Mr Ian Holloway

Mr Ian Holloway
Orthopaedic surgery
Central London


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Mr Ian Holloway Orthopaedic surgeon in
London

MB BS FRCS(Tr and Orth)

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Mr Ian Holloway areas of expertise:

Professional statement

Mr Ian Holloway is a leading consultant orthopaedic surgeon in London, who specialises in hip and knee replacement surgery. He trained in London and was a senior trainee at the Royal National Orthopaedic Hospital.

Mr Holloway completed two specialist hip and knee fellowships in Sydney and Melbourne, Australia. He undertakes revision hip replacement for cases with significant bone loss and for periprosthetic fractures. He built his experience on the Bone Tumour Unit at Stanmore and treats patients with metastatic bone disease with an emphasis on early symptom control and aggressive rehabilitation.

Mr Holloway is a national and international speaker on enhanced recovery after hip and knee replacement. He has publications in the medical literature on hip and knee surgery and is also on the teaching faculty of a number of orthopaedic training courses. 

He is Deputy Training Programme Director for higher surgical trainees in the North West Thames region and is Clinical Lead for orthopaedics at the London North West Healthcare NHS Trust. He is a reviewer for the Bone and Joint Journal.


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How is osteoarthritis diagnosed?

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 Credentials

GMC: 4072225

 Professional experience

• More than 25 years of experience
• Consultant Orthopaedic Surgeon, Cromwell Hospital (present)
• Consultant Orthopaedic Surgeon, Chelsea Outpatient Centre, Lister Hospital (present)
• Consultant Orthopaedic Surgeon, Fortius Clinic (present)

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 Sub-specialties

• Hip replacement
• Revision hip replacement
• Metastatic bone disease
• Periprosthetic fractures
• Knee prosthesis
• Hip osteoarthritis
• Arthritis
• Arthroplasty
• Bone metastases
• Hip
• Hip pain
• Hip prosthesis
• Hip replacement surgery
• Injuries diagnosis
• Joint injections
• Knee
• Knee arthroscopy
• Knee fracture
• Knee Osteoarthritis
• Knee replacement
• Medial collateral ligament
• Meniscus
• Metastasis
• Orthopaedic surgery
• Osteoarthritis
• Osteoarthritis of the hip
• Osteoporosis
• Osteosynthesis
• Patellar tendonitis (jumper's knee)
• Revision hip replacement
• Robotic surgery
• Second medical opinion

 ...

 Teaching posts

• Deputy training programme director North West Thames Orthopaedic higher surgical training programme.

 Education

• Entry to specialist register in Trauma and Orthopaedics (2007)
• Intercollegiate Examination in Trauma and Orthopaedics Intercollegiate Examination Board (2005)
• Fellowship of the Royal College of Surgeons of England (2000)
• University of London (MBBS) (1994)

 ...

 Publications and conferences

• Research published in the Medical Literature on the subject of hip and knee surgery.
• Publications in peer-reviewed journals.
• Presented at national and international meetings on enhanced recovery after hip and knee replacement.

 ...

 Professional membership

• Member of British Orthopaedic Association (BOA)
• Fellow of the Royal College of Surgeons of England (RCS)

Languages spoken

  • English

Patient reviews for Dr. Ian Holloway

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All reviews are from verified patients booked through Top Doctors.

Patient reviews

Verified Patient
09/04/2018

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Patients comments

Excellent, professional, everything works like clockwork, feel very confident

Verified Patient
17/02/2018

Would you recommend this doctor?

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Patients comments

Overall i experienced competence, courtesy and efficiency. i can recommend mr. holloway and the chelsea outpatient centre with confidence.

Verified Patient
05/07/2017

Would you recommend this doctor?

  • Bedside manner
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Diseases, Medical Tests and Treatments

Arthroplasty

Joints are continually exposed to multiple injuries, so it may be necessary to perform an arthroplasty. Arthroplasty is a surgical operation that is p ...

Bone metastases

Metastasis is when cancer cells travel from a primary tumour and invade the bones. Bones are one of the most common locations for metastasis to occur, ...

Hip replacement surgery

This surgery replaces all, or part of the hip joint with an artificial joint, which is called a prosthesis. The hip joint consists of two main parts, ...

Knee arthroscopy

Arthroscopic knee surgery is a minimally invasive surgical technique for accessing the interior of the joint through small holes in the skin. Through ...

