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Orthopaedic trauma

Yes, a fracture is the same thing as a broken bone, however, each and every fracture is as unique as the patient who sustains it. While many of the fractures and other injuries sustained by younger patients are managed as sports injuries, traumatic injuries in the very young and the very old require specific experience Read on … !

Injuries and Accidents

We specialise in treatment of trauma of the lower limb (including hip, knee and foot trauma) as well as trauma of the pelvis and upper limb (including hand, elbow and shoulder trauma).

Trauma orthopedics does not only involve treatment of broken bones (fractures) and the old comical image of the patient with all four limbs Read on … !

Hand Surgery

Both surgeons at the Cape Joint Surgery maintain a keen interest in hand surgery, a sub-speciality in orthopedics which overlaps with plastic surgery to some extent and requires meticulous technique and soft-tissue management. Dr Engela was involved with the Groote Schuur Hospital hand clinic for many years and was the driving force behind the establishment Read on … !

Spinal Injuries

Spinal injuries as well as non-traumatic conditions are specialist problems which are best managed by super specialist spinal surgeons with neurosurgical input as required. While we do not treat these conditions at the Cape Joint Surgery. We recognise that patients with hip arthritis may sometimes present with symptoms of lower back pain and vice versa. Read on … !

Knee surgery

The Cape Joint Surgery surgeons are both super-specialist fellowship trained knee surgeons with extensive experience in the diagnosis of adult knee problems as well as knee problems in children. We perform both elective- as well as trauma-related knee surgery. This includes the management of meniscal injuries as well as knee ligament injuries such as anterior Read on … !

Muscle Injuries

Muscle injuries are a common occurrence in the form of localised bruising or a blood clot (haematoma) in the substance of the muscle. This may occur due to direct trauma such as after a rugby tackle. These types of muscle injuries usually heal well with conservative treatment.

Muscle tears are fortunately a less common problem, Read on … !

Hand Problems in Adults

Non-traumatic hand problems in adults are extremely numerous and both diagnosis and management are challenging. Some of the most common conditions are discussed below. Even these fairly straightforward problems are unfortunately prone to misdiagnosis and injudicious surgery.

Ganglion Trigger Finger Carpal Tunnel Syndrome Ulnar Nerve Entrapment Arthritis of the thumb and fingers Dupuytren’s contractures Nerve Read on … !

Knee problems in adults

Knee problems in adults often arise when the knee joint undergoes a degenerative process due to repetitive wear and tear as the patient ages. Young adults usually injure one- or more of the stabilizing ligaments such as the ACL or the collateral ligaments during traumatic events such as rugby tackles or other twisting injuries at Read on … !

Total Knee Replacement

Total knee replacement is indicated in patients with knee arthritis that has not responded sufficiently to conservative treatment with anti-inflammatories and analgesics. Knee replacements are usually performed in older people when stiffness and / or pain significantly affect activities of daily living.

Total knee replacement is a well established operation with good longterm clinical results. Read on … !

Hand Clinic

The Constantia hand clinic was established more than 15 years ago. The hand clinic has been specifically set up in order to provide a comprehensive service to patients with acute and chronic hand conditions. This is done in conjunction with hand therapists.

 

The Cape joint surgery continues to provide a extensive elective hand service, Read on … !

Anterior Cruciate Ligament Reconstruction (ACL)

The anterior cruciate ligament is an intra-articular ligament which stabilises the knee joint. It is often torn during physical activity and and this may occur after a rugby tackle or a sidestep. Associated injuries are meniscal tears and bone bruising around the articular surfaces. While not all anterior cruciate ligament tears require surgical management, there Read on … !

Hip Pain

Hip pain often presents a diagnostic problem to a referring doctor, for two reasons. Firstly, what the patient describes as “hip pain”, may involve pain in the groin, pain over the lateral thigh as well as pain in the buttock, sometimes radiating down the leg. Secondly, patients who present like this, may have problems which Read on … !

Knee Arthroscopy (Keyhole Surgery)

Knee Arthroscopy (Keyhole Surgery) entails placement of a camera through a keyhole incision and performing one of several procedures through keyhole surgery.

The advantages of arthroscopic surgery are to a large degree due to the fact that it is the most minimally invasive type of knee surgery possible. The camera as well as the various Read on … !

Help and Guidance

Here you will find a series of articles containing information relating to common injuries, conditions and treatments.

Please click on the links below for specific articles or try the search function.

Everyone is different, so a personal consultation is always necessary before an accurate diagnosis can be made.

Hip Pain in Adults

Hip pain in adults must be differentiated into pain of the various regions around the groin and upper thigh. While age at presentation is extremely important with hip pain in children, painful adult hip conditions may occur throughout a wide age range, depending often on the predisposing factors.

 

Groin pain in adults:

Femoro-acetabular impingement

Read on … !

Total Hip Replacement

A total hip replacement is a very successful procedure for patients with arthritis of the hip. Arthritis of the hip can be caused by osteoarthritis, inflammatory arthritis, or secondary arthritis due to an injury or deformity. Hip fractures are often treated with a hip replacement if screw and plate fixation can not be done.

Minimally Read on … !

Finger Dislocation

Finger dislocation is one of the most underrated injuries in the hand mostly by rugby players that “just pull it back into position”. The injury is more serious and is associated with ligament damage and often bone damage that may require more treatment.

If Finger dislocation is left untreated the fingers tend to become Read on … !

Revision Hip Replacement

Revision Hip replacement is the term used for the procedures performed to repair or replace a failed or malfunctioning hip replacement. This is specialized surgery that should only be done by surgeons with experience in hip replacement surgery and with superspecialist revision surgery experience. The indications for revision surgery include aseptic loosening (implant loosening without Read on … !

Revision Knee Replacement

Revision knee replacement surgery is the term used for the surgery to replace or repair a failed total knee replacement. The caues for failure include aseptic loosening, infection, instability of the knee, and fractures around or near the components. This is specialized surgery that may reqiure specialized equipment and implants.

Infection in a Total knee Read on … !

Use of 3D Printing in planning of Total Hip Replacement with Difficult Analtomy

3D printing is the latest technology that is applied in Orthopaedics now available at Cape Joint Surgery

This technology is mostly used by the major Orthopaedic companies to design implants however Dr Engela at Cape Joint Surgery used this technology to plan difficult surgery.

We at Cape Joint Surgery have our own 3D printer Read on … !