Joint Reconstruction: Knee

This service deals with all problems associated with the knee in adults. This includes the diagnosis and treatment of problems arising from knee disorders deriving from sports injuries, accidents and all aspects of arthritis. RNOH is also leading in the development of knee cartilage transplantation (see Cartilage Transplantation) and plays an important role in terms of research in knee services.

Range of services

  • Diagnostic arthroscopic surgery
  • Treatment via surgical arthroscopy
  • Joint replacement - primary & revision
  • Ligament repair/reconstruction
  • Cartilage transplantation

GP Referrals

We accept referrals from GPs via the NHS e-referral system.

Urgent Inpatient Referrals

Any urgent inpatient referral must be made via

We can only accept a referral if the following documents are submitted to us, with any supplementary paperwork. We can no longer accept telephone referrals or those based solely on a clinic referral letter for urgent inpatient referrals. You can use this form to refer patients whose care you want us to take over, or for an urgent opinion in our MDT and/or radiology review meetings.

JRU Urgent Inpatient Referral form

JRU Urgent Inpatient Referral Checklist

The JRU MDT meet every Thursday morning, therefore we request that your referral be submitted to us no later than 12:00pm on the Tuesday, with all the relevant paperwork completed.

All other referrals/queries
Please send to

Further information regarding our referral criteria.

Please call the unit on 020 3947 0041

See further information from the National Joint Registry and Information Guides below.

Hip and knee replacement, rehabilitation and cartilage transplanation

Mr Will Aston - Surgical treatment of arthritis, including cartilage transplanation, arthrosopic knee surgery, knee and hip replacement surgery, complex hip and knee revision surgery and the management of bone and soft tissue tumours.

Professor Tim W R Briggs - Bone and soft tissue sarcomas. Complex hip and knee surgery. Complex revision hip and knee surgery. Cartilage transplanation.

Mr Richard Carrington - Primary and revision hip and knee replacement, minimally invasive primary hip and knee replacement, cartilage transplanation and knee surgery.

Mr James Donaldson - Primary, complex primary and revision hip replacements. Partial and total knee replacements, complex primary and revision knee replacements. Patient specific and customised implants. Arthroscopic and soft tissue knee surgery. Cartilage regeneration and joint preserving procedures, including osteotomy. Patello-femoral re-alignment procedures.

Mr Panagiotis Gikas - Primary hip and knee joint replacements including anterior approach hip replacement. Revision hip and knee joint replacement, complex hip and knee revisions/reconstructions, knee arthroscopy and cartilage/stem cell transplanation for articular cartilage damage, bone and soft tissue sarcomas, surgical management of metastatic bone disease.

Professor Alister Hart - Revision hip surgery. Optimising function and survival of hip and knee replacements for patients with arthritis.

Mr Chethan Jayadev - Primary, complex primary and revision hip and knee replacements. Partial knee replacement. Infected hip and knee replacements. Knee preservation surgery including oseotomies. Knee arthroscopy and meniscal repair. Knee ligament reconstruction and patellar realignment procedures.

Mr Jonathan Miles - Revision hip and knee replacement. Sports injuries to the knee. Complex hip and knee replacement. Customised implants. Cartilage injuries. Infected joint replacement.

Mr Rob Pollock - Bone tumours, soft tissue sarcoma, primary and revision hip and knee and cartilage transplantation.

Professor John Skinner - Hip replacement and revision surgery. Knee replacement and revision surgery. Bone and soft tissue sarcoma surgery; resection and reconstruction.

There are two fellowship positions for post CCT surgeons, with FRCS (Tr&Orth) or equivalent, wishing to undertake further training in complex hip and knee surgery. The fellow will spend one year at the RNOH rotating between the consultants.


For further information or to arrange a visit please contact

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