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Coronavirus Information

In response to the COVID-19 (coronavirus) outbreak and in line with national guidance, we have suspended our private elective admissions as we support our colleagues in the NHS. 

We are continuing to provide outstanding care for private patients within the Trust’s urgent care pathways and we are also offering selected outpatient consultations via video conference or telephone.

If you are an existing patient and have any questions about your treatment, please contact your consultant or their secretary directly.

For new patients that require urgent treatment or would like to be kept informed of when we can begin to accept elective admissions, please call our enquiry team on 0208 909 5114 or complete the contact form.

We want to thank you for your understanding at this time.

  • Total Ankle Replacement

    Adult aquired flatfoot deformity or tibialis posterior tendon dysfunction

    The tibialis posterior is a muscle in the lower leg. The tendon from this muscle runs behind the inside bone on the ankle (called the medial malleolus), across the instep and attaches to the bottom of the foot. The tibialis posterior is important as it helps to hold the arch of the foot up and stop the foot rolling over. Sometimes the tendon becomes stretched and inflamed. This condition can be called Tibialis Posterior Tendon Dysfunction, Tibialis Posterior Insufficiency or Acquired Adult Flat Foot.

  • Ankle Arthritis

    Ankle Arthritis

    The tibia and fibula and the ankle bone talus form the ankle joint. This joint allows the foot to move up and down. The sideways movement of the heel principally occurs in the three joints (triple joints) under the talus (sub-talar, talonavicular and calcaneocuboid joints). Smooth articular cartilage covers the bones to allow them to freely glide over one another as the joints move.

    Most commonly associated with previous injuries, osteoarthritis may occur spontaneously in the ankle joint. Severe sprains or repeated sprains can damage the articular cartilage of the ankle and lead to progressive arthritis as can fractures around the ankle joint.

  • Total Ankle Replacement

    Ankle Arthroscopy

    An ankle arthroscopy is a procedure that involves making two or three small puncture wounds usually in front of the ankle.

  • Total Ankle Replacement

    External Fixation for Bone Correction and Lengthening

    An external fixator is a device used to stabilise and/or correct the position of a bone. It is attached to the bone using wires or half pins. These pass through the skin, muscles and bone; on some frames the wires pass all the way through the limb.

    The main reasons to use an external fixator are: stabilization of a fracture, correction of a bent bone and bone lengthening. The fixators can be adjusted so that complex corrections can be made to the position of the bone.

    There are two main types of external fixator used: Monolateral and Circular. The type of frame used depends upon your individual circumstances.

  • Total Ankle Replacement

    Foot and ankle surgery

    Many conditions affecting the foot can produce discomfort, which can limit mobility, therefore your feet need to be strong and healthy. The foot is a complicated part of the anatomy and consists of 26 bones, 33 joints and numerous tendons, ligaments and muscles. Sometimes the structure and mechanics of your feet or ankles change (for a number of reasons) and surgery may be required to address these. Surgery is usually only considered when all conservative measures have been exhausted.

  • Total Ankle Replacement

    Lateral Ligament Reconstruction of the Ankle

    The ankle is a hinge joint between the leg and the foot, and allows up/down and side/side movement. Stability is provided by strong ligaments either side of the ankle.

    The ligament on the outside of the ankle is called the lateral ligament. It is made up of three bands connecting the fibula (the prominent bone on the outside of the ankle) and the talus (ankle bone) and calcaneus (heel bone). If the ankle is twisted, the ligaments can become stretched or torn. This is known as a sprained ankle.

  • Total Ankle Replacement

    Lower limb lengthening with a Precice Nail

    A Precice nail is a device, surgically placed within the bone, which is used to grow new bone and change the length of the limb (fig 1). The nail contains a magnet and a gear system, this enables the nail to lengthen or shorten. It is activated when a programmed external handset is placed on the limb.

  • Total Ankle Replacement

    Pin site care

    Before you leave hospital you will have been taught how to care for your pin sites. Care of the fixator can be daunting, so the aim of this leaflet is also to give you this information in written form.

    Pin site care is important because the wires and / or half pins pass through the skin and muscles and into the bone. This increases the risk of an infection on the skin spreading down into the bone.

  • Total Ankle Replacement

    Total Ankle Replacement

    Total ankle replacement is an operation to replace a worn-out ankle joint by resurfacing the ends of your tibia and talus with metal components with a plastic insert in between them to allow gliding motion.

    The metal components are fixed into bones using pegs or stems and have a special coating to encourage the patient’s bone to grow into them. Total ankle replacement (TAR) is an emerging technology. Although the first generation of total ankle replacements in the 1970’s showed poor results, improvements in technology and research have led to the development of the third generation of uncemented, three component, mobile-bearing implants.

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