Recurrent patella dislocation has many underlying causes – a number are purely caused by an initial traumatic incident – but many have other factors. In particular – issues that change the direction of forces pulling on the patella such as knock-knees, tibial tubercle laterally positioned, and in-toeing gait are all factors

Blood clots after hip or knee replacement have historically been regarded as commonly occurring. We have progressively worked on the factors involved; we avoid tying the patient to the bed with tubes, we require early mobilisation after surgery, we use Venosan Silverline compression stockings rather than the old TED’s.

Enhanced Recovery After Surgery (ERAS) is an evolving concept of optimising the recovery of patients after surgery. We have been practicing these principles in addition to our other rapid recovery surgery concepts (including LIA).

Acromioclavicular joint (ACJ) injuries are common. The minor sprains are treated with tablets, physiotherapy and rest.