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Orthopaedics is the branch of surgery that diagnoses, treats and cares for your musculoskeletal system. It covers a complex system that we all use constantly: from bones and joints to ligaments, tendons, muscles, and nerves.

One Health’s orthopaedic specialists can help you live a better life by addressing conditions such as osteoarthritis, tendonitis and plantar fasciitis. We use a variety of effective techniques to treat you, from join replacement to keyhole surgery. Discover the range of conditions and treatments that One Health can offer.

Conditions

An overview of the conditions that are treated at One Health.

Frozen Shoulder

The Upper Limb Unit team would like you and your family to understand as much as possible about the shoulder problem you have and the operation you may require. 

Tennis Elbow

It is characterised by pain on the outside of the elbow and is a problem with tendons around the elbow. Tendons attach muscles to bone so using and stretching the muscles will have an effect on the tendon.

Dupuytren's Disease

Metacarpo-phalangeal Joint (PIP) joint

Osteoarthritis (OA) is a degenerative joint disease which causes the cartilage surrounding your bones to wear away. Cartilage is tough but flexible and surrounds the ends of your bones allowing them to move over one another forming a joint. When the cartilage wears away bone rubs on bone which gives rise to a painful inflamed joint.

Osteoarthritis (OA) Thumb

Osteoarthritis (OA) is a degenerative joint disease which causes the cartilage surrounding your bones to wear away. Cartilage is tough but flexible and surrounds the ends of your bones allowing them to move over one another forming a joint. When the cartilage wears away bone rubs on bone which gives rise to a painful inflamed joint.

Proximal Phalangel Joint (PIP joint)

Osteoarthritis (OA) is a degenerative joint disease which causes the cartilage surrounding your bones to wear away. Cartilage is tough but flexible and surrounds the ends of your bones allowing them to move over one another forming a joint. When the cartilage wears away bone rubs on bone which gives rise to a painful inflamed joint.

Osteoarthritis of the Wrist

The wrist is a very complicated structure designed specially to enable it to move in the different ways that it does.

Tendonitis

Tendonitis is a condition in which a tendon becomes painful and inflamed. Sometimes the sheath / tunnel surrounding the tendon can become inflamed/swollen rather than the tendon itself, this is called tenosynovitis. It is managed in much the same way.

Non Arthritic Hip Pain

Non arthritic hip pain is a common problem, which can at times be disabling. Commonly it affects the young, but there are conditions like infections, tumours and inflammations that can happen in any age group.

Ankle Sprain Instability

An ankle sprain is a common injury and happens when there is a sudden twist to the ankle.

Bunion/Hallux Valgus

Bunion (hallux valgus) affects the big toe joint (1st MTP joint). The proximal phalanx of the big toe moves outwards making the metatarsal head prominent on the inner side of the forefoot.

Osteochondritis Dissecans of the Talus

Osteochondritis dissecans can cause pain and stiffness of the ankle joint. These lesions are thought to be caused by injury to the bone underneath the joint surface or by loss of blood supply to a part of the bone.

Plantar Fasciitis

This condition causes pain on the bottom of the heel when putting weight on the foot. The plantar fascia is a structure that runs from the front of the heel bone (calcaneus) to the ball of the foot. This dense strip of tissue helps to support the longitudinal arch of the foot like a tie beam.

Posterior Tibial Tendinitis, Posterior Tibial Rupture

One of the most frequently affected tendons is the posterior tibial tendon.

5th Toe Deformity

This is a congenital deformity where the 5th toe is turned in and riding high. This can sometimes cause footwear problems.

Achilles Tendinitis / Rupture / Bursitis (Heel pain)

Achilles tendonitis and ruptures occur in middle-aged due to chronic strain and minor trauma.

Achilles Tendonitis

Sudden acute strain whilst playing tennis, squash, football can cause strain on the tendon and rupture in the middle aged people. Sometimes the strain is at the musculotendinous junction.

Bunionette (Tailor's Bunion)

It is sometimes referred to as a "tailor's bunion" due to the fact that tailors once sat cross legged all day with the outside of their feet rubbing on the ground. This produced a pressure area and callus at the base of the fifth toe.

Claw toes, Hammertoes

Claw toes are flexion deformity of the PIP joints and hyperextension of the MTP joints. Hammertoes are flexion deformity of the PIP joints. Mallet toes are flexion deformity of DIP joints.

Hallux Rigidus

Hallux rigidus is a osteoarthritis of the large joint at the base of the great toe (1st MTP joint).

Metatarsalgia

This is the pain in the forefoot. It can have various causes, but the commonest are long lesser toe metatarsals with formation of callosities on the ball of the toes. It can also happen due to Morton’s neuroma.

Morton's Neuroma

A Morton's neuroma is a condition that causes pain in the forefoot and toes due to swelling or inflammation of the small nerves that are in the second and third web space.

Peroneal Tendon Problems

Peroneal tendon synovitis can develop due to overuse. However sometimes acute injury such as plantarflexion inversion can cause a longitudinal split in the peroneus brevis tendon. A period of rest and physiotherapy is helpful.

Pes Cavus

The deformity can be plantaris, equinocavus and calcaneocavus. The primary cause could be plantarflexion of first ray due to weakness of tibialis anterior in plantaris cavus foot. In equinocavus foot there is tight heel cord but also tibialis posterior contracture. In calcaneocavus foot the heel cord is weak and therefore the os calcis is dorsiflexed.

Retrocalcaneal Bursitis

Bursa is a fluid filled sac of tissue that is often found around the bony prominences over which tendons and soft tissues rub. This therefore helps the tendons to glide with least amount of friction. Retrocalcaneal bursa is found behind the heel under the Achilles tendon.