Knee Osteoarthritis

Knee osteoarthritis is the wear of the cartilage lining the joint bones (femur, tibia, fibula and patella). It is the most frequent type of osteoarthritis because the knee supports the weight and the weight of the items carried when we stand or when we travel. The cartilage serves to prevent rubbing of the bones in the knee movements, prohibiting slip and cushioning the blows. Wear over the years and aging of cartilage is what causes osteoarthritis. The main symptom of patients with knee osteoarthritis is pain. The treatment includes rehabilitation exercises and a medication to alleviate symptoms of the disease. Furthermore, in obese patients it is necessary to follow a diet to lose weight. ...

Osteoarthritis

Osteoarthritis is a degenerative disease that affects the joints and cartilage. As cartilage breaks down and pain sets in, the bone reacts by growing on either side of the cartilage and becoming deformed.  ...

Arthritis

What is arthritis? Arthritis is a disease that causes inflammation of the membrane that covers the joints. There are more than 100 different types of arthritis, but the most common are: Osteoarthritis: the most common type of arthritis. It usually starts with age and affects the fingers, knees and hips. In some cases, it develops in areas where there was a previous hit or injury. Inflammatory arthritis: There are many types of inflammatory arthritis, the most common of which is rheumatoid arthritis, which occurs when the body's defenses do not work properly. It affects both joints and bones, often in the hands and feet.   What are the symptoms of arthritis? The symptoms of arthritis can be: Joint pain Joint inflammation Redness and heat of the skin around the joint Decreased ability to move the joint Joint stiffness, especially in the morning   What are the causes of arthritis? This pathology can be a consequence of: Bone fracture Autoimmune disease Infection by bacteria or viruses Joint wear Crystals (such as uric acid or calcium pyrophosphate dihydrate)   Can arthritis be prevented? Joint damage can be prevented with timely and adequate diagnosis and treatment. Also, if someone has a family history it is important to talk with the doctor, even if s/he does not have any symptoms. It is also recommended to avoid repetitive and excessive movements to prevent osteoarthritis.   What is the treatment for arthritis? The treatment aims to alleviate the symptoms and prevent the disease from getting worse. The treatment can be covered by several aspects: Lifestyle changes: this is the preferred treatment, since exercises help to reduce pain and fatigue, relieve stiffness and improve muscle and bone strength. The doctor can also recommend physiotherapy. Other measures may include sleeping 8-10 hours a day, not staying in the same position for a long time, eating a healthy diet, avoiding alcohol and tobacco, among others. Medicine: can be added to the changes in lifestyle. Surgery: is performed if the other treatment methods have not worked. The main intervention is arthroplasty, which consists of replacing the affected joint with an artificial one. ...

Hip

The hip is the area where the pelvis meets the thigh bone.

Hip pain

Hip pain is all the pain localised on the hip or around it. It can be caused by a fracture, bone infection or joint pain or arthritis.

Hip prosthesis

Hip prosthesis is a major surgery technique that involves replacing the damaged hip with an artificial joint. The characteristics of the materials used in this type of prosthesis allow mobility similar to that of the human joint. The materials used in these implants include: various metals such as stainless steel, cobalt, chromium and titanium alloys; plastic, usually polyethylene, a very durable and friction wear-resistant material. Hip replacement is recommended in cases of osteoarthritis of the joint or rheumatoid arthritis.  ...

Injuries diagnosis

The diagnosis of injuries are tests carried out to detect all kinds of muscle, tendon, joint and bone injuries, among others.

Joint injections

Joint injections are a treatment against joint pain that involves the injection of anti-inflammatory drugs and analgesics to improve joint mobility. It is a quick and simple technique, is minimally invasive, and produces longer-lasting effects compared to those obtained through a drug administered orally or intramuscularly.  ...

Knee

The knee joins the thigh to the lower part of the leg, connected by two joints. One is the tibiofemoral joint, between the femur and tibia, while the other is the paletellofemoral joint, between the femur and patella. The knee is the largest of the joints in the human body, but it is also one of the most easily injured. What is the knee made up of? The knee is made up of bone, ligaments, tendons, and ligaments. They work together to allow the knee to move smoothly and support the body. The knee joint is complex, and therefore it can be injured in a manner of different ways. Common knee injuries Some of the more common knee injuries include: Fractures Ligament injuries (such as anterior or posterior cruciate ligament injuries) Tears in tendons or meniscus Dislocation Symptoms of a knee injury The knee can be injured in many ways, but some of the most common symptoms include pain, especially while walking or moving, a feeling of instability, and swelling in the knee or around it. If you are in severe pain, cannot move your knee, have significant swelling, or cannot walk without limping, you should seek immediate medical attention. Treatment of knee injuries Treatment of knee injuries depends on the type of injury and the part of the knee affected. Some knee injuries can be treated through methods like physiotherapy or medication. Some can be treated simply by immobilisation – meaning you cannot move your knee. Usually in these cases a cast or brace will be fitted to ensure protection and help it to heal. In some cases, surgery may be the best course of treatment. Most surgical procedures these days are minimally invasive, using very small instruments and making minimal incisions, which usually allows for a faster healing process. In some cases, some injuries may need to be treated with open surgery which requires a larger incision.  ...

