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Hip surgery

 Every patient's top concern is whether surgery stands to bring about positive improvements to their lives. I am acutely aware of the scale of the commitment this represents.
Mr Trevor Lawrence

Walking to Yoga class

National Joint Registry (NJR), the medical authority collecting and analysing data on joint replacement surgery in England and Wales, confirms that Mr Trevor Lawrence has performed more than three times as many primary hip operations as the UK National Average. 

 

NJR data shows that since 2009, only 0.1% (1 per 1,000) of Mr Lawrence's patients required revision hip surgery due to implant loosening or wear, which is only 1/3 of the UK National Average. This is clear evidence of his high success rate.

Outstanding results

NJR data period:

01 April 2020 - 31 March 2023

2023 National Joint Registry Graph for Mr Trevor Lawrence

Mr Lawrence's 

PRIMARY HIP SURGERY

387

Mr Lawrence's
REVISION HIP SURGERY

0.5%

PRIMARY SURGERY

Patients undergoing 1st-time

Hip replacement.

UK National
Average

124

UK National
Average

1.5%

REVISION (REPEAT) SURGERY

Patients needing 2nd Hip operation due to a complication.

Over the last 10 years, no patients of Mr Lawrence's have required repeat surgery for loosening or wearing their hip replacements.

Of all surgeons working at Spire Parkway Hospital, the UK's leading private healthcare institution, Mr Lawrence's hip replacement surgery outcomes score the highest.

Mr Lawrence's record so far shows that his patients' activity and weight do not impact their long-term results following his surgery.

Patient Satisfaction

PHIN, the Private Healthcare Information Network, is an independent, government-mandated organisation that publishes performance and fee information about private consultants and hospitals in the UK. PHIN's graphs below further illustrate Mr Lawrence's high patient satisfaction.

PHIN patient feedback HEADER
Graph 4 - Private Healthcare Information Network (PHIN) fpr Mr Trevor Lawrence
Graph  - Private Healthcare Information Network (PHIN) fpr Mr Trevor Lawrence
Graph 5 - Private Healthcare Information Network (PHIN) fpr Mr Trevor Lawrence
Graph 1 - Private Healthcare Information Network (PHIN) fpr Mr Trevor Lawrence
Graph 3 - Private Healthcare Information Network (PHIN) fpr Mr Trevor Lawrence

Hip Implants

Mr Lawrence is committed to restoring your mobility and freedom with the very best. He only uses high-quality precision-engineered marvels - proven joint implants such as Stryker and Exeter. These innovative technologies aren't just names; they represent a dedication to durability and precision while minimising patients' recovery time. Here's a small sample of implants that Mr Lawrence uses at his clinic:

EXETER Hip Implants

  • Built to last: Exeter implants offer unmatched precission engineering. These innovative implants have helped over 2.1 million people around the world.

  • No two bodies are the same: Available in cemented and cementless options, Exeter caters to your unique anatomy and bone quality.

  • Move with freedom: The advanced design minimizes wear and tear, promoting smooth mobility and long-lasting pain relief.

  • Proven track record: Backed by decades of research and development, Exeter is a trusted choice for orthopaedic surgeons worldwide.

EXETER HIP ROD Joint Implant

STRYKER Modular Dual Mobility Mobile Bearing Hip systems

  • Unmatched Stability: The dual articulation design minimises the risk of dislocation, even in active patients.

  • Personalised Fit: Offers a variety of configurations to match each patient's unique anatomy and needs.

  • Reduced Wear: Precise engineering and X3 polyethylene ensure longevity and minimise wear and tear.

  • Improved Outcomes: Clinical studies show excellent results, translating to happier, more mobile patients.

Stryker Sherll System Joint Implants

Exeter hip implants are well-established systems routinely used in hip replacement surgery by surgeons worldwide. Here's a breakdown of their key features:

Origin and Reputation:

  • Developed by Professor Robin Ling and Dr Clive Lee at the University of Exeter in 1970.

