John Ivory
Orthopaedic Hip & Knee Surgeon

Procedures and Practices

Hip Replacement

Total hip replacement came into routine practice in the 1960s for the treatment of osteoarthritis of the hip. My choice of technique is tailored to the individual needs of the patient.  I generally carry out cemented or hybrid procedures, using well established techniques. Overall results of hip replacement are very good with a success rate of 90% or more. There are risks with all these procedures namely infection, thrombosis, dislocation, wear/loosening, nerve injury and leg length inequality.

Hip Revision
Unfortunately hip replacements can fail with time and may require revision. I have been trained to reconstruct failed hip replacements, using a wide variety of techniques depending on the individual circumstances. This may include the use of bone graft and it was for this reason that I set up the Swindon Bone Bank  to provide bone for my patients when required. This is fully licensed with the Human Tissue Authority.

Knee Replacement
I have extensive experience in knee replacement surgery. As with hip surgery, the results of such knee replacement surgery are generally good  (approximately 80% patient satisfaction) .  There are risks with knee replacement similar to those of hip replacement  as noted above.

Knee Arthroscopy
I regularly undertake knee arthroscopy (keyhole surgery) of the knee to examine and treat a variety of knee conditions including cartilage tears, loose bodies, degenerative damage etc. These are normally performed as days cases, under general anaesthetic.

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