Andy Langdown
Andy Langdown

Consultant Orthopaedic Hip and Knee Surgeon

Hampshire

02392... Reveal phone no. >

Treatments provided by Andy Langdown

Andy Langdown performs a number of hip and knee procedures on patients in the Portsmouth area.

Treatments, operations and tests

Cruciate knee ligament surgery

The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) cross in the centre of the knee. A tear of these ligaments can be partial or complete, and results from overstretching of this ligament within the knee. Cruciate ligament repair is carried out by an orthopaedic surgeon, using a combination of open surgery and arthroscopy. The operation can be carried out as a day case, or may require a day or two in hospital.

Hip arthroscopy (keyhole investigation of the hip)

Arthroscopy is one of the most frequently used investigations for the diagnosis and treatment of knee injuries. It is a minor surgical procedure that is done as an outpatient. An arthroscope is a small, soft tube with a light and lenses on the tip. The surgeon inserts the arthroscope into your knee through a small incision. This allows the surgeon to see the entire knee joint and facilitates the repair of some knee injuries. Arthroscopy is normally done as a day case procedure.

Hip Impingement Surgery (FAI)

This is a condition that has been recognised and understood only relatively recently. Hip impingement is normally caused by too much contact between abnormally shaped parts of the head of the thigh bone and the hip socket. This results in restricted hip movement and pain. The aim of femoro–acetabular arthroscopic surgery is to improve range of movement and to reduce pain. It is intended to prevent hip arthritis in the future and therefore avoid a total hip replacement.

Hip replacement (Total)

Hip replacement surgery, or arthroplasty, is usually undertaken when osteoarthritis has resulted in the wearing down of the hip joint. In a hip replacement operation the worn out and arthritic parts of the hip joint are removed and replaced with a new, artificial hip joint. The new hip joint is called a prosthesis. Total hip replacement surgery should improve an individual's mobility, by reducing pain and improving the function of the hip joint. The procedure can also be performed via keyhole (minimally invasive) surgery in the right circumstances.

Hip replacement revision

A hip replacement tends to last between 10 to 20 years. After that time, it is often the case that a further procedure is required to have it replaced. This is known as a hip revision.

Knee arthroscopy (keyhole investigation of the knee)

Arthroscopy is one of the most frequently used investigations for the diagnosis and treatment of knee injuries. It is a minor surgical procedure that is done as an outpatient. An arthroscope is a small, soft tube with a light and lenses on the tip. The surgeon inserts the arthroscope into your knee through a small incision. This allows the surgeon to see the entire knee joint and facilitates the repair of some knee injuries. Arthroscopy is normally done as a day case procedure.

Knee ligament surgery (ACL Reconstruction)

The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) cross in the centre of the knee. A tear of these ligaments can be partial or complete, and results from overstretching of this ligament within the knee. Cruciate ligament repair is carried out by an orthopaedic surgeon, using a combination of open surgery and arthroscopy. The operation can be carried out as a day case, or may require a day or two in hospital.

Knee replacement (Partial)

Partial knee replacement is an option for a small percentage of patients with osteoarthritis of the knee. Your doctor may recommend partial knee replacement if your arthritis is confined to a single part (compartment) of your knee.

Knee replacement (Total)

Knee replacement surgery is usually undertaken when osteoarthritis has resulted in the wearing down of the knee joint. In a knee replacement operation the worn out and arthritic parts of the knee joint are removed and replaced with a new, artificial knee joint. The new knee joint is called a prosthesis. More recently, Computer Guided Total Knee Replacements as well as a new technological development called “patient specific instrumentation” or a “custom fit knee” is beeing performed.

Knee replacement revision

A knee replacement tends to last between 10 to 20 years. After that time, it is often the case that a further procedure is required to have it replaced. This is known as a knee revision.

Kneecap replacement

A kneecap replacement involves replacing under-surface of the kneecap and the trochlea. This is also called a patellofemoral replacement or patellofemoral joint arthroplasty.

Torn cartilage repair

A meniscus tear is a common injury to the cartilage that stabilizes and cushions the knee joint. The pattern of the tear can determine whether your tear can be repaired. Radial tears sometimes can be repaired, depending on where they are located. Horizontal, flap, long-standing, and degenerative tears-those caused by years of wear and tear-generally cannot be repaired.

I specialise in...

  • Primary and revision knee replacement (total and partial)
  • Primary and revision hip replacement
  • Knee arthroscopy and ligament reconstruction
  • Hip arthroscopy and impingement surgery
  • Uncemented hip replacement
  • High performance bearings
  • Minimal access surgery
  • Rapid postoperative rehabilitation