  • Renowned for their longevity, excellent clinical performance, and versatility.

  • Over 2.1 million implants are used worldwide, demonstrating their proven track record.

Types and Design:

  • Available in both cemented and cementless versions to suit individual needs and bone.

  • The collared design in the cemented version promotes stability and fixation.

  • Tapered stem design in the cementless version for secure anchoring in the bone.

  • Wide range of sizes and offsets to accommodate diverse patient anatomies.

Benefits:​

  • Reduced risk of loosening: Design features minimise micromotion, a major cause of implant loosening.

  • Good long-term functionality: Many patients experience improved mobility and pain relief.

  • Versatility: Suitable for primary and revision surgeries, addressing various hip pathologies.

Considerations:

  • Not a one-size-fits-all solution: Consulting an experienced surgeon for personalized assessment is crucial.

  • Potential risks: As with any surgery, risks such as infection, blood clots, and nerve damage exist.

  • Alternatives: Other implant brands with different designs and materials are available.

Why Hip surgery?

​Hip surgery is a broad term that encompasses various procedures to address different hip problems. Here are some of the most common issues that might necessitate hip surgery.

01.

OSTEOARTHRITIS

This is the most common reason for hip surgery, affecting millions of people worldwide. It's a degenerative joint disease that causes cartilage breakdown in the hip joint, leading to pain, stiffness, and reduced mobility. 

02.

RHEUMATOID ARTHRITIS

This autoimmune disease can attack the hip joint, causing inflammation, pain, and damage to the cartilage and bone. In severe cases, hip replacement surgery may be necessary. 

03.

HIP FRACTURES

These are often caused by falls or accidents, especially in older adults. Depending on the severity and location of the fracture, surgery may be required to repair or replace the hip joint.

04.

AVASCULAR NECROSIS (AVN)

This condition occurs when the blood supply to the hip bone is disrupted, leading to bone death and eventual joint collapse. Early diagnosis and treatment are crucial to prevent the need for surgery. 

05.

HIP IMPINGEMENT

This occurs when the bones of the hip joint rub against each other abnormally, causing pain and limited range of motion. In some cases, arthroscopic surgery can be performed to trim the bone and create more space in the joint. 

06.

LABRAL TEARS

The labrum is a soft ring of cartilage that lines the hip socket. Tears in this labrum can cause pain, clicking, and catching sensations in the hip. Surgery may be recommended to repair or remove the torn labrum. 

07.

SEPTIC ARTHRITIS

This is a potentially life-threatening hip joint infection. It requires immediate medical attention and often involves surgery to drain the joint and remove infected tissue.

08.

TUMOURS

Depending on the type and location of the tumour, surgery may be necessary to remove it or replace the hip joint. 

It's important to note that this is not an exhaustive list. The appropriate treatment can only be determined after a consultation to determine the underlying causes and discuss potential treatment options, including joint replacement surgery.

Revision surgery

On rare occasions, your existing implant may require an update or Revision Hip Surgery. Four main scenarios may necessitate such surgery:

01.

NORMAL WEAR AND TEAR:

Over time, even the most durable implant experiences wear and tear, requiring replacement. This is typically unrelated to the original surgeon's work.

02.

UNFORSEEN CHALLENGES:

Sometimes, independent of the surgeon, issues such as infection or loosening of the implant can necessitate such surgery.

03.

UNDERLYING BONE PROBLEMS:

Bone conditions or previous injuries can contribute to implant failure, and addressing these requires surgery that may involve revising the implant.

04.

COMPLICATIONS DURING ORIGINAL SURGERY

In rare cases, a complication during the original surgery can lead to issues requiring revision. 

Understanding the specific reason for your revision surgery is essential, as it impacts the approach and potential outcomes. During your consultation, I will fully discuss your case history and clearly explain the cause of your implant's failure, whether related to normal wear and tear or any other contributing factors.

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