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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:


If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.


  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell


  • touch your eyes, nose or mouth if your hands are not clean

Mr Panagiotis Gikas

Mr Gikas has completed his medical school and postgraduate training in London and specialises in primary and revision hip and knee arthroplasty, knee cartilage injuries and the surgical management of primary and metastatic bone cancer.

Mr Gikas’s clinical and research endeavours have centred around hip and knee reconstruction and treatment of bone and soft tissue cancer. His interests include the use of the anterior approach to hip replacement, custom made (bespoke) instruments as well as robotics for knee replacement, use of stem cells and cartilage techniques to address cartilage defects and the management of major bone and soft tissue cancer. He has presented and published widely on various aspects of hip, knee and bone cancer surgery and continues to lead clinical and laboratory research in these fields.

Trauma and orthopaedics, bone and soft tissue sarcomas

Procedures Offered:
Primary total hip replacement (including the use of the anterior muscle sparing approach), primary knee replacement, revision hip and knee replacement, repair of articular cartilage defects of the knee, knee arthroscopy, massive endoprosthetic replacement for treatment of primary and metastatic bone cancer, surgical management of soft tissue cancer

Clinical Interests:
Arthroplasty, Orthopaedic Oncology, Cartilage Regeneration

Research Interests:
Techniques that allow optimisation of hip and knee replacements either by minimising damage to muscle or by using instruments/implants that are custom made to take into account the individual patient anatomy, new techniques to optimise outcome after bone resection for treatment of primary/secondary cancer using massive prosthetic implants, Raman spectroscopy for non-invasive diagnosis of bone disease

Published Papers:
Towards the in vivo prediction of fragility fractures with Raman spectroscopy.
Buckley K, Kerns JG, Vinton J, Gikas PD, Smith C, Parker AW, Matousek P, Goodship AE.
J Raman Spectrosc. 2015 Jul;46(7):610-618
Hydroxyapatite-coated collars reduce radiolucent line progression in cemented distal femoral bone tumor implants.
Coathup MJ, Sanghrajka A, Aston WJ, Gikas PD, Pollock RC, Cannon SR, Skinner JA, Briggs TW, Blunn GW.
Clin Orthop Relat Res. 2015 Apr;473(4):1505-14. doi: 10.1007/s11999-014-4116-6
Evidence from Raman spectroscopy of a putative link between inherent bone matrix chemistry and degenerative joint disease.
Kerns JG, Gikas PD, Buckley K, Shepperd A, Birch HL, McCarthy I, Miles J, Briggs TW, Keen R, Parker AW, Matousek P, Goodship AE.
Arthritis Rheumatol. 2014 May;66(5):1237-46. doi: 10.1002/art.38360.
Current strategies for knee cartilage repair.
Kalson NS, Gikas PD, Briggs TW.
Int J Clin Pract. 2010 Sep;64(10):1444-52. doi: 10.1111/j.1742-1241.2010.02420.x. Review
Repair of osteochondral defects in joints--how to achieve success.
Bentley G, Bhamra JS, Gikas PD, Skinner JA, Carrington R, Briggs TW. Injury. 2013 Jan;44 Suppl 1:S3-10. doi: 10.1016/S0020-1383(13)70003-2. Review.
Potential therapeutic targets for chordoma: PI3K/AKT/TSC1/TSC2/mTOR pathway.
Presneau N, Shalaby A, Idowu B, Gikas P, Cannon SR, Gout I, Diss T, Tirabosco R, Flanagan AM.

Mr Panagiotis Gikas, Consultant Orthopaedic Surgeon is available for consultations at the Royal National Orthopaedic Hospital

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