Your medical aid may cover the full Cost of Hip and Knee Replacement

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 … !

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 … !

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 … !

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 … !

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 … !

Adult Elbow Conditions

Fractures around the elbow

Adult Elbow injuries or fractures can range from undisplaced crack fractures, which he can definitely be treated in splints with a view to early movement of the elbow joint, to severely shattered fractures into the joint, which require meticulous reconstruction in order to prevent severe elbow stiffness. A fact that is Read on … !

Thumb Arthritis

Thumb Arthritis or Arthritis of the base of the thumb (carpo-metacarpal arthritis or CMC OA) is the most common site in the hand to be affected and has a good outcome after surgery should conservative treatment with splinting and cortisone injections not be successful.

All other joints of the wrist and hand can be involved Read on … !

Tumours

Hip pain may be caused by tumours, which may be either benign or malignant.

Benign tumours such as osteochondromas may cause pain secondary to compression of- or erosion into adjacent soft tissue structures and/or mechanical impingement problems. Other benign tumours, such as osteoid osteomas may cause pain secondary to acute inflammation. Despite the tumour Read on … !

Subacute Osteitis

Subacute osteitis is a rare condition, which may occur around the hip in young children. This usually results after a bone infection has been partially treated with antibiotics, which were discontinued too early. The diagnosis may not have been made in this case is often when antibiotics were prescribed empirically for a child which was Read on … !

Juvenile Idiopathic Arthritis

Juvenile idiopathic arthritis consists of a spectrum of inflammatory arthropathys which affects children (girls in the early teenage years more often than boys). The patients present with synovitis of various joints (usually a polyarthropathy (more than one joint involved), although initial presentation may be in the form of a monoarthropathy). The wrist-, knee-, and ankle Read on … !

Hip Tuberculosis

Tuberculosis (TB) of the hip joint, Hip Tuberculosis, is common in the Western Cape and should be considered in the differential diagnosis of any child with a limp and/or a stiff hip. With Hip Tuberculosis, the hip is found to be stiff, usually held in flexion and adduction. ESR is usually significantly elevated and various Read on … !

Perthes Disease

Perthes Disease occurs most commonly in five-year-old male patients, who present with a insidious onset of a limp and a painful hip. On examination, the hip is stiff and painful. These patients commonly present with knee pain and this should be watched for. The disease process involves bone death of the femoral epiphysis (the most Read on … !

Hip Problems

The Cape Joint Surgery surgeons are both super-specialist fellowship trained hip surgeons with extensive experience in the diagnosis of hip arthritis, other adult hip problems as well as hip problems in children. We perform both elective- as well as injury-related hip surgery. The practice performs total hip replacement procedures in private as well as in Read on … !