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Hip surgery

Hip surgery can help give you back movement that's free of pain and stiffness

Treatment of hip pain at The Cavell Hospital gives you immediate access to assessment, examination, diagnostic imaging surgical treatments and physiotherapy rehabilitation you require. We work towards your goals after an in depth initial assessment and communicate between our team at every step of your journey. Our specialist team of orthopaedic hip surgeons, interventional radiologists and musculoskeletal physiotherapists are experts at treating a comprehensive range of hip conditions including:

  • Hip disorders that develop during childhood/ adolescence including congenital hip dislocation complications, Perthes disease or slipped capital epiphysis.
  • Trochanteric pain (pain around the outside of the hip area) whether a result of pain from the tendon of the gluteal muscles or the trochanteric bursa.
  • Pubic pain including adductor tendon pain and osteitis pubis.
  • Age related change to the hip joint (hip osteoarthritis).
  • Hip impingement syndromes including labral tears, pincer impingement or cam type impingement.

Non surgical hip treatments that we can offer include:

  • Physiotherapy including manual treatments and exercise based rehabilitation
  • Shockwave therapy
  • Hip trochanteric bursitis injections
  • Hip joint injections including novel platelet rich plasma (PRP injections)

Surgical hip treatments that we can offer include:

  • Hip acetabular labral repair surgery
  • Hip osteotomy for bony cause of hip impingement
  • Total hip replacement surgery including custom fit implants
  • Hip/ pelvic realignment surgery for congenital hip problems 

Orthopaedics is a surgical specialty which deals with the accurate diagnosis, assessment and treatment of the joints, muscles and tendons, bones and other related structures. Hip surgery is a complex area and consultant hip surgeons will not only provide their expertise concerning surgery itself but will also provide their expertise in directing management to appropriate non-surgical treatments for their patients.

Due to the considerable demands the hip joint suffers over time and it’s role in transferring force from the legs to the body while needing to maintain a large range of motion, hip pathology is varied. Some categories include:

  • Developmental hip and pelvic disorders
  • Hip impingement syndromes
  • Tendon/ soft tissue injuries around the hip and pelvis
  • Degenerative hip disorders (osteoarthritis)

On many occasions, the most effective treatment for hip pain may be non-surgical. This may include watchful waiting or adapting activities for a period. Physiotherapy rehabilitation will often allow appropriate symptom management when adhered to for patients and is vital as part of any post-operative recovery plan. Physiotherapy and other non-surgical treatment for hip pain may include: 

  • Graded strengthening
  • Flexibility exercises targeting the hip joint or specific muscle groups
  • Manual techniques to mobilise the hip joint in physiotherapy sessions
  • Injections to the hip joint (guided with ultrasound by an experienced radiology consultant)
  • Shockwave therapy at the tendon insertions

For patients with a clear structural diagnosis that needs an intervention several forms of hip surgery exist:

  • Keyhole hip surgery (arthroscopic hip surgery including labral repairs and osteotomies to address hip impingement disorders)
  • Hip joint replacement surgery (including resurfacing surgery or full hip joint replacements as well as custom fit hip joint prostheses)
  • Revision hip joint replacement surgery 

The consultation process at The Cavell Hospital defines the ongoing expertise and treatment we deliver for patients. Our patients benefit from immediate access to a specialist face to face or virtually (if required). During a hip surgical consultation our patients will discuss the history of their complaint including:

  • Duration of symptoms
  • Onset including details of any trauma to the hip
  • Additional symptoms including clicking or clunking
  • Twenty four hour pattern to the pain
  • Specific limitations to activity due to the pain

An expert hip joint examination will commonly include:

  • Assessing with careful palpation any areas of tenderness around the hip
  • Observing any biomechanical faults in standing and lying
  • Assessing the hip range of motion
  • Screening the lumbar spine (lower back) for pathology
  • Special tests to stress tissues such as the tendons around the hip and the labrum

