News & Blog

Information on all things hips and knees

Website-Wordpress-News-Section-2-1.png

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.


Website-Wordpress-News-Section-2.png

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.


Website-Wordpress-News-Section-1.png

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.


Website-Wordpress-News-Section.png

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.


wordpress-6.png

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.


Mr-Panayiotis-Makrides-4.png

The two main types of knee surgery are:

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.

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.


wordpress-5.png

If you are experiencing groin pain, you may actually have a hip condition and the pain is radiating downwards. If you are older it may be due to arthritis or fracture. If you are younger you may have hip pain as a result of an underlying condition such as hip dysplasia or hip impingement.

Arthritis of the hip

Osteoarthritis is when the protective cartilage on the ends of your bones wears down over time which causes pain as the bones will rub against each other.

The main symptoms of osteoarthritis of the hip is pain, tenderness and stiffness.

Most commonly osteoarthritis is caused from wear and tear as we age, being overweight, having other conditions such as rheumatoid arthritis or gout. It is also more common in women than men.

If your symptoms are milk you can try to treat your symptoms with lifestyle changes such as loosing weight, taking anti-inflammatories or steroid injections. However, if your symptoms are interfering with the enjoyment of your daily life and the joint is badly damaged then surgery can be explored.

Hip replacement surgery, also known as an arthroplasty, is a common procedure where the damaged joint is removed and replaced with an artificial one.

Depending on the condition of your knee you may be offered a total hip replacement, or a partial hip replacement.

Mr Makrides specialised in minimally invasive hip surgery to reduce your hospital stay and increase your recovery time, as well as Mako robotic assisted hip replacement.

Hip fracture

A hip fracture is a break in the top of the thigh bone, usually caused by falling or a direct injury.

You may experience hip pain, difficulty moving your leg or bearing weight.

You may need hip surgery to secure the joint with plates while it heals, or you may need a hip replacement if the break is particularly bad.

Developmental dysplasia of the hip (DDH)

DDH is checked for at birth, however mild to moderate cases can be missed and only diagnosed in adulthood after an investigation into what is causing your hip pain.

DDH causes the hip socket to be shallow and not sit flush with the ball. If diagnosed later in life you may have arthritis at a younger age. A hip arthroscopy is usually performed to stabilise the hip joint.

Hip impingement

Hip impingement or femoroacetabular impingement (FAI), is when something causes the bones in the hip joint to rub against each other, such as a difference in the size compatibility of the ball and socket, which can cause pain.
 
It is often mistaken for other conditions such as sprains and many people may suffer with hip pain before a full diagnosis. It can cause arthritis at a younger age. You may have a hip arthroscopy to shave off excess bone to align the ball and socket.

Labral tear

A labral tear is an injury to the cartilage that holds the ball and socket of the hip together. It is often the result of conditions such as hip dysplasia or hip impingement. It can cause pain and instability in the hip joint and increase the risk of developing arthritis at a younger age.

Surgery is usually performed via a hip arthroscopy to repair the damage. If you have an underlying conditions such as hip dysplasia or hip impingement then you may also have treatment for them at the same time.

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.


wordpress-4.png

The Anterior cruciate ligament (ACL) joins the thigh bone to the shin bone at the knee joint, and provides stability to the joint.

Causes of an ACL tear

An ACL tear and other knee ligament injuries are often caused by playing sports such as football, netball and rugby due to the nature of sudden twists, turns and overextending the leg.

Symptoms

If you have a ACL tear you will probably be experiencing pain and your knee giving way, as well as have limited mobility to your leg.

ACL reconstructive surgery

Surgery can consist of repairing the torn ligament by stitching it back together, or using a graft of tissue from elsewhere in your body or a donor. The joint surface or cartilage may also be repaired if it is damaged. You will then have physiotherapy rehabilitation to help build your strength back up again and get back you on your feet and active again.

Surgery can be performed using a minimally invasive approach (key hole surgery) to reduce your stay in hospital and speed up your recovery time.

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.


IMG-20220713-WA0016-1200x900.jpg

Sports enthusiast Neil experienced sudden knee pain which was so severe it inhibited his mobility and left him unable to climb the stairs and enjoy his daily life.

After consultation with Mr Makrides from Midland Hip and Knee Clinic, he had a partial knee replacement and was back at the gym squatting just 3 months after his operation, and has recently, 4 months after his knee surgery, posted the fastest rowing times recorded by Concept 2’s contributors (ages 60-69) around the world so far this season at 1000 and 2000 metres.

