Hip and Knee Surgeon 
                              North Wales

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)

Felinheli Surgery


Y Felinhelli, Gwynedd

LL56 4RX

Tel:  01248 670423

Fax: 01248 670966    (find us)



Private Consultations:

 NHS Work:

      Ysbyty Gwynedd, Bangor


 Private Surgery:

      Spire Yale Hospital, Wrexham

© Mr. Ganapathi 2010
Web design by Mr.Ganapathi

“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


Useful Contacts

The Anglesey Bonesetters And Modern Orthopaedics
Computer guided surgery videos
Hip Replacement in Young Adults
What is Hip Impingement
Hip Arthroscopy Introduction
Private Physio links

Optimising yourself for hip/knee surgery

Outcome Scores

(downloadable forms)

Optimising Before Surgery
Validated Outcome Scores

Knee  Arthroscopy

(key hole surgery)

Knee Arthroscopy

Personalised Knee Replacements (is it the future?)

Enquiries/Feedback (Please click here)

Personalised Knee Replacements

What is it?

What are the mechanisms?


What are the symptoms?

Whom does it affect?

           (Tannast M, Siebenrock KA, Anderson SE. Femoroacetabular Impingement: Radiographic                        Diagnosis—What the Radiologist Should Know AJR 2007; 188:1540-1552.)

What are the clinical signs?

 Differential diagnosis of hip pain in young adults

How do we investigate?

Cam impingement: Bump over the anterolateral aspect of the femoral neck. Often obvious only in the horizontal beam lateral – hence the need to do both AP pelvis Xray and horizontal beam lateral when impingement syndrome is suspected. Various measurements like alpha angle etc.,

Pincer impingement: Cross over sign in standardised AP pelvis Xray – due to overcoverage of the anterior acetabular wall.


An initial trial of nonsurgical treatment, which may include activity modification including restriction of athletic activities, and nonsteroidal anti-inflammatory medications. Physical therapy with an emphasis on improving passive range of motion or stretching may be counterproductive and exacerbate the symptoms.

    1. Through open dislocation of the hip

    2. Combined arthroscopy and mini-open approach

    3. Arthroscopic treatment