Hip, Knee and Pelvis Care

At Cleveland Clinic London, we treat everything from minor hip, knee and pelvis injuries to complex degenerative disorders.

Hip and pelvis conditions we treat include:

• Avascular necrosis (osteonecrosis)
• Bursitis
• Femoroacetabular impingement (FAI)
• Fractures and dislocations
• Iliotibial band syndrome
• Labral tears
• Osteoarthritis and rheumatoid arthritis

Knee conditions we treat include:

• ACL tears
• Cartilage injuries
• Knee osteoarthritis
• Kneecap injuries
• Multi-ligament injuries
• Patellar tendinitis
• Patellofemoral pain syndrome (PFPS)
• Torn meniscus

Your treatment plan is personalised to your needs. To craft this plan, we start by chatting with you about your experience. Our orthopaedic specialists will ask about your pain level, lifestyle and how active you are. Then, we’ll talk about the best treatment options and develop a plan.

Hip and knee joint preservation

 Joint preservation may be right for you if you have hip or knee damage but want to prevent or delay joint replacement. It can increase mobility and function, prevent further cartilage loss, reduce joint pain and repair or reverse existing joint damage. We may use it for cartilage injuries, some congenital joint disorders or early-stage arthritis if there isn’t too much cartilage loss.

Your joint preservation plan may combine conservative (nonsurgical) therapies and surgical procedures.

Nonsurgical therapies may include anti-inflammatory medications,

steroid injections, platelet-rich plasma (PRP) therapy and injections of hyaluronic acid (viscosupplementation). Your consultant may also recommend unloading braces or physiotherapy and weight loss through supervised exercise.

Surgical therapies may include:

• Arthroscopy. Hip and knee arthroscopy is minimally invasive surgery that may help you recover faster and with less pain. We make several tiny incisions and use a small camera and surgical tools to remove torn or damaged parts from your joint. This procedure preserves bone and causes minimal soft tissue damage.
• Cartilage repair. We use innovative techniques to repair cartilage around joint surfaces. Some treatments involve growing cells to regenerate the joint surface.
• Meniscus surgery. We use arthroscopy to repair a torn meniscus. If the meniscus is badly damaged or worn away, we may recommend a meniscus transplant or a meniscal implant, where we place a synthetic spacer to cushion the area between your femur (thighbone) and tibia (shinbone).
• Osteotomy. We cut and realign bones in your knees or hips to distribute weight more evenly across your joint. If you have bowlegs or knock knees, knee osteotomy may be an option for you. If you have hip dysplasia, you may need hip osteotomy, specifically periacetabular osteotomy.

Hip and knee replacement

If joint preservation isn’t effective, it may be time for joint replacement. We typically reserve this treatment for people over 60 whose symptoms affect their ability to sleep and do their usual activities. We can often perform hip or knee replacement using minimally invasive resurfacing, arthroplasty and robotic techniques. Depending on your condition, your consultant may recommend:

• Total knee replacement. We remove the damaged cartilage and bone from your knee joint and replace them with metal implants and a plastic spacer that moves like a natural joint.
• Partial knee replacement. If only one part of your knee is damaged, we resurface only the damaged part with metal and plastic components. We also offer kneecap replacement (patellofemoral arthroplasty).
• Total hip replacement. We remove the top part of your thighbone and the damaged cartilage in your hip socket. Then, we replace them with metal implants (stem, ball and socket) and a plastic spacer so the artificial joint glides smoothly.
• Hip resurfacing. We replace the damaged cartilage lining your hip socket with a metal shell, but leave the ball of your thighbone in place and cover it with a metal cap.
• Hip revision. We may do hip revision surgery if the original implants are worn or loose, if you have a fracture around the implants or if the original artificial ball and socket dislocate.

How Much Does Hip, Knee and Pelvis Care Cost at Cleveland Clinic London?

The cost of your care at Cleveland Clinic London depends on what kind of procedures or services you need. Here are the estimated costs for a few of the procedures we offer:

• Hip arthroscopy
  This is a day case procedure
  You’ll pay about £4,507
• Hip replacement
  You’ll typically stay three nights in hospital
  You’ll pay about £15,035
• Knee arthroscopy
  This is a day case procedure
  You’ll pay about £3,601
• Knee ligament (ACL reconstruction)
  This is a day case procedure
  You’ll pay about £5,913
• Knee ligament (meniscus) arthroscopic repair
  This is a day case procedure
  You’ll pay about £5,966
  Note: A replacement will incur additional charges. Please call for a quote.
• Knee replacement (minimally invasive)
  You’ll typically stay three nights in hospital
  You’ll pay about £17,813
• Knee replacement (partial)
  This is a day case procedure
  You’ll pay about £10,777
• Knee replacement (revision)
  You’ll typically stay five nights in hospital
  You’ll pay about £19,683
• Knee replacement (total)
  You’ll typically stay three nights in hospital
  You’ll pay about £16,254

We offer convenient self-pay services and accept private medical insurance. If you need help navigating the payment process or need more information regarding costs, please reach out to us. We’re glad to answer any questions you may have.

You may also contact us by email or call +44 20 3423 7500.

What's Next?

Pain in your hip, knee and pelvis can range from mildly uncomfortable to excruciating. It can be temporary or long-lasting. And there can be many reasons why this happens, with various conditions triggering your pain. But no matter what you’re experiencing, we have the expertise to help. From thorough investigations of what’s causing your pain to the latest nonsurgical and surgical therapies, our elite orthopaedic team is here to get you moving again as quickly and as pain-free as possible.