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.
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.