Joint Replacement

Staying Active Through Life

Our specialist practice team understand the importance of keeping you active. Regular exercisee helps your brain, heart and lungs stay healthy, and keeps your body strong and flexible. Musculoskeletal pain or injury can prevent patients from participating in their favourite sport or activity which can negatively affect their physical and emotional well being. 

Our specialist practice team understand the importance of keeping you active and our treatment approach favours non surgical management where possible supported with regnerative medicine and biologic treatments. Where surgery is reccomended, minimally invasive techniques are preferred. Supported with exercise and rehabiltiation, our goal is to help patient’s return to activity to support a healthy lifestyle

Partial Knee Replacement

In partial knee replacement surgery, also referred to as unicompartmental knee surgery, only a portion of the knee is resurfaced. This procedure is an alternative to a Total Knee Replacement. Surgery and is suitable for patients whose arthritis is limited to one area of the knee.

As a partial knee replacement surgery is conducted via a smaller incision, recovery tends to be quicker with patients usually spending less time in the hospital and returning to normal activities sooner than had they undergone total knee replacement surgery.

Click on the link to watch an animation of the procedure. 


Patellofemoral Replacement

Patellofemoral replacement is a type of partial knee replacement in which only a portion of the knee is resurfaced. The procedure is an alternative to total knee replacement for patients whose damaged bone and cartilage is limited to the underside of the patella (kneecap) and the channel-like groove in the femur (thighbone) that the patella rests in also known as patellofemoral arthritis. 

Because patellofemoral replacement is done through a smaller incision, there is less damage to soft tissues in the knee. Professor Moran will discuss with you the most suitable procedure. 

Total Knee Replacement

In severe cases of osteoarthritis or when conservative arthritis management has failed, a Total Knee Replacement is often the recommended form of treatment.

This open procedure involves removing the damaged areas of cartilage loss, and replacing them with synthetic components (often metal), to recreate the joint surfaces. The inner surface of the patella may also be resurfaced if needed. An artificial “spacer” is inserted between the metal components to allow the new joint to glide smoothly and efficiently.

Click on the link below to watch an animation of this procedure.


Shoulder Replacement 

Patients with shoulder arthritis or severe rotator cuff problems generally need shoulder replacement when they have severe pain, sleep disturbance, difficulty performing their normal activities and simpler options such as injections and physiotherapy have not been effective enough.

The operation will involve replacing the worn joint surfaces and implanting a metal and plastic joint. It is similar to the replacement of other joints such as hip or knee replacement .

Click on the link below to watch an animation of this procedure.


Joint Replacement Registries

The Irish National Orthopaedic Register (INOR) aims to improve the quality of services and care provided to patients having joint replacement surgery. By using patient scoring systems and recording on implant performance and patient outcomes, INOR aims to monitor the safety of implants and support hospitals should an implant recall occur.

The first report from the Irish National Orthopaedic Register can be viewed here.  There were  2,871 knee surgeries (2,677 primary and 194 revision arthroplasties).

Orthopaedic Technology

Orthopaedics is one of the most rapidly advancing fields in medicine. 

Every year, new technologies and treatments are developed to help patients with musculoskeletal problems. Some trends trends include advances in 3D printing technology for joint replacement surgery, the next generation of orthopedic casting, engineered stem cells for bone regeneration, to names just a few. Advances in smart technology has facilaited the developement of wearable sensors which track patient progress and guide rehabilitation. 

Biologics are another area of advancement. Researchers are working to develop new  biologic treatments in an effort to regenerate tissue and cells.