Rheumatoid Foot

The rheumatoid disease can affect the whole foot. However commonly it affects the forefoot. It causes inflammation of the joints of the toes which leads to subluxation and dislocation of the toes. It destroys the joint cartilages due to inflammation.

Treatments

An overview of the procedures available at One Health.

Rotator Cuff

During a rotator cuff repair, your surgeon will examine your shoulder to find any tears in the muscles or tendons and then fasten them back into place again. The aim is to reattach the tendons to the bone with the help of anchors. The bone on the underside of the acromion may also be smoothed out.

Anterior Stabilisation

The Upper Limb Unit team would like you and your family to understand as much as possible about the operation you are going to have.

Shoulder Replacement

The Upper Limb Unit team would like you and your family to understand as much as possible about the operation you are going to have.

Subacromial Decompression

The operation is done by keyhole surgery ('arthroscopy'). Sub-acromial decompression involves releasing the ligament from the front of the acromion and trimming off the under surface of the acromion bone. This allows the tendon to move more freely and thus break the cycle of rubbing and swelling.

Arthroscopic Arthrolysis

The reason you are going to have a capsular release is because you have a stiff shoulder and the aim of the operation is to improve the movement in your shoulder. A stiff shoulder may sometimes be called a 'frozen shoulder'; or you may have developed stiffness following an injury or a previous operation to your shoulder.

Elbow Replacement

The most common reason for replacing the elbow joint is for arthritis, usually rheumatoid arthritis. However it may be necessary with osteo-arthritis (wear and tear) and following a fracture or bad accident.

Carpal Tunnel Release

What is Carpal Tunnel Syndrome? It is a common condition that causes pain, numbness and burning/ tingling sensation in the hand and fingers.

Metacarpo-phalangeal (MCP) Joint Replacement

When to consider a MCP joint replacement?When non-operative treatments have failed to control the pain and the pain is: Moderate to severe; Constant/ all the time; Affecting sleep; Stopping you from carrying out activities of daily living

PIP Joint Replacement of the Little Finger

When to consider a PIP joint replacement?When non-operative treatments have failed to control the pain and the pain is: Moderate to severe, Constant/ all the time, Affecting sleep, Stopping you from carrying out activities of daily living

Trigger Finger

Trigger Finger is a condition affecting the tendons in the hand. It can affect one or more fingers and sometimes the thumb. When bending the finger it can “click” or lock down – this is due to a build up of swelling in the tendon.

Total Wrist Fusion

When to consider a Wrist fusion? When non-operative treatments have failed to control the pain.

Trapeziectomy

Trapeziectomy’s are normally performed as day case surgery under a general anaesthetic or a regional block (where the arm is made numb using an injection).

Hip Replacement

A hip replacement is a common type of surgery where a damaged hip joint is replaced with an artificial one (known as a prosthesis).

Ankle Arthroscopy

Keyhole surgery for ankle problems is well established. Sport injuries, ligament problems, osteochondral dissecans, periarticular fractures (fractures involving the joint surface), ankle fusion and impingement problems can be treated with this technique.

Ankle Replacement

Ankle arthritis can be treated with replacing the Ankle joint by doing a Total ankle Replacement. This allows for mobility and relieves pain. Below is a type of ankle joint which is uncemented mobile bearing joint.

Achilles Tendon Repair

If a primary repair was performed, after two weeks you will go into a walking boot with three wedges. You will be able to take one wedge out every five days following your surgery, until the foot is flat inside the boot.

Anterior Cruciate Ligament Reconstruction

For knee injuries to reconstruct the anterior cruciate ligament (ACL), this website aims to give you information on the ACL structure and function, what an operation entails including postoperative rehabilitation. After reading this information if you have any further questions please contact us.

Knee Arthroscopy

Regarding knee arthroscopy, this information is designed to explain what is involved in an arthroscopy, the reasons why an arthroscopy may be required and what to expect on the day of surgery and after.

Autograft Chondrocyte Implantation of the Knee

For autograft chondrocyte implantations, this information is intended to provide details regarding surgery. It will include a brief explanation of what is meant by a chondral or osteochondral lesion, a description of the surgical procedure called autograft chondrocyte implantation and what will happen post-operatively and through rehabilitation.

Total Knee Replacement (using computer navigation)

The most common cause of joint problems is arthritis. There are other causes such as congenital abnormalities and deformities due to accidents.

Osteochondral Grafting of the Knee

For osteochondral grafting, this information sheet is intended to provide details about the problem. It will include a brief explanation of what is meant by a chondral or osteochondral lesion, a description of the surgical procedure called osteochondral grafting and what will happen post-operatively and through rehabilitation.

Posterior Cruciate Ligament Reconstruction

To reconstruct the posterior cruciate ligament (PCL), this website aims to give information on the PCL structure and function, of what an operation entails and post operative rehabilitation. After reading this website if you have any further questions please contact us.

Posterolateral Complex Reconstruction

This infomation is designed to explain the anatomy and function of the posterolateral complex (PLC), what can happen as a result of injury, a description of the surgery to reconstruct these structures and the rehabilitation thereafter.

Unicompartmental Knee Replacement

A unicondylar knee replacement is used when the arthritis affects just one side of the joint. The other normal areas are preserved and the affected side replaced with an implant made from metal and plastic. The advantage of a unicondylar versus a total knee replacement is a more normal feeling joint.

SLAP Repair

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One Health Group are a team of specialist surgeons and healthcare managers working together to provide the best possible diagnosis and treatment for our patients.