Arthritis and Joint Replacement

Osteoarthritis (OA) is the most common type of degenerative joint disease. OA occurs most frequently in the knees, hips and hands. It is often referred to as ‘wear and tear’ that effects the cartilage in the joints. The cartilage acts as a shock absorber and as an articulating surface between the bones in the joint. With age, our joints will pick up degenerative changes and these changes can be more symptomatic in some more than others. The severity of your symptoms will guide which treatment options are most appropriate for you. Optimal management requires a variety of treatments and depending on the severity of the condition may require surgical intervention. Surgery is reserved for severe clinical disease with structural changes in the joint.

Knee Procedures

Total Knee Replacement

A total knee replacement involves Professor Moran removing the damaged surfaces of the knee joint and replacing them with metal and plastic components referred to as the prosthesis. The implant is designed to replace the function of a healthy knee. Please refer to our TKR booklet for further information on the prehab, procedure and recovery

Partial Knee Replacement

Some patients may be suitable for a partial knee replacement, if the damage to the joint is confined to one compartment of the joint. If this is the case then the effected part of the joint will be replaced with a prosthesis.

Shoulder Procedures

Reverse Shoulder Replacement

In a reverse shoulder replacement, the normal ball-and-socket structure of the shoulder joint is reversed. An artificial ball is attached to the shoulder blade. An artificial socket is attached to the top of the arm bone. The large deltoid muscle that covers the shoulder is typically then able to move the arm.

Lifestyle

Diet and exercise are key aspects of resolving pain and injury. Individuals with an increased BMI and body weight have a considerably higher risk of needing a joint replacement. Reducing body weight through diet and exercise has been proven to reduce pain and improve function in people with OA. Weight reduction and management is a challenge, particularly if your knee is impacting your ability to exercise and participate in activities that you enjoy. Input from a Dietician may be of benefit in helping you to obtain and maintain a healthy weight for an active lifestyle

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Biologics & Cell Treatments

In orthopaedic sports medicine, the promise of regenerative medicine—or, the more accurate term, restorative medicine–is to accelerate healing and to decrease scar formation, adhesions, pain, and inflammation at the site of injury or surgical repair.
(We can’t yet regenerate damaged tissues and joints or make them normal again. Rather, we’re creating a more favourable healing environment.)
While not yet substantiated, this evolving area of medicine may improve long-term outcomes as well. Where suitable, we will discuss the role of such cell and biological injections for your knee pain/injury with you. The role of the injection is to manage pain and inflammation in the joint to improve your level of function and manage your symptoms.

Regenerative Medicine

Physiotherapy

A combination of supervised exercises and a home exercise program prescribed by a Chartered Physiotherapist will strengthen the muscles around your knee joint. This is important to strengthen the knee and provide stability to the joint. Non weight bearing exercises like cycling and swimming can cause less irritation whilst maintaining cardiovascular fitness. Please see our blog posts on useful tips for maintaining a healthy and active lifestyle.

Physiotherapy Page

Surgery

Below you will find additional information and animations on the surgical approaches for all of our treatments. In our Total Knee Replacement Guide you will find all the information you will need from initial assessment, surgery and post operative care.

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