Following the initial evaluation of the hip problems, our hip orthopaedic surgeons will offer a full frank discussion regarding what the likely diagnoses are, what the likely treatments options may be, and the best way of managing the problem including the next steps. Next steps will usually involve investigating further with imaging which may include:

  • Specialist X-rays. 
  • CT scans – Excellent when a more detailed 3D representation of the pelvic anatomy may be required. 
  • MRI scans – Hip musculoskeletal/ orthopaedic problems will often be diagnosed very reliably by this form of imaging. 
  • Ultrasound scans – Excellent for assessing soft tissue structures around the hip and has the ability to assess these tissues under hip movement.

Usually a combination of those modalities will be used to guide the most accurate diagnosis. Post imaging the value of seeing a specialist is that they can then interpret the scans with their patient (by matching symptoms with the scan findings) to come up with a logical diagnosis.

The Cavell Hospital offers the full range of hip orthopaedic treatments whether surgical or non-surgical on site. Our team, including hip orthopaedic surgeons, musculoskeletal physiotherapist and interventional consultant radiologists work as part of a multi-disciplinary team to offer the most accurate diagnosis and options for patients only following a full patient focused discussion and informed consent Once a decision has been made all treatments are available in a timely fashion at each patients convenience.

Our team ensure that here are always appointments at short notice and at The Cavell Hospital we expedite treatment where possible and with our patients wishes, to maintain function over time.

Hip surgical treatment at The Cavell Hospital will mean you get managed by the same specialist that your treatment is followed through all the way to completion. Our team understands the importance of effective communication and the interpersonal side of your care to deliver the treatment our patients choose. 

The Cavell Hospital has comprehensive selection of diagnostics imaging on site and our consultant orthopaedic hip surgeons work closely with interventional radiology teams as well as with our experienced musculoskeletal physiotherapy team. 

Unique to our The Cavell Hospital Hip surgery team is that our specialists can offer patient-specific hip joint implants for our total hip replacement operations. Traditional off the shelf joint implants follow a one size fits all philosophy and have been used for forty to fifty years. With these types of prostheses there are compromises to be made due to the generic shape these implants offer; Often, traditional implants behave less like the original joint did due to a mismatch between the patient’s own anatomy and biomechanics and that of the implant. However, custom fit hip joint replacements are created by taking precise measurements for each patient with unique 3D CT scanning technology ensuring a perfect fit. Due to this fit, made to measure hip replacements have a better functional outcome for patients and have a reduced post operative complication rate.  

Specialists offering Hip surgery

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Mr Harold Nwaboku

Consultant Orthopaedic & Trauma Surgeon

MBBS (Lond), FRCS(ed), FRCS (eng), FRCS (Tr&Orth)

The Cavell Hospital 1 more The Kings Oak Hospital

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Mr Vipin Asopa

Consultant Orthopaedic Surgeon

PhD, FRCS (Tr & Orth), MRCS, MBChB, BSc.

The Cavell Hospital 2 more The Kings Oak Hospital Hendon Hospital

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Mr David Archibald

Consultant Orthopaedic Surgeon

MB ChB FRCS MPhil Bioengineering

The Cavell Hospital 1 more The Kings Oak Hospital

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Mr Henry Atkinson

Consultant Orthopaedic Surgeon

MBChB, BSc Med Sci, MRCS Edin, FRCS (Tr & Orth) Edin

The Cavell Hospital 2 more Hendon Hospital The Kings Oak Hospital

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Mr Akash Patel

Consultant Orthopaedic Surgeon

BSc(Hons), MBBS, MRCS, MSc, FRCS (Tr&Orth)

The Cavell Hospital 1 more The Kings Oak Hospital

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Mr Srinivas Gadikoppula

Consultant Orthopaedic Surgeon

MBBS, MS (Ortho), FRCS, FRCS, (Tr & Ortho)

The Cavell Hospital 1 more The Kings Oak Hospital

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