Procedures Archives - Midland Hip and Knee Clinic

A hip replacement may be needed if you have severe damage to your hip joint which is causing painful symptoms. It is commonly performed on older patients who have osteoarthritis.

During hip replacement surgery, the joint is removed and replaced with an artificial one.

Your orthopaedic hip surgeon will perform your hip replacement by:

Making a small incision in the thigh to access the hip joint
Remove the damaged femur (ball of the thighbone) and socket
Implant the replacement socket
Insert a short metal stem with a ball on it into the ball of the thighbone
Close the incision with stitches.

A hip replacement can hugely reduce pain, with almost all patients getting complete, or near complete relief from arthritic hip pain, and thus increased mobility.

Minimally invasive hip surgery

Mr Makrides offers minimally invasive hip surgery using the Direct Superior Approach. This avoids damage to surrounding muscles and tissue which results in a shorter hospital stay and a faster recovery time.

Robotic assisted hip surgery

Mr Makrides can also perform hip replacement surgery using the Mako robotic arm assisted surgery. This is carried out at Spire Little Aston Hospital and allows your surgeon to use the robotic arm to guide him along pre-defined areas using real time tracking which adjusts to the smallest of movements. This results in extremely precise surgery with minimal blood loss, scarring and post operative pain.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

A hip replacement is surgery to removed your damaged hip joint and replace it with an artificial joint.

When is a hip replacement needed?

If you are experiencing pain, swelling and stiffness in your hip joint, and your day to day life is affected by it, then you may be considered for a hip replacement, if other treatments such as steroid injections or physiotherapy have not helped.

The most common reasons for hip replacement surgery are:

Osteoarthritis

Where the cartilage that protects the joints breaks down over time and causes pain and inflammation.

Rheumatoid arthritis

When your immune system attacks the healthy cells lining the joint which causes pain, inflammation and eventually damage to the joint.

Septic arthritis

A serious infection that can damage the joint.

Hip fractures

A fall or trauma which causes a small break in the hip. Overtime this may weaken the bone and lead to osteoporosis.

How is a hip replacement performed?

Usually performed under general anaesthetic or a spinal block, your orthopaedic hip surgeon will make an incision in the side of your hip. The damaged femur (ball) will be removed along with any damage to the socket. A prosthetic is fitted and held in place with a special ‘glue’ or ‘cement’.

Minimally invasive hip replacement surgery

Mr Makrides carries out minimally invasive hip replacement surgery which uses 1 or 2 very small incisions as opposed to a large one and special instruments to carry out the procedure. This is a beneficial technique used to reduce damage to the surrounding muscles and tissue which in turn results in a faster recovery time with less pain.

Mako robotic hip replacement surgery

Robotic surgery allows your hip surgeon to make a 3D model of your hip joint prior to surgery. During surgery the robotic arm guides your surgeon within the pre-defined area, using real time tracking feedback making it extremely precise, resulting in a faster recovery time, a shorter stay in hospital, less pain post surgery and a smaller scar.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Hip pain can be common in cyclists due to the repetitive nature of peddling and sitting.

One of the most commonly seen conditions in cyclists is hip bursitis. The bursa is a small fluid filled sac that acts as a cushion to absorb shock between the bone and ligaments. When the bursa becomes irritated and inflamed it is known as bursitis.

The reason a cyclist may get hip bursitis could be from cycling a lot without regular breaks, incorrect posture on the bike or an existing problem with the hip that worsens irritation of the hip bursa.

Symptoms of hip bursitis:

Pain and swelling around the hip area
Pain may worsen when moving

Treatment for hip bursitis:

Treatment for hip bursitis may involve a course of antibiotics, steroid injections if applicable and if severe surgery to drain or remove the bursa.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

We all have fluid filled sacs known as bursa that cushion our joints. Bursitis occurs when they become inflamed.

Symptoms of knee bursitis are:

A painful knee
A swollen knee
The skin around the knee may be sore and tender

Treatments for knee bursitis:

You can try taking a break and resting your knee as well as using ice and anti inflammatories to reduce inflammation and pain.

It is also possible to have a steroid injection to reduce the swelling.

If your knee bursitis is particularly bad and not responding to the above, then an orthopaedic surgeon can drain it for you

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Hip arthritis is when you experience hip pain and stiffness due to the cartilage that protects the joints wearing down.

Symptoms of hip arthritis are:

Pain in the hip
Swelling and tenderness in the hip

Due to pain and discomfort in your hip, your mobility may be reduced, resulting in other joints and muscles taking more strain than they usually would. It is common for the spine to take this strain and thus become tired and worn.

Treatment for hip arthritis

Treatment involves taking painkillers and anti-inflammatory medication to help ease pain and inflammation. Physiotherapy and exercise may help strengthen the muscles around the joint.

If the above have not been successful or if your arthritic hip is advanced, then hip surgery to repair or replace the damaged hip joint may be considered.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

The patellar tendon is a strong cord of fibrous tissue that attaches the front of the knee cap to the shinbone and helps to straighten the leg.

The most common causes of damage to the patellar tendon are direct impact and falls directly onto the kneecap, particularly if you are active and do a lot of running and jumping. The patellar tendon can also become damaged if it is weak as a result of tendonitis, rheumatoid arthritis or an infection.

Symptoms of a patellar tendon injury

Pain and tenderness in the knee
Bruising
Trouble walking
Knee giving way
Your kneecap might move up slightly

Types of patellar tendon injuries

Partial patellar tear.

A small or partial tear can cause difficulty walking, and might respond to physiotherapy and wearing a brace.

