the ligament undergoes a process of plastic deformation where it stretches prior to ligament rupture. A primary repair of the ligament does not achieve a stable end result and therefore ligament reconstruction surgery is usually offered to replace the damaged ligament and allow more normal knee function.

It is possible that without an anterior cruciate ligament, the articular surfaces and menisci in the knee may be be more likely to wear due to abnormal motion in the knee with every day activities.