Hip joints can wear out at various stages of one’s life for various reasons such as osteoarthritis, dysplasia, slipped upper femoral epiphysis, Perthes disease amongst other conditions.

Total hip replacement is the gold standard treatment for affected hip joints and these can be implanted either with or without cement depending on various factors.

Robotic total hip replacement can be employed to implant the prosthesis more accurately and thus reduce the risk of various complications.

Resurfacing is reserved for active and sporty patients with arthritis and provides better biomechanics and lower dislocation rates than standard total hip replacement.

Metal resurfacing over the past decade has been used in males primarily with good success at 25 years follow-up. (females largely cannot benefit from metal resurfacing as there is a high failure rate for them and is national guidance).

The new ceramic version will allow both men and women to enjoy the benefits of resurfacing technology.

Hip arthroscopy is key hole surgery of the hip. A camera and instruments access the joint via 2-3 small incisions to perform a procedure.

It can be used to preserve the hip joint and to treat conditions such as femoro-acetabular impingement and labral tears.

It can also be used to treat soft tissue conditions, such as resistant pain originating from the iliopsoas, which can be associated with total hip replacement or resurfacing.

Total hip replacements can be painful or problematic. They can also fail for various reasons.

After investigation and counselling, a revision of your total hip replacement may be warranted.

Muscle or tendon injuries can occur suddenly from intense physical or sporting activity. They can become chronic or recurrent and may not respond to physiotherapy. Surgical repair can be performed on the following:

Rectus femoris proximal avulsion and central tendon injuries

Hamstring proximal avulsion and central tendon injuries

Quadriceps tendon rupture

Hip abductor tears