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. We 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 cruciate 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. The procedure 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 … !