Orthopaedics

The Orthopaedic Department at Lewisham Hospital cares for patients who have injured their bones or joints.


Location

Suite 3 (1st floor, Yellow Zone), Lewisham Hospital


Contact Details

T: 020 8333 3145

T. 020 3192 6416

T. 020 3192 6547


Who is the service for?

The department has an elective and emergency service for adults and an emergency service for paediatrics.


What conditions are treated?

The orthopaedic department treats a large range of surgical conditions, but the most frequent are: -

  • Hip replacement
  • Knee replacement
  • Shoulder replacement
  • Elbow replacement
  • Fracture treatment
  • Arthroscopies for upper limb and lower limb joints
  • Knee ligament reconstruction


What services are offered?

We provide a wide range of specialist orthopaedic clinics, including:


How can you get a referral?

Patients can be referred by any healthcare professional.


Why choose the Lewisham Orthopaedic Service?

  • The waiting times for first appointment are around 4-6 weeks,
  • The department has a close working relationship with radiology, which means patients in need of x-ray will be seen by both department s on the same day. 
  • We are part of the Lewisham MSK service which provides, where clinically suitable ,a fast turn-around orthopaedic service.
  • Lewisham and Greenwich NHS Trust are currently developing a one stop shoulder service for patients with suspected rotator cuff tears. The service will use surgeon operated portable ultrasonography to diagnose rotator cuff tears on the patients’ first consultation - minimising the need for them to return to the hospital for MRI scans or further consultations.


Further information about our clinics

Hand, Wrist and Elbow Clinic

Conditions treated:

Dupuytren's, Ganglions, Trigger Finger, Boutonniere Deformity, Extension Tendons, Arthritis, Dequervains, Radial head, ulna Neuritis, Golfers Elbow, Tennis elbow, Epicondylitis, Osteo Arthritis

Exclusions:

  • Flexor Tendon Injuries
  • Patients with suspected cancer should be referred according to the cancer network guidelines
  • Children under 16 on the date of their first appointment


Shoulder Clinic 

Conditions treated:

All conditions specifically relating to the Shoulder including: Impingement syndrome, rotator cuff tears, calcifictendonitis, Frozen Shoulder, shoulder dislocations, shoulder arthritis, shoulder instability, biceps tendonitis, shoulder fractures, acromioclavicular joint OA, clavical fractures.

Procedures performed:

Endoscopic release of suprascalpular nerve, debridement of calcifictendonitis, arhroscopic excision of ACJ, Rotator cuff repair, SLAP repair, Biceps tenodesis, subacromial decompression, Bankarts repair, Rotator cuff release, arthroplasty, shoulder resurfacing, shoulder replacement, ORIF bone grafting, clavical fracture , ORIF humeral fracture, ORIF glenoid/scapular fracture.

Exclusions:

  • Anyone under the age of 16, general orthopaedic conditions, trauma
  • Patients with suspected cancer should be referred according to the cancer network guidelines
  • Flexor injuries


Knee Clinic

Conditions treated:

Pain, limited range of movement, rigidity, loss of sensation, swelling, redness of the knee, sports injuries, knee ligament injury, knee meniscal injury, Anterior knee pain, Bursitis, knee arthritis, ligament surgery (knee), locking knee, meniscal problems, non-specific knee pain, patellar problems, patellofemoral instability, soft tissue problems.

Procedures Performed:

Primary knee replacement, revision knee replacement, knee arthroscopy, joint aspiration, Joint injection, lateral release, meniscal repair, meniscectomy, microfracture (knee), synovectomy, patella realignment surgery, partial knee replacement.

Exclusions

  • Patients less than 16 years of age
    Patients with suspected cancer should be referred according to the cancer network guidelines.


Hip Clinic

Conditions treated:

Arthritis, AVN, bursitis, snapping hip, hip conditions, painful hip replacements, bone cysts.

Procedures performed:

Total hip replacement, hip resurfacing, hip arthroplasty, revision hip replacements. hip injections, x-rays.

Exclusions:

  • Patients less than 16 years of age
  • Patients with suspected cancer should be referred according to the cancer network guidelines


Foot and Ankle Clinic

Conditions treated:

Foot Surgery, muscle tendon and ligament conditions, bursa disorders, bunion,  heumato  tendon, ankle instability, andle osteoarthritis, ankle pain, arthritis, bursitis, claw toes, contracture, flat fee, foot pain, fusion, hallux valgus, hammer toe, ingrowing toe nail, joint instability, ligament injury, metatarsal, metatarslgia, mortons neuroma, orthotics, osteoarthritis, osteochondritis,  heumatoid arthritis, rheumatoid, steroid injection, swelling toe.

Procedures Performed:

osteotomy of metatarsals, osteotomy of mid foot,excision of heads of multiple lesser metatarsals, plantar faciectomy, excision ganglion, fusion of joint, excision of bunion, soft tissue operations, correction of deformities, muscle, tendon and ligament procedures, hallux valgus surgery.

Exclusions:

  • Patients with suspected cancer should be referred according to the cancer network guidelines
  • Children under 16 on the date of their first appointment


Carpel Tunnel Clinic

Conditions treated:

Confirmed Carpal Tunnel syndrome

Procedures Performed:

Carpel Tunnel Decompression

Exclusions:

  • Patients with suspected cancer should be referred according to the cancer network guidelines
  • Children  under 16 on the date of their first appointment.


Orthotics (Specialist Medicine)

Patients are referred via their treating clinician for most appliances. GPs can only refer directly for wrist splints. Patients are assessed by trained Orthotists and supported by site based appliance officers.