An experienced Kent-based orthopaedic surgeon specialising in knee replacement surgery and knee arthroscopy.
Mr James Casha is Consultant Orthopaedic and Spinal Surgeon at East Kent Hospitals University NHS Foundation Trust and Honorary Senior Lecturer at King's College Medical School London. He provides private knee surgery at three independent hospitals in Kent:
- BMI The Chaucer Hospital, Canterbury
- Spire St Saviour's Hospital, Hythe
- Spencer Private Hospitals, Margate and Ashford
Providing expert knee surgery in Kent
A highly experienced trauma and orthopaedic surgeon, Mr Casha was trained in Malta and Dundee, obtaining his FRCSOrth and MChOrth in 1994. Following Fellowships in Spine and Trauma Surgery and Spine and Joint Reconstruction, he worked in Malta as a consultant orthopaedic surgeon, both in public and private practice. During this time, he also held the post of part time Lecturer in Anatomy and Surgery at the University of Malta.
Mr Casha was appointed Consultant Orthopaedic and Spinal Surgeon in East Kent in 1999, providing elective and trauma surgery to three busy NHS hospitals. His private work concentrates on spinal, hip and knee conditions, and he is able to offer the full range of diagnostic and surgical techniques to treat injured and arthritic knees, including knee arthroscopy and total knee replacement.
Knee conditions treated by Mr James Casha
Mr Casha provides surgical treatment of knee conditions such as:
- Rheumatoid arthritis
- Sports injuries
- Knee trauma
Knee replacement surgery for the treatment of arthritis
The most common reason for knee replacement surgery is osteoarthritis, a condition where the cartilage in the knee joint has worn away allowing bone surfaces to rub together. Most people requiring the operation are over 65, however the joint can wear out in young, physically active people including sportsmen and women. Inflammatory conditions such as rheumatoid arthritis and gout can also badly damage the knee joint.
Knee replacement surgery is carried out either under general anaesthetic or using an epidural. Mr Casha removes the worn ends of bones in the knee joint and replaces them with a modern metal and plastic replacement (prosthesis). The majority of people undergoing knee replacement surgery need both sides of the joint replacing (total knee replacement), however, around 25% of people with osteoarthritis are suitable for a partial knee replacement, a less invasive operation that conserves more of the patient's bone. Mr Casha can offer his expert advice on which procedure would be most suitable in each individual case.
Knee replacement surgery is a routine procedure with more than 70,000 operations carried out in England and Wales each year. For most people, a replacement knee will last between 15 and 20 years, bringing relief from pain and greatly improving quality of life.
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