News & Blog

Information on all things hips and knees

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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:

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.


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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.


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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.


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

Copyright 2022. Panos Makrides - Specialist Hip and Knee Surgeon