Mr. Muthu Ganapathi  MBBS, MS(Ortho), FRCS, MSc (Ortho Eng), FRCS (Orth)

Spire Abergele Consulting Rooms
Ground Floor, Priory House
North Wales Business Park
Abergele, LL22 8LJ

Tel:  01745 828900  

Fax: 07145 828908  (find us)

Menai Bridge Surgery

Coronation Rd

Menai Bridge, Ynys Mon

LL59 5BD

Tel:  01248 712210

Fax: 01248 715829    (find us)

Private Consultations:

 NHS Work:

      Ysbyty Gwynedd, Bangor

 Private Surgery:

      Spire Yale Hospital, Wrexham

“Anglesey Bonesetters”

(An historical article)
 

Computer Guided Surgery (video demonstration)

Hip Replacement in Young Adults (special considerations)
 

Hip Impingement
(recently recognised condition)

Hip Arthroscopy

(an emerging field)

Direct Links

Private Physiotherapy

Links

Useful Contacts

Optimising yourself for hip/knee surgery

Outcome Scores

(downloadable forms)

Knee  Arthroscopy

(key hole surgery)

Personalised Knee Replacements (is it the future?)

Enquiries/Feedback (Please click here)

New video

In an ideal world it would be appropriate to follow-up all major joint replacement procedures for life (like MOT for our cars). However, it takes significant resources from the health system including the cost, number of man hours as well the inconvenience faced by the patients in making their follow-up trips when they are completely asymptomatic.

But at the same time, if the patients are not followed up regularly, silent problems like implant loosening, impending peri-prosthetic fracture etc., may not be picked up early and when they become symptomatic, the bone loss may be severe requiring more complex surgery. To avoid such a situation some form of follow-up is required.

Studies have shown that if after the initial year or two, the patients could be followed up by validated outcome score questionnaires and radiological investigations at appropriate time intervals which could be reviewed by their surgeons without having to see the patients personally in the clinics. Patients could be called back for review if problems are identified. Hopefully this system of follow-up will also be adopted in our part of the world in the near future! It is likely that you will be sent forms to fill (outcome scores).

Oxford Hip score and Oxford Knee score are two of the commonly used patient reported outcome scores following hip and knee replacements - they are simple to use and have been validated. However, in young and active patients the scoring systems reach a ceiling effect (i.e. most of the patients score very well but it does not differentiate “very good” from “good”). Most of the scoring systems give predominance to pain relief and less importance to activity levels which many of the young and active patients consider important to regain in addition to the pain relief following a joint replacement. UCLA score is a validated scoring system for hip replacement outcome in younger adults as the Oxford hip scores probably reach a ceiling effect in many younger patients.

In addition to postoperative follow-up, it would also be appropriate to fill the outcome scores which would give an indication of the pre-operative functional status.

Please feel free to download and print the forms (which are in PDF format). You can can complete them and take it along with you when you see Mr.Ganapathi for consultation.

If you have hip arthrits:

Oxford Hip Score (modified)  

Scoring guidelines for modified Oxford Hip Score

For young patients with hip arthritis (in addition to the Oxford hip score)

UCLA (University of California Los Angles) activity score

For non-arthritic hip problem (like hip Impingement):

Non Arthritic Hip Score

If you have knee arthritis:

Oxford Knee Score (modified)

Scoring guidelines for modified Oxford Knee Score

OUTCOME SCORES