Mandela Day

What you need to know

What to expect, how to prepare, advice on your recovery and all you need to know about Medical Aid Schemes.


The practice performs total hip replacement procedures in private as well as in the state sector via our Joint Care Trust initiative.

This places the Cape Joint Surgery in a unique position, which enables us to effectively manage all comers with hip arthritis.

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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 … !

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 … !

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 … !

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.

Nerve entrapment conditions in the hand and upper limb may involve any of the major nerves. The median Read on … !

Hand Problems in Children

Children may be born with hand problems, defects or extra digits. These are best treated  by super specialized combined plastic surgical or orthopedic surgical congenital hand units such as the one at Red Cross Children’s Hospital.

Trigger fingers is one type of hand problem that can occur in children and are usually managed non-surgically until Read on … !

Hand Trauma in Children

Hand injuries are always serious problems and should be seen by a specialist hand surgeon. This is not because surgery is frequently necessary, in fact the opposite holds true, the reason is that all hand injuries require multi-disciplinary rehabilitation from day one in order to prevent disasterous complications such as stiffness.

Finger dislocations are injuries Read on … !

Hand Clinic

The Constantia hand clinic is a recent addition to the Constantiaberg orthopaedic pavilion. The hand clinic has been specifically set up in order to provide a facility to manage acute hand trauma, given the fact that even minor hand injurys may develop major complications if not managed correctly. Both Dr Engela as well as Dr Read on … !