Mr James Berwin | Consultant Hip and Knee Surgeon

Hip Replacement, Knee Replacement, Revision Arthroplasty and Young Adult Hip Specialist

Mr James Berwin is a Consultant Trauma and Orthopaedic Surgeon specialising in hip replacement, knee replacement, revision arthroplasty, young adult hip surgery and metastatic bone disease. He provides expert care for patients across Bath, Bristol, Somerset, Wiltshire and the South West.

Areas of Expertise

Mr Berwin specialises in:

• Total Hip Replacement
• Revision Hip Replacement 
• Total Knee Replacement
• Partial Knee Replacement 
• Young Adult Hip Surgery
• Hip Dysplasia 
• Hip Preservation Surgery 
• Femoroacetabular Impingement (FAI)
•  Labral tears of the Hip
• Periprosthetic Fractures
• Prosthetic Joint Infection (PJI)
• Metastatic Bone Disease
• Complex Hip Reconstruction
• MAKO Robotic-Assisted Hip and Knee Replacement

Hip Assessment

Mr Berwin provides comprehensive assessment and treatment for patients with hip pain, stiffness, instability and loss of function.
He regularly treats patients with:
• Hip arthritis 
• Hip dysplasia 
• Femoroacetabular impingement (FAI) 
• Perthes disease 
• Labral tears 
• Sports-related hip conditions 
• Failed hip replacements 
• Periprosthetic fractures 
• Prosthetic joint infection (PJI)

Assessment includes detailed clinical examination and, where appropriate, advanced investigations including X-rays, MRI, CT scanning and blood tests.

Mr Berwin believes in shared decision-making and ensures every patient understands both surgical and non-surgical treatment options.

Young Adult Hip Surgery and Hip Preservation

One of Mr Berwin's specialist interests is the treatment of younger patients with complex hip disorders.

Following fellowship training at the Royal National Orthopaedic Hospital, Stanmore, he developed expertise in managing:
• Hip dysplasia 
• Femoroacetabular impingement (FAI) 
• Labral tears of the hip
• Perthes disease 
• Early hip arthritis 
• Complex hip deformity 
• Soft tissue and sports conditions around the hip

Where possible, Mr Berwin aims to preserve the native hip joint using modern hip preservation techniques to reduce symptoms and delay the need for hip replacement surgery.

Hip Replacement Surgery

Mr Berwin performs both routine and complex total hip replacement surgery for patients suffering from arthritis and other degenerative conditions.

His practice includes:
• Primary Total Hip Replacement 
• Complex Primary Hip Replacement 
• Cemented Hip Replacement 
• Hybrid Hip Replacement 
• Uncemented Hip Replacement 
• MAKO Robotic-Assisted Hip Replacement 
• Optimised Positioning System (OPSTM) in Hip Replacements

Every procedure is tailored to the patient's age, bone quality, anatomy and activity levels.

Revision Hip Replacement Surgery

Mr Berwin has advanced fellowship training in revision hip replacement surgery, treating patients whose previous hip replacements have failed due to:
• Implant wear 
• Loosening of hip replacements
• Instability or Dislocating hip replacements
• Prosthetic Joint Infection of hip replacements 
• Periprosthetic fracture around a hip replacement
• Bone loss around a hip replacement

He has particular expertise in acetabular reconstruction, complex revision surgery and the management of infected hip replacements.

Knee Assessment

Mr Berwin assesses and treats patients with a wide range of knee conditions, from early arthritis to complex joint degeneration.

Conditions commonly treated include:
• Knee arthritis 
• Degenerative meniscal tears 
• Periprosthetic fractures around a knee replacement

Where appropriate, diagnostic investigations include X-rays, MRI scans, CT scans and blood tests.

Knee Replacement Surgery

Mr Berwin offers modern knee replacement solutions including:
• Total Knee Replacement 
• Partial Knee Replacement 
• MAKO Robotic-Assisted Knee Replacement 

His aim is to relieve pain, restore mobility and help patients return to an active lifestyle.

MAKO Robotic-Assisted Hip and Knee Replacement

Mr Berwin gained accreditation in MAKO robotic surgery during his fellowship at Royal Prince Alfred Hospital in Sydney.

Robotic-assisted joint replacement allows highly accurate implant positioning and personalised surgical planning based on each patient's unique anatomy.
Potential benefits include:
• Improved implant positioning 
• Greater surgical precision 
• Enhanced joint function 
• Faster recovery for suitable patients 

Periprosthetic Fractures and Prosthetic Joint Infection

Mr Berwin is one of the few surgeons in the region with specialist fellowship training in managing complications around hip and knee replacements.

His expertise includes:
• Fractures around hip replacements 
• Fractures around knee replacements 
• Infected hip replacements 
• Infected knee replacements 
• Single-stage revision surgery 
• Complex reconstructive surgery 

Metastatic Bone Disease and Orthopaedic Oncology

Mr Berwin has a postgraduate diploma in Orthopaedic Oncology and has extensive experience in managing patients with metastatic bone disease.

He works closely with multidisciplinary cancer teams to provide evidence-based treatment for:
• Bone metastases 
• Impending fractures 
• Pathological fractures 
His goal is to maximise mobility, reduce pain and improve quality of life.

Research, Publications and Teaching

Mr Berwin is widely published in hip and knee surgery and has contributed to textbooks on hip arthroplasty and orthopaedic biomechanics.
He has served as Principal Investigator for National Institute for Health and Care Research (NIHR) portfolio studies investigating recovery after hip fracture surgery and remains actively involved in research, education and surgical training.

Current NHS Role

Mr Berwin is a Consultant Orthopaedic Surgeon and Orthopaedic Lead for Femur Fracture Care at the Royal United Hospital, Bath.
He is committed to delivering personalised, evidence-based care that focuses on achieving the best possible outcome for every patient.

British Hip Society (BHS)

World Orthopaedic Concern (WOC)