Hips, knees, metastatic bone disease
Hip and knee replacement, including revision
Arthroscopic knee surgery
Sports injuries of the knee
Metastatic bone disease
Enhanced Recovery after hip and knee surgery
Key published papers
Enhanced recovery for knee replacement
Guidelines in Orthopaedic Surgery
Tibial component fixation in knee replacement
Osteolysis in uncemented hip replacement
Most surgery for sports injuries of the knee is done using keyhole (arthroscopic) techniques. This means that small incisions of less than one centimetre are made at the front of the knee and the knee is viualised using a camera. Therapeutic procedures are carried out using specially designed athroscopic instruments.
As a result, sports knee injuries are usually treated as a day case, or sometimes with one night's stay. Recovery is quicker than with open techniques, and patient satisfaction is higher.
Total joint surgery
Total hip or knee replacement are used to treat chronic joint conditions which have not responded to non-operative treatment. The most common condition treated with joint replacement is osteoarthritis
Modern techniques for joint replacement allow the patient to get up and about very soon after surgery, usually on the same day. Pain control and rehabilitation techniques have been developed to enable a much quicker recovery from surgery than was traditionally the case. The package of care provided in such circumstances constitutes an Enhanced Recover Programme.
Mr Holloway has significant experience in this field, having been Enhanced Recovery Lead at London Nort West Healthcare NHS Trust since 2010. He has spoken at national and international meetings in this field.
Patient satisfaction is very high, and lengths of stay in hospital are much shorter.
Before choosing a surgeon
Know the right questions to ask
When is the right time to have surgery?
Explore non-invasive alternatives
After surgery - at home
A useful video from US-based Franciscan Health
Sports medicine and rehabilitation
Sports related joint problems tend to fall into two groups: those related to a specific traumatic incident, causing a fracture or soft tissue injury; and those related to ongoing repetitive impact related trauma.
Many of the latter group can be treated with non-operative treatments, such as physiotherapy, activity modification, bracing and injections.
We work closely with modern gym based phsio teams who can help work through a treatment programme for these conditions and enable a return to sports. This can be supplemented with injections when necessary.
- Manual therapy, which uses the massage and manipulation of the body's soft tissues to relieve pain and promote healing
- Preparing the body before orthopaedic surgery and rehabilitation after surgery
- General strength training
- Rehabilitation after a bone fracture
- Outpatient prosthetic rehabilitation, to help individuals adjust to an artificial limb or other external appliance
- Rehabilitation after a back or neck injury
- Rehabilitation after a sports injury
- Comprehensive musculoskeletal evaluation to determine the cause of and best treatment for acute or chronic pain