Hip Arthroscopy is a key-hole operation performed with patient asleep and overnight planned stay in hopsital to address intrussive hip symptoms arising from injury caused by conflict (FemoroAcetabular Impingement, FAI) between the hip socket (acetabulum) and the top end of the thigh- bone (femoral head-neck junction). In this procedure the pateints' own hip-joint is restored, while injured structures are addressed with the aim of mitigating ongoing hip injury and the risk of early hip arthritis.

An incision (cut) is made on the side of the thigh to allow the surgeon access to the hip joint. The diseased parts of the hip joint are removed and replaced with smooth, artificial metal ‘ball’ and ‘socket’ parts. Narlaka will go throught the bearing options for the planned hip replacement with each patient to provide bespoke treatment to best suit each individual patient. Bearing-surfaces may be hard-on-hard (ceramic ball and ceramic cup inner liner) or hard-on-soft (metal or ceramic ball and highly cross-linked 'plastic' HDPE).

Key hole operation performed as a day-case with patient asleep. Here the surgeon is able to address problems causing mechanical catching or locking symptoms owing to mechanical jamming of torn meniscus or loose bone fragment within the knee.

This is a surgical procedure performed on a knee joint that has become painful and/or impaired because of generaliased disease, injury or wear and tear. In total knee replacement, artificial materials (metal and plastic) are used to replace the damaged surfaces within the knee joint. This operation is a major procedure which requires you to be in hospital for several days and will be followed by a significant period of rehabilitation. Occasionally blood transfusions are required; if you have some concerns raise this with your surgeon during consultation. In patients with more localised disease of the knee a partial knee replacement allows for preservation of intact patient joint surfaces, while replacing only the worn parts and is a less invasive procedure with reduced blood-loss and a speedier recovery and return to function. For more information about total knee replacement please click here.

The anterior cruciate ligament (ACL) is a strong, stabilising ligament running through the centre of the knee between the femur (thigh bone) and tibia (shin bone). When the ACL is torn, frequently as the result of a sporting injury, arthroscopic surgery known as ACL Reconstruction is performed. The procedure involves replacement of the damaged ligament with tissue grafted from elsewhere, usually the patellar or hamstring tendon. The ends of the grafted tendon are attached to the femur at one end and the tibia at the other using screws or staples. For more information about ACL Reconstruction please click here.

The menisci are two circular strips of cartilage that form a cushioning layer between the ends of the femur (thigh bone) and tibia (shin bone) in the knee joint. Together the medial and lateral menisci, on the inside and outside of the knee, respectively, act as shock absorbers and distribute the weight of the body across the knee joint. The menisci can become torn through injury or damaged from age-related wear and tear and may require surgery. The most common meniscal surgery is partial meniscectomy in which the torn portion of the meniscus is cut away so that the cartilage surface is smooth again. In some cases meniscal repair is carried out, in this case the torn edges of the meniscus are sutured together. Both procedures are performed arthroscopically. For more information please click here for meniscal tears and click here for meniscal transplant surgery.

Day-surgery to relieve carpal tunnel syndrome, Narlaka most often uses WALANT (Wide Awake Local Anaesthetic No Tourniquet) technique, which has less risk compared to being asleep (general anaesthtic) and is more convenient to patient.

The Ulna Nerve, some call it the funny-bone, goes through a tight tunnel about the level of the elbow. This nerve may be compressed as it goes around this tight corner around the elbow, causing numbness in the little and ring fingers. Narlaka often performs this daycase procedure with patient wide awake under local anaesthetic, which is more convenient for the patient and carries less risk than pateint being asleep (general anaesthetic).