Knee fracture

Knee fracture is a break or failure of one of the bones that make up the joint (femur, tibia, fibula and patella). Usually, these bones are injured by falls, traffic accidents, injuries in contact sports and exercise, shock and other injuries. Symptoms of knee fracture are pain, swelling, limited range of motion, deformed leg and inability to walk, among others. Treating knee fractures depend on the fractured bone and the type of fracture. If parts of the bones are properly aligned, perhaps it is enough to placing a splint or cast to the knee. However, if the patella is affected, an operation could be required. Therefore, the recovery of the injury depends on the fractured bone, fracture type, treatment and evolution. ...

Knee replacement

Knee replacement is the replacement of the joint with a piece of synthetic material through surgical intervention, recommended in cases in which the joint is heavily damaged by osteoarthritis, or when a patient's mobility is severely affected by damage to the knee. A knee prosthesis replicates the bones that form the knee, manufactured from diverse metals and plastic materials that favour the flexion and the extension of the joint. In general, the patient can resume work within three to six months ...

Medial collateral ligament

The medial collateral ligament of the knee is one of the ligaments that support the joint, and limit the movement from side to side. It runs from the inside of the bottom of the thighbone to the inside of the top of the shin bone, i.e. joins the femur to the tibia. The main injuries affecting this area are the medial collateral ligament sprain and rupture of the medial collateral ligament, usually caused by trauma to the knee when it is in a flexed position or external rotation and valgus (outward deflection by congenital malformation). Another complication affecting this ligament is the Pellegrini-Stieda syndrome, which is the ossification of the medial collateral ligament of the knee. ...

Meniscus

Meniscus is cartilage located within the knee, both on the inside (medial meniscus) and outer (lateral meniscus), which dampen the shock between the femur and the tibia. The menisci of the knee are the structures most susceptible to damage in that area, especially in sports like football. The medial meniscus is more prone to injury than the lateral meniscus, and is connected to the medial collateral ligament and the joint capsule, so that it is less mobile. Treatment of broken medial meniscus may involve surgery, depending on the patient. In case of surgery, only the damaged part of the meniscus is cut by arthroscopy. ...

Metastasis

Metastasis is when cancer cells break away from the original tumour and spread to other parts of the body via the lymph nodes or blood circulation. The cells create new tumours are called metastases. It is a hallmark of more advanced cancer. ...

Orthopaedic surgery

Orthopaedic surgery treats muscular, bone and joint system disorders, and also the ligaments and tendons. It applies medical and surgical methods to treat illnesses of the musculoskeletal system. ...

Osteoarthritis of the hip

Osteoarthritis of the hip is a degenerative disease of the cartilage that covers the union of the bones of the pelvis and the femur. This tissue facilitates the movements between the bones and prevents them from rubbing against each other. When the cartilage decreases its thickness and texture or disappears, it causes wear between the femur and the pelvis, which produces osteoarthritis of the hip. The main indicator of this pathology is pain, which is located primarily in the region of the groin. Hip osteoarthritis is a chronic disease that lasts for the lifetime of a patient, and usually develops very slowly over the years. The treatment consists of rehabilitation exercises, but in the most severe cases you can opt for a surgical operation. ...