Complete tear

A total or complete tear will prevent you from being mobile. You will likely require surgery to reattach the tendon to the kneecap

Surgical treatment for a patellar tear

Your orthopaedic knee surgeon will make an incision to the front of the knee and expose the tendon. Sutures are tied to the tendon and threaded through to the patellar to secure the damaged tendon back to its normal position on the kneecap.

Recovery from patellar tendon repair surgery can take up to 6 months.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Bursitis is when the bursa, small fluid filled sacks that cushion the joint to help reduce friction, become inflamed and painful.

Symptoms of hip bursitis

Painful hip
Tender and achy hip
Swelling around the hip
Redness around the hip
The hip might be more painful when you put pressure on it

Treating hip bursitis

Painkillers and anti-inflammatory medication can help to reduce the swelling, along with resting and avoiding putting pressure on the hip joint.

Usually, you might be given a course of antibiotics if the bursitis is caused by an infection or steroid injections to help reduce the swelling. If the bursitis is severe then the bursa may need to be drained or surgically removed.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Hip osteoarthritis occurs when the protective cartilage breaks down usually due to wear and tear as we age, leaving the bones to rub against each other.

However, it is also possible to be more susceptible to osteoarthritis if you have had previous injury or trauma to the joint, if you are overweight, female and have had past conditions that may damage the joint, such as gout or rheumatoid arthritis.

Typically, symptoms of arthritis of the hip present as pain, swelling and tenderness of the joint. It is possible to experience knee pain, as well as groin pain if your hip is arthritic because the nerve that supplies the knee runs past the hip, which may be inflamed and sore.

Treating hip arthritis consists of taking painkillers and anti-inflammatory medication to help with pain and inflammation. Physiotherapy and exercise to help strengthen the muscles around the joint and loosing weight if you are overweight to reduce pressure on the joint.

If the above have not been successful or if your arthritic hip is advanced, then hip surgery to repair or replace the damaged hip joint can be considered.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Perthes’ disease is a rare childhood condition affecting the hip. The femoral head (the ball of the joint) loses blood supply and without oxygen from the blood supply, the femoral head becomes malformed.

Symptoms of Perthes’ diesease

Hip pain
Groin pain
Joint stiffness
Walking with a limp

Is Perthes’ disease curable?

Most children with Perthes’ disease respond well and recover from treatment. Treatment can involve surgery to re-shape the bone. This is done via an Osteotomy procedure where the bone is cut and repositioned and surgically held in place, until the bone has healed.

Can Perthes’ disease cause a problem later in life?

If left untreated Perthes’ disease can lead to arthritis of the hip joint which may result in needed a hip replacement.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

The two main types of knee surgery are:

Knee arthroscopy (keyhole knee surgery)

An arthroscope (a tube with a small camera on the end), is inserted into a small incision made in the knee. The images from the camera are displayed on a monitor for your surgeon to see, and the procedure is carried out via another small incision in the knee.

Knee replacement surgery

Total or partial knee replacements are commonly performed on knee joints. During a knee replacement the worn out joint is removed and is totally or partially replaced with an artificial joint.

Mako robotic assisted surgery allows your knee surgeon to create a 3D model of your knee and to create a personalised surgical plan. Pre-defined plans with real-time tracking feedback allows your surgeon to operate to extreme accuracy. Robotic knee surgery is more accurate than manual techniques and helps to preserve healthy bone and tissue, which results in a faster recovery and less post-operative pain.

The most frequently performed knee operations are:

Meniscus surgery

The meniscus is cartilage that acts as a shock absorber between the shinbone and thighbone. If you are experiencing knee pain, swelling, and difficulty extending or bending the knee then you may have damaged or torn your meniscus.

Arthroscopic knee surgery is used to repair the damaged meniscus. This can be performed as a partial meniscectomy or meniscal repair to remove or repair the damaged tissue. Meniscus transplant surgery can be performed to replaced the whole meniscus and replace with donor tissue.

Anterior cruciate ligament reconstruction (ACL)

The anterior cruciate ligament (ACL) connects the thighbone to the shinbone and stabilises the knee joint and is one of the most common sporting injuries. If you are struggling to bare weight, have swelling, severe pain and ‘popping’ in the knee, then you may have a ruptured ACL.

ACL reconstruction is carried our via a knee arthroscopy. It consists of taking tissue from elsewhere in your body to replace the ligament. It is also possible to use donor tissue or an artificial graft.

Patellar tendon repair

The patella tendon connects the bottom of the knee cap to the shinbone. If you have pain and tenderness in your kneecap, swelling and difficulty bending and straightening the leg then you may have damaged your patella tendon.

The damaged parts of the tendon are removed and then stitched back together. If your patellar tendon is badly ruptured you may have the tendon replaced with tissue from elsewhere in the body or with donor tissue.

Investigation of the knee joint

Knee arthroscopies are often performed to take a look inside the knee joint to investigate any abnormalities inside the joint.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.

Older Posts

Information on all things hips and knees

How is a hip replacement performed?

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When is a hip replacement needed?

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Hip pain in cyclists

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What does knee bursitis look like?

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Can hip arthritis cause back pain?

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Have I torn my patellar tendon?

How do I book a consultation?

What is hip bursitis?

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Can hip arthritis cause knee pain?

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What is Perthes’ Disease

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How many types of knee surgery are there?

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Rugby knee injuries

How is a hip replacement performed?

When is a hip replacement needed?

Hip pain in cyclists

What does knee bursitis look like?

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