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.

Contact the Practice

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 … !

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 … !

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 … !

Radicular Pain

Radicular pain refers to referred pain from a nerve root entrapment in the back, this may be due to a herniated intervertebral disc as well as other mass lesions and/or forms of spinal instability. The pain is usually experienced over the buttock area with radiation into the lower leg and foot. The character of pain Read on … !

Nerve Entrapment Syndromes

Nerve Entrapment Syndromes : Multiple peripheral nerves may be entrapped around the hip and may mimic hip pain.


The lateral femoral cutaneous nerve (meralgia parastheticum) is usually entrapped with scar tissue from previous abdominal surgeries or tight clothing, obesity has also been described as a cause. A positive Tinel’s sign is usually found just Read on … !

Transient Osteoporosis of the Hip

Transient Osteoporosis of the Hip occurs in pregnant patients (third trimester) as well as middle-aged male athletes. The groin pain is usually activity related and diagnosis is usually confirmed with an MRI scan.

Any further enquiries may be made either telephonically to the secretarial staff at the Cape Joint Surgery ((021) 797 0947) or via Read on … !


There are multiple bursae around the hip and, while inflammation of all of them has been described, the more commonly involved ones are the trochanteric bursa, the ischiogluteal bursa and the iliopsoas bursa.


Trochanteric bursitis present as lateral thigh pain and patients often complain of being unable to sleep on the affected side. Rising Read on … !

Avascular necrosis

Avascular necrosis of the femoral head occurs in a significant amount of younger patients and several theories exist regarding the aetiology of non-traumatic cases. It is well described in alcoholics as well as patients on corticosteroids and those with sickle cell disease. Traumatic causes such as displaced fractures and hip dislocations may also cause avascular Read on … !