Mr Julian Foote – Consultant Orthopaedic Surgeon 

Mr Julian Foote is a highly experienced Consultant Orthopaedic Surgeon specialising in hip and knee surgery, including total and partial joint replacement, arthroscopic (keyhole) knee procedures, and robotic‑assisted joint replacement. He provides expert, patient‑centred care at Bath Clinic and the Royal United Hospital (RUH) Bath, where his focus is always on achieving the best possible outcome for every patient.

Areas of Expertise

Mr Foote specialises in:

• Hip replacement and revision hip replacement
• Total and partial knee replacement
• Knee arthroscopy and keyhole knee procedures
• Hip and knee injections
• Robotic‑assisted knee joint replacement using the Mako system

He is trained across fully uncemented, hybrid and fully cemented hip replacement techniques and uses modern, high‑performing implants.

Please note although he assesses soft‑tissue hip injuries, he does not surgically treat isolated soft‑tissue hip conditions

Knee Assessment

Mr Foote offers comprehensive assessment for knee pain, injury and degenerative conditions. He sees patients with a wide range of concerns - from sports injuries to trauma and chronic arthritis. When required, he arranges advanced diagnostics such as X‑rays, blood tests, CT and MRI scans, to build a complete picture of each patient’s knee health.

Younger patients with ligament or soft‑tissue injuries may be referred to specialist colleagues where appropriate, while older adults with arthritis or progressive knee symptoms can receive full assessment and treatment directly with Mr Foote.

Knee Surgery

As part of his specialist knee practice, Mr Foote performs both minimally invasive and major knee procedures. Knee arthroscopy is used to treat meniscal tears, remove loose bodies, or take biopsies via a keyhole approach that allows a quicker recovery. He also performs total knee replacement using modern Stryker components designed for long‑term durability and function.
For patients suitable for less invasive surgery, he offers partial knee replacement using the renowned Oxford system, which preserves more of the natural knee and can support a quicker recovery.

Hip Assessment

Mr Foote assesses and treats patients with hip pain from a wide range of causes. This includes younger individuals with soft‑tissue or sports‑related injuries, older adults experiencing arthritis, and patients whose previous hip replacements may be failing or causing discomfort.

A full hip assessment will include thorough clinical examination and then appropriate investigation including, X‑rays, MRI and CT imaging, ultrasound scan and blood tests where needed. He takes time to explain all findings and ensures patients understand both operative and non‑operative treatment options before making a shared decision about their care.

Hip Surgery

In hip surgery, Mr Foote provides a full spectrum of treatment options including total hip replacement using cemented, hybrid or fully uncemented techniques. His approach is tailored to each patient - for example, uncemented hip replacements are often recommended for younger, active individuals, while fully cemented implants may be more appropriate for older patients to reduce fracture risk.
He uses modern ceramic‑on‑plastic bearing surfaces and high‑quality implants from companies such as Depuy, Stryker and Corin. He operates using a contemporary posterior approach that allows excellent exposure and precision. For patients with complex hip conditions, he provides advanced surgical options.

Mr Foote provides ongoing post‑operative care until recovery is complete.

Mako Robotic‑Assisted Surgery

Mr Foote is an expert in Mako robotic‑assisted hip and knee replacement, a technique increasingly chosen by patients for its precision and personalised planning. The Mako system allows implants to be positioned with a high level of accuracy based on each patient’s unique anatomy. This technology can support quicker recovery, improve joint function and increase surgical confidence, and is becoming an important part of modern joint replacement practice.

Injections and Non‑Surgical Treatments

Many patients prefer to explore non‑surgical options before considering joint replacement, and Mr Foote offers several treatments designed to reduce pain and support joint function. Steroid injections may be used to relieve inflammation in the hip or knee, although they may not be suitable for every patient depending on age and other health factors.

He also offers Arthrosamid, a long‑lasting gel injection for knee osteoarthritis that can offer meaningful relief and delay or avoid the need for knee surgery in selected patients.

Tailored Care for Younger Patients

Younger patients often have different expectations regarding activity levels, implant longevity and preservation of joint function. Mr Foote carefully discusses these factors and will often consider uncemented implants or specialised techniques designed to last longer and support a more active lifestyle. His treatment plans are always tailored to the individual, ensuring that decisions reflect both clinical needs and personal goals.

Special Interests

Mr Foote has a particular interest in Mako robotic‑assisted hip and knee surgery and regards the technology as a significant advancement, especially in partial knee replacement.

Commitment to Excellence

Mr Foote is committed to the highest standards of orthopaedic care. He regularly attends national and international conferences to keep his practice aligned with the latest research and innovations.

He is also dedicated to the use of advanced digital planning tools as part of his surgical preparation. Every joint replacement he carries out is meticulously planned to use advanced digital templating software, Traumacad, ensuring precise alignment and optimal results.

Professional Background

Mr Foote graduated from the University of Wales College of Medicine and completed his early clinical training in South Wales. He went on to gain valuable international experience in Australia and Saudi Arabia before returning to the UK to pursue specialist surgical training. He completed his Basic Surgical Training in Bristol and advanced Orthopaedic Specialist Training on the respected London and Southwest Thames Rotation, including a placement at the leading orthopaedic unit at St George’s Hospital in Tooting, London.

Mr Foote has completed two prestigious subspecialty fellowships. At Southmead Hospital in Bristol, he undertook an Advanced Hip Fellowship under Professor Blom, developing extensive experience in complex primary and revision hip surgery. He then completed a Specialist Knee Fellowship at the Nuffield Orthopaedic Centre in Oxford, training under Professor Price and gaining expertise in Oxford partial knee replacement and complex knee reconstruction.

Current NHS Role

Mr Foote is a Consultant Orthopaedic Surgeon at the Royal United Hospital (RUH) Bath, where he plays an active role in both clinical care and surgical leadership.

Professional Memberships and Roles

He is a member of the Royal College of Surgeons of Edinburgh and has held key leadership responsibilities at RUH, including Lead for Neck of Femur care and Lead for Governance.

He is actively involved in teaching and training the next generation of surgeons and participates in registrar interview panels. His practice is consistently reviewed and refined to ensure he continues to deliver the very best care.

• Royal College of Surgeon’s Edinburgh