Neil, experienced popping and clicking in his right knee for a few years until he suffered a severe sharp pain which left him in excruciating pain and unable to bear weight on his joint, making his job as a Gym Manager untenable, and no longer able to pursue his love of exercise and physical challenges.

After visiting his GP and being given a course of anti-inflammatories for arthritic wear and tear of the knee joint, he had a short period of improved mobility but decided to pursue surgery to enable him to get back to his active lifestyle.

Neil was treated by Consultant Orthopaedic Surgeon, Mr Panos Makrides at Spire Parkway Hospital in Solihull. His main desire from the outcome of surgery was to get into the top ten UK times for 2000 metres in his age group on Concept 2’s indoor rowing ranking, after not being able to progress rowing over the past 2 years due to his knee pain.

Neil says, ‘Mr Makrides, while managing my expectations, reassured me that normal function and my rowing were achievable.’

Following surgery, Neil was able to work through the post operative rehabilitation exercises well enough to be discharged within 24 hours, and continue follow up physiotherapy appointments to aid his recovery further. 

Just a few months after his partial knee replacement surgery, he was back on the rowing machine and posted the fastest time recorded by Concept 2’s contributors (ages 60-69) around the world so far this season at 1000 and 2000 metres.

Neil says, ‘I’ve been shocked how quickly I have been able to perform at an excellent level. I am delighted to think that within 10 months of a partial knee replacement I have every chance of setting a new GBR 1000m record, aiming to challenge for the 2000m record and maybe have a chance of qualifying to compete at C2’s World Championships in Toronto in Feb 2023’.

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.


wordpress-3.png

A hip replacement is surgery to replace the hip joint with a prosthetic. It is one of the most commonly performed orthopaedic hip operations.

What does the hip joint consist of?

The hip joint is made up of two bones, the femur (thighbone), and the pelvis. The femoral head situated at the top of the thighbone is often described as the ‘ball’, and the part of the pelvis where the ball should sit, the acetabulum, is often referred to as the ‘socket’.

Why would I need a hip replacement?

There are many reasons why you might need hip replacement surgery. These include:

  • Osteoarthritis

Osteoarthritis is when the cartilage that protects the hip joint wears over time as you age. The friction can cause joint pain and reduce your mobility.

  • A hip fracture

Hip fractures are a crack to the femur (top of the thigh bone), usually caused by trauma or a sports injury.

  • Rheumatoid arthritis

Rheumatoid arthritis is an inflammatory conditions when immune system attacks your healthy tissue. The tissue becomes inflamed and painful and if left untreated can cause damage to the joint.

  • Septic arthritis

Septic arthritis can happen following a wound  on your joint which becomes infected. It is less common but if left untreated can be serious.

Types of hip replacement surgery

Your orthopaedic consultant will remove your damaged femoral head ‘ball’ and socket and replace each with prothesis.

Once your implant is in the joint your hip surgeon will bend and move your leg to ensure you have the right level of flexibility and that the fit is correct.

Mr Panos Makrides carries out minimally invasive hip replacement surgery. He cuts a very small incision into the hip and uses equipment designed for this type of surgery in order to reduce damage to the tendons and muscles which in turn produces a faster recovery time.

  • Partial hip replacement surgery

Your consultant orthopaedic surgeon will make an incision remove your damaged femoral head, and replace it with an artificial joint.

  • Hip resurfacing surgery

Similar to a hip replacement operation, hip resurfacing is orthopaedic surgery to treat hip pain. Hip resurfacing trims and shaves the damaged bone and cartilage in your knee joint and a metal protector is put over the femoral head and socket.

Robotic hip replacement is an extremely precise way of performing hip replacement surgery, but with the assistance of a robotic arm. The Mako robotic procedure starts with very precise images being taken of the joint which allow your hip surgeon to take into account the smallest of details of your bone structure, alignment of your hip joints and the surrounding tissue.

The robotic arm positions itself to pre-planned tracking in order to help your surgeon follow the precise lines. This reduces risk of surrounding tissue and muscle being affected which in turn results in a faster recovery time.

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.


PANOS LOGO _PORTRAIT white

Welcome to the Midland Hip and Knee Clinic based at Spire Parkway in Solihull and Spire Little Aston in Sutton Coldfield. We offer Self-funding and Private Insurance payment options.

Copyright 2022. Panos Makrides - Specialist Hip and Knee Surgeon