The Joint Replacement Guide

The biology of cartilage loss, bone-on-bone contact, and why OA develops.

Symptoms, patterns, clinical examination, and X-ray findings specific to hip OA.

Symptoms, compartment patterns, clinical examination, and X-ray findings specific to knee OA.

The spectrum from mild to bone-on-bone, and how delay can affect surgical outcomes.

Inflammatory arthritis, AVN, post-traumatic arthritis — and why the diagnosis changes management.

Physiotherapy, weight loss, walking aids, bracing — with honest evidence for each.

What the evidence says — and the honest limits of injection therapy.

Shared decision-making, patient-reported outcomes, and what "ready for surgery" looks like.

Surgical decision-making as a shared process across patient, family, and the MDT.

Weight, HbA1c, smoking, dental health — how to maximise your surgical safety.

Why the fitter you go in, the better you come out.

Bleeding, clots, infection, anaesthetic complications — in plain English.

The difference between general and spinal anaesthesia, nerve blocks, and sedation.

Dislocation, leg length discrepancy, nerve injury — THR-specific risks explained.

Stiffness, patellar complications, persistent pain — TKR-specific risks explained.

Immunosuppression, diabetes, obesity, cardiac disease — how your health affects surgical risk.

WHO checklists, VTE prophylaxis, ERAS protocols and the MDT approach to safety.

What revision means, why outcomes are generally less predictable, and how to delay or avoid it.

From Charnley's garage to modern robotics — the most successful operation in surgical history.

The evidence, trade-offs, and NJR data behind each approach.

What GIRFT, the NJR, and the evidence base say about how your implant should be fixed.

What sits inside your new hip — and why the choice matters for longevity.

Medial parapatellar, subvastus, midvastus — how the knee is opened and why it matters.

Cruciate-retaining vs posterior-stabilised, and the alignment philosophy debate.

One of the most debated decisions in knee surgery — what does the evidence say?

Mako, Navio, and image-guided systems — separating the marketing from the evidence.

From admission to recovery ward — what to expect and who you will meet.

Pain, mobility, catheters, and why you will be stood up the same day.

Why modern joint replacement means earlier mobilisation and better outcomes.

The evidence that post-operative rehabilitation is the biggest determinant of your result.

Pain, swelling, sleep, wound care, driving, stairs, and medications.

Hip restrictions — the evidence has shifted. What modern surgery actually recommends.

Signs of infection, clot, dislocation, and fracture — when to act fast.

Cycling, swimming, golf, tennis, skiing — what the evidence and consensus say.

PROMS, Oxford scores, satisfaction rates, and the honest statistics on pain relief.

The NJR surgeon-level data is public — here is what it actually means.

Getting It Right First Time — the national programme that reshaped joint replacement practice.

Practical guidance on using NJR, NHS Choices, and other public data.

Is there actually a difference in outcomes — and what does the data show?

When joints fail, what happens next — and how to minimise your risk.

Central sensitisation, pain catastrophising, and why your mindset affects your outcome.

Robotics, biologics, smart implants, and the emerging role of AI in surgical planning.