If you have surgery on your lower limb, you will not be able to drive for 6 weeks with the exception of knee arthroscopy where you can drive after 1 week.

You will not be able to fly for 6 weeks following hip and knee replacement surgery. Recent lower limb surgery combined with prolonged immobility from flying is associated with a high risk of Deep Venous Thrombosis (DVT) and Pulmonary Embolism (PE).

This will depend on your job and the surgery being performed. If your job involves manual labour, driving heavy machinery or standing for prolonged periods then you will likely require 6 weeks off work at a minimum. The exact time off work is decided on a case by case basis and should be discussed at your consultation.

I operate at Franklin, Ormiston, Allevia hospital Ascot and Epsom. MAKO robot assisted surgery can only be performed at centres which have the MAKO robot. Franklin and Ormiston Hospital are two of those centres. Where the MAKO robot is not available, I will use computer navigation to perform knee replacement surgery.

No I don't although I'm fellowship trained in them. During my time in Exeter I learnt a variation of the posterior approach called SPAIRE which is also muscle preserving. Day surgery is possible using the SPAIRE approach but other factors also play a role. Preoperative education, spinal anaesthesia, adequate postoperative pain relief and physiotherapy as well as patient factors dictate hospital stay. In my hands, a posterior approach achieves a better outcome and is reusable should revision surgery ever be required. There are also less risks involved.

JBJS 2020 Nov 4;102(21):1874-1882. doi: 10.2106/JBJS.19.01289
https://pubmed.ncbi.nlm.nih.gov/32769807/

https://www.youtube.com/watch?v=GEPl_ekEFN8

If your orthopaedic condition is a result of an accident then your doctor or physiotherapist would have issued you with an ACC number. ACC will cover the costs of your specialist consultation. If your injury requires surgery, then we will apply to ACC for funding on your behalf. It can take 6 weeks for ACC to make a decision.

Should ACC decline to fund your surgery then you have 4 options:

• You may appeal ACCs’ decision

• If you have private insurance, we can provide you with a quote to submit to your insurance company. This will need to be accepted prior to booking your surgery

• Your surgery could be self-funded. We can provide a quote for you to review

• We may be able to refer you to your local public hospital for further management