Tom performs total knee replacements using robotic guidance and conventional alignment jigs. He has a focus on durable results, good pain management and early recovery after knee replacements.
When appropriate Tom is happy to offer partial knee replacements including patellofemoral replacement. In general partial knee replacement has the advantage of easier recovery from surgery, and may allow a superior functional outcome compared to a full replacement.
Tom uses a range of techniques to reconstruct the ACL in unstable knees and is happy to discuss graft options and adjunct procedures with you to optimise your outcome. He uses a quadriceps graft for the majority of cases.
Tom will discuss options for repairing or debriding unstable menisci with you.
Tom uses a combination of repair and reconstuction techniques to treat unstable knee ligaments when required such as the medial and lateral collateral ligaments.
Tom uses ligament reconstruction, realignment and reshaping procedures to improve patella tracking and resolve instability. After appropriate investigations Tom will discuss options for your knee and present a tailored plan to address the anatomical features that are contributing to your instability.
If knee alignment is contributing to degenerative conditions or instability Tom will discuss options to address this with corrective osteotomy.
Tom regularly revises knees that have failed for a multitude of reasons including infection, fracture, stiffness, instability, persisting pain or failing components from wear. If you are not satisfied with your knee replacement Tom will take time to understand your concerns, investigate your knee and prosthesis thoroughly, and then offer a treatment recommendation. When revision surgery is appropriate Tom will discuss what is involved and the risks before performing your surgery.
If you have a significant cartilage defect Tom is happy to discuss options to improve pain and mechanical symptoms. This includes treating osteochondritis dessicans and traumatic chondral injury. Treatment may include repair, debridement, or transplanting cartilage.
Infection
Prosthetic Infection: this is a rare but devastating complication - Tom will discuss your specific risk profile before proceeding to surgery
Stiffness: Achieving early motion is critical for the long term result, however knees that are stiff before surgery are at higher risk of long term stiffness
Instability: there is a technical balance between having a knee that feels unstable, and one that is too tight and prone to becoming stiff
Fracture around the knee replacement
Persisting pain from other sources
Dissatisfaction
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
Infection
Stiffness
Re-rupture
Blood vessel or nerve injury
Prominent metalware
Persistent knee pain
Graft donor site problems
Greater surgical precision
Improved implant positioning and balance
Allows personalised surgery
Better intra-operative feedback
Here are helpful guides for recovery from knee 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.