Osteoporosis

What is osteoporosis? Osteoporosis, meaning “porous bone” is a disease, in which the bones become weak and brittle due to the body either losing too much bone or making too little. On a microscopic level, the structure of healthy bone resembles a honeycomb, with hollows and spaces. In bones affected by osteoporosis, these hollows and spaces are much wider, meaning the bones are less dense, and therefore weaker than they should be. This makes them susceptible to breaks and fractures.   Symptoms of osteoporosis Most of the time, a person will not realise they have osteoporosis until they break or fracture a bone. The hip and wrist are the most common places that fractures occur, while spinal fractures are also relatively common. Sometimes, other symptoms will precede a fracture: Backache Stooped posture (particularly in older people) Loss of height   Medical tests to diagnose osteoporosis The DEXA or DXA scan is an effective test to measure bone mineral density using a low-intensity X-ray. It is painless, straight-forward, and involves minimal radiation – in fact, the operator sits in the same room as the patient. After the scan is done, the results are compared to that of a young, healthy individual, and if the difference in bone density is great, a diagnosis of osteoporosis may be made.   What are the causes of osteoporosis? Losing bone is a natural part of getting older, but some people will lose bone density faster than others. In general, women have a higher risk of getting osteoporosis than men, especially in the years following the onset of the menopause, when bone density is lost more rapidly. Things that can increase the risk of osteoporosis include: A family history of osteoporosis Certain other medical conditions, e.g. inflammatory conditions, malabsorption problems, some hormone-related conditions, etc. Taking corticosteroids orally long-term. Certain other medications that can affect bones or hormone levels when taken long-term. Heavy drinking and/or smoking Low BMI (body mass index)   Can osteoporosis be prevented? While it is impossible to prevent a condition like osteoporosis with 100% certainty, you can lower the risk of getting the disease by taking steps in your lifestyle to keep your bones healthy: Regular exercise Healthy diet, including calcium and vitamin D, which contribute to bone strength Give up smoking and reduce alcohol intake.   Treatments for osteoporosis Treating osteoporosis revolves around treating fractures caused by the condition and trying to improve bone strength, which may involve medication. Your doctor will advise you on treatment depending on the results of your DXA scan and the cause of your osteoporosis. Possible treatments include: Calcium and vitamin D supplements Biphosphonates to slow the rate of bone loss Selective oestrogen receptor modulators (SERMs) Parathyroid hormone – delivered via injection, this hormone can actually increase bone density, rather than simply maintain it, as most other treatments do. However, it is only prescribed by specialists in serious cases where the patient’s bone density is very low, due to the side effects like nausea and vomiting that it can cause. HRT – in menopausal women this may be recommended to manage the symptoms, which include bone loss. Testosterone treatment – if osteoporosis is a result of hypo gonadism in men.   Which type of specialist treats osteoporosis? Rheumatologists, orthopaedic surgeons, and endocrinologists all treat osteoporosis and its symptoms. ...

Osteosynthesis

Osteosynthesis is a type of operation in which several bone fractures are fixed by implanting plates or nails, among other devices.

Patellar tendonitis (jumper's knee)

Patellar tendonitis is inflammation of the tendon that connects the kneecap to the tibia. The tendon is located in the front of the knee, just below the kneecap, and intervenes in the movements of knee extension. This tendon can become inflamed and cause pain when doing certain activities involving overexertion and repetitive minor trauma. The main symptom of this type of tendonitis of the knee is pain that increases when forcing the tendon (usually with running, jumping or climbing stairs), and in the most severe cases, can hurt even when walking. The treatment of patellar tendinitis includes resting, taking anti-inflammatories, the local application of cold and rehabilitation exercises for the quadriceps muscles. If the above measures do not give good results, it may be required to carry out infiltrations and in some cases, surgery. ...

Revision hip replacement

Hip replacement is a very successful procedure and many patients undergoing total hip replacement do not experience problems. Over time, however, hip replacements can fail for a number of reasons, and it may become necessary for the hip replacement to be revised, and have further surgery performed. There are different types of revision hip surgery and different areas of the prosthesis may need attention, or all of it may need to be replaced.  ...

Robotic surgery

Robotic head and neck surgery is one of the latest technological advances in surgery. This novel technology helps overcome restrictions present with conventional surgical techniques. Surgery is not performed by a robot but by the surgeon using robotic technology. Robotic surgery permits access to small spaces and removes all natural hand tremor. It permits precision surgery in real time using a 3D visual field. ...

Second medical opinion

What is a second medical opinion? A second medical opinion is when you consult with a doctor that is not your regular doctor about a potential diagnosis and/or treatment plan. There is no legal right to a second opinion, however, it is rare for a doctor to refuse. Why would you get a second medical opinion? Patients may consider a second medical opinion if they are facing a new diagnosis or recommended treatment because sometimes this can feel confusing and a second opinion can put their mind at ease. In addition, there are certain situations where a second medical opinion is sought after: Potential treatment is risky and could be life-changing or the diagnosis is possibly life-threatening The diagnosis is not clear-cut If you are considering a new treatment approach that is experimental The aims of obtaining a second medical opinion are: To confirm whether a diagnosis is correct and/or appropriate. To confirm whether a suggested treatment is correct and/or appropriate. To compare information received from each doctor so that you can make an informed decision – sometimes a second medical opinion can rule out the need for a potentially unnecessary invasive procedure. Possible disadvantages of seeking a second medical opinion include: The process can delay the start of treatment. Logistically, seeing another specialist might be difficult and possibly time-consuming. It might be stressful to hear the same diagnosis again. How would you seek a second medical opinion? You can request a second medical opinion from your GP or consultant, but before doing so it is recommended that you ask for as much clarification and explanation about the initial diagnosis and treatment, before seeking a second opinion. Obtaining a second medical opinion does not mean that the second doctor will then take over – if that is what the patient decides, then this needs to be agreed formally between doctors and hospitals.  ...

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Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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