Tom performs the majority of his hip replacements through an anterior approach. This technique has the advantage or working between muscles and allows a smaller incision resulting in faster recovery from surgery.
This is the most common approach used for hip replacements in New Zealand. It has the advantage of allowing a more thorough exposure of the hip to treat complex conditions and for revision surgery.
Tom regularly revises hips that have failed for a variety of reasons including infection, fractures, dislocations, loosening components or failure for other reasons. If you are experiencing pain or you are not satisfied with your hip replacement Tom will take time to understand how this is affecting you, and arrange investigations to assess your current prosthesis. If revision surgery is an option Tom will discuss what would be involved, risks and expected benefit and guide you towards a tailored treatment plan.
Prosthetic Infection: this is a rare but devastating complication - Tom will discuss your specific risk profile before proceeding to surgery
Dislocation: rarely a prosthetic hip can pop out of joint, requiring reduction in Hospital
Leg length discrepancy
Fracture around the hip replacement
Persisting pain from other sources
Components becoming loose over time injury to blood vessel or nerve
Medical event around the time of surgery such as heart attack, blood clot or stroke
Tom uses a variety of cemented and uncemented prosthesis depending on the circumstances. The bearing surface will be metal or ceramic head against a highly cross linked polyethylene cup.
You are expected to walk the same day as your operation.
You will be in Hospital for 1-2 nights.
You will walk with crutches for 2-6 weeks after surgery.
You will require pain medication for 1-6 weeks after your operation.
Your wound needs to be kept clean, dry and dressed for 2 weeks, but all sutures will be under the skin and self dissolving.
We will arrange a post operative x-ray and see you in clinic around 2 weeks after surgery.
Here are helpful guides for recovery from hip surgeries.

To see Tom you will require a referral from your GP, Physiotherapist or other treatment provider. Ask to be referred to Tom for your surgery and we will help you set up an initial consultation.