Insights into arthroplasty

Written by: Mr Tom Symes
Published:
Edited by: Kate Forristal

In his latest online article, Mr Tom Symes gives us his insights into arthroplasty. He talks about what it is, when and why its needed, how long it takes, side effects or risks and recovery.

 

What is an arthroplasty?

An arthroplasty refers to the surgical procedure of replacing a damaged or diseased joint with a prosthetic implant. I specialise in performing both hip and knee replacements. Hip replacements commonly involve complete joint replacements, particularly for cases of arthritis. In situations where the hip is fractured, a partial replacement, known as hemiarthroplasty, might be opted for.

 

When addressing knee arthritis, a partial knee replacement might be considered, wherein only a specific section of the knee joint is substituted with an artificial component. This procedure is less invasive, leading to a swifter recovery process and potentially yielding superior outcomes compared to a total knee replacement.

 

 

When and why is it needed?

Joint replacement surgery becomes a primary consideration when arthritis reaches a point where conventional methods of treatment fail to effectively manage the associated symptoms and discomfort.

 

 

How long does an arthroplasty take?

An arthroplasty surgery usually takes around one hour to perform in the operating room, and an additional half-hour is allocated before the surgery for administering anaesthesia and making the patient ready for the procedure.

 

 

Are there are any side effects or risks?

There are considerations regarding potential side effects and risks related to arthroplasty procedures. These can be broadly categorised into surgical and medical complications, encompassing a range of possible issues that individuals may encounter during or after the surgery. It's crucial for patients to be informed about these possibilities to make well-informed decisions about their treatment.

 

 

Is any recovery time needed?

Typically, patients undergo a recovery period that involves staying at the hospital for a single night immediately after the surgery. In the initial stages of recuperation, individuals often rely on walking aids such as sticks for a period of approximately 4 to 6 weeks. The ability to resume driving usually becomes feasible after about 6 weeks post-surgery. Regarding work commitments, patients might need to take a leave of absence for a span of 2 to 3 months to allow for proper healing and rehabilitation.

 

 

Mr Tom Symes is a distinguished orthopaedic surgeon with over 20 years of experience. You can schedule an appointment with Mr Symes on his Top Doctors profile.

By Mr Tom Symes
Orthopaedic surgery

Mr Tom Symes is a highly respected consultant orthopaedic surgeon based in Hull and East Yorkshire. He specialises in total hip and knee replacement, partial knee replacement and computer navigated knee replacement. He is also renowned for his expertise in enhanced recovery and day case hip and knee replacement, as well as muscle sparing total hip replacement (SPAIRE approach).

Mr Symes qualified in medicine from the University of Leeds in 1999 before pursuing further training in orthopaedics. He attained membership of the Royal College of Surgeons of England in 2003 and later undertook a Masters in evidence-based orthopaedics at the University of Teesside. In 2010, Mr Symes was awarded fellowship of the Royal College of Surgeons’ trauma and orthopaedics section. He additionally completed an arthroplasty fellowship at the esteemed Golden Jubilee National Hospital in Glasgow. He was appointed as a consultant orthopaedic surgeon at Hull and East Yorkshire Hospitals NHS Trust in 2011, where he continues to serve as clinical lead for orthopaedics, lead for Enhanced Recovery After Surgery (ERAS) and is the revision hip lead for the hospital.

More recently he has been leading the Orthopaedic Network for the Humber and North Yorkshire ICB. This group aims to improve care for patients with musculoskeletal problems across the region. He is passionate about improving the health of patients while they wait for surgery to give them the best outcome.

He has been the leading surgeon in the development of the day case joint replacement pathway at the Spire Hospital and in the last year over 30 of Mr Symes’ patients have been discharged on the same day as their hip or knee replacement. The pathway encompasses all the latest research around preoperative preparation, intraoperative muscle sparing techniques, postoperative multi modal pain relief and early mobilisation.

In the last year he has refined a muscle sparing Total Hip replacement technique (SPAIRE) that reduces the chance of hip dislocation after surgery and allows patients to return to full activity without any restrictions. This is particular attractive to young patients who wish to return to sports
He sees private patients at Spire Hull and East Riding Hospital.

Additional to his clinical responsibilities, Mr Symes is an honorary senior lecturer at the Hull York Medical School and trains medical students and junior doctors. He has published a number of academic articles which appear in peer reviewed journals and has also authored chapters in leading orthopaedic textbooks. He is regular speaker at national meetings in the field of orthopaedics, particularly on the topic of enhanced recovery. Mr Symes is also a respected orthopaedic medicolegal expert.

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