Joint Replacement Centre

The Joint Replacement Centre under Orthopaedic Surgery Clinic provides comprehensive care to patients with various joint-related problems or arthritic conditions.

The scope of services includes conservative management, physiotherapy, custom-made braces and orthoses, intra-articular injections, primary and revision total joint replacement surgeries.

The Centre is led by a team of professor and specialists from The University of Hong Kong (HKU). The team has rich experience in joint replacement surgery and Enhanced Recovery after Surgery (ERAS), which results in less pain, earlier mobilisation, quicker recovery and overall improvement in patients’ satisfaction. 

The Centre provides all-inclusive and fixed-price medical packages for total hip replacement, total knee replacement and partial (uni-compartmental) knee replacement (learn more).


  

Location: Clinic D, G/F, Tower A
  
  

Service hours:

  • Professor, Joint Replacement Centre
    • Every Monday, Tuesday, Thursday & Saturday, 9:00am – 2:00pm (By appointment)
  • Sub-specialist
    • Monday – Friday, 9:00am – 6:00pm; Saturday, 9:00am – 1:00pm (By appointment)
  • Ad-hoc or emergency assessments can be arranged upon request
      
     

Our professor and sub-specialists: 

  • Please view here for information 

 
 

Consultation fees:

Professor

Sub-specialist

Initial

HK$1,090 - HK$2,210

HK$790 - HK$1,850

Follow Up

HK$860 - HK$1,990

HK$640 - HK$1,400

Remarks: The above charges refer to doctor consultation fees only and exclude fees for other procedures, medication, laboratory services, etc. The total charge is subject to the attending doctor's discretion and depends on the patient's condition. Details on ancillary charges are available at the Admission and Cashier Counters. 

Common Joint Problem

Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis. Osteoarthritis causes cartilage to break down. Rheumatoid arthritis is a disease in which the immune system attacks the joints, beginning with the lining of joints. Uric acid crystals, which form when there is too much uric acid in your blood, can cause gout. Infections or underlying disease, such as psoriasis or lupus, can cause other types of arthritis. Treatments vary depending on the type of arthritis. The main goals of arthritis treatments are to reduce symptoms and improve quality of life.

  • Joint pain
  • Warmth 
  • Swelling 
  • Crackling or clicking sound while moving the joint 
  • Easy buckling, weakness 
  • Joint stiffness 
  • Joint deformity (bow legs)

Treatment Options

  • Simple pain killers
  • Nonsteroidal anti-inflammatory drugs (NSAID)
  • Intra-articular injection of medication e.g. steroid, hyaluronic acid etc
  • Reducing pain, strengthening muscles and improving functionality
  • Repairing deformed joints or replacing severely damaged joints
  • Surgery should be considered when:
    • Joint pain is not effectively controlled by non-surgical methods
    • Joint stiffness, deformity and reduced mobility
    • Reduced quality of life

Multidisciplinary Collaboration

Enhanced Recovery After Surgery (ERAS) Approach

  • The Centre adopts the Enhanced Recovery After Surgery (ERAS) approach allows patients to be recover and return to normal function as soon as possible
  • Pioneered by the HKU Department of Orthopaedics & Traumatology in 2015
  • A comprehensive protocol to cover period before, during and after the surgery to reduce bleeding, pain and complication
  • Surgeries (total knee replacement, total hip replacement, partial knee replacement) are normally completed within one hour, and patients can walk as soon as one hour after surgery


Advantages

  • Speed up functional recovery
  • Reduce bleeding and pain
  • Reduce complication and mortality
  • Increase patients’ satisfaction
  • Shorten length of hospital stay

Pre-operative assessment

Gleneagles is currently the only private hospital in Hong Kong that implemented a pre-anaesthesia clinic for total joint replacement patients. Through detailed pre-operative assessments by anaesthesiologists, safe, appropriate and personalised anaesthesia plans and post-operative pain management plans are devised.


Advantages

  • Improve patients’ safety
  • Minimise anaethetic complications, speed up patients’ recovery after anaesthesia and improve quality of rehabilitation
  • Pain management prior to surgery can help reduce post-operative pain
  • Provide opportunity for doctor to address patient’s concerns
  • Improve patient’s satisfaction
  • Minimise cancellation/postponement of surgery due to unfit condition of the patients

Post-operative arrangements

After the surgery, our physiotherapists will arrange rehabilitation programme for the patients. The rehabilitation training can help patients resume their normal lives as soon as possible, reduce risk of complications and reduce the need for routine physiotherapy after discharge.

Multimodal pain management, which helps reduce post-operative pain, enables patient to mobilise as soon as one hour after surgery.

Clinical Outcomes

Joint replacement surgeries performed from June 2017 to May 2020:




  • Length of hospital stays
    • Unilateral total knee/total hip: 6 days
    • Partial knee: 5 days
    • Bilateral total knee: 7 days
    • Over 97% required no extended hospital stay
    • Around 10% patients were discharged early


  • Post-operative results
    • Average follow-up time
      • 11 months [2 weeks – 2 years]
    • Post-operative X-rays of all patients showed satisfactory position of the artificial joints
    • All patients with total knee joint replacement achieved satisfactory knee joint range and mobility 6 weeks after surgery
      • >70% can walk more than 30 minutes


  • Early complications in knee joint replacement - Wound healing / fracture
Gleneagles    Local Public
Hospitals (2017)
UK (2019)*     
Total knee joint replacement0.3%1.3%0.5%
Partial knee joint replacement0%--0.23%

*Source: 16th Annual Report, National Joint Registry for England, Wales, Northern Ireland and Isle of Man (2019)


  • Mid-term and late complications in knee joint replacement - Infection / wound healing / joint dislocation, instability or loosening, and removal and re-implantation
Gleneagles       Swedish (2019)#
Total and partial knee joint replacementMiddle: 1.9%
Late: 0% 
3%

#Source: Annual Report, Swedish Knee Arthroplasty Registry (2019)

Case Sharing

Patient 

Mr Chan, who is in his 60s

Condition before surgery 

He started to feel pain in his left knee around 10 years ago. His left knee increased when he walked upslope or climbed stairs.

In the recent two years, the situation worsened that he could only walking for 15 minutes even level ground. He found it difficult to get up after sitting for more than half an hour.

Diagnosis

Advanced osteoarthritis of the left knee

Treatment plan

Total knee replacement with spinal anaesthesia

Recovery after surgery

The surgery was successful, and he could walk and started the rehabilitation with the assistance one hour after surgery. He could already walk almost independently and was discharged from Gleneagles four days after surgery.

He could resume exercises a few days after returning to home and hike with friends on outlying islands, enjoy outdoor activities, and work as usual in less than one month after surgery.

One hour after surgery The fourth day after surgery


Appointments: +852 3153 9051

Email:

What our patients say

本人選擇於港怡醫院接受全人工膝關節置換手術全因初診時醫生詳細且盡心解釋,以及本人丈夫對港怡的信心。

深深感激醫生的幫助並替本人做手術。手術後第二天,得到物理治療師的指導和幫助,本人已能下床步行,真的不敢想像,我真的能做到,令本人丈夫對醫生的高明醫術敬佩不已。

Ms Yang

我左腳膝頭的疼痛問題已出現十年,走路15分鐘就會開始疼痛,對生活造成困擾。幸好朋友向我介紹港怡醫院的醫生,安排全膝關節置換手術。手術後沒有太大疼痛感,一個小時後已嘗試走路,想不到能從手術室走回病房!感謝港怡醫院的醫生、護士及物理治療師在我住院四天期間的照顧,令我康復進度良好,很快便回復正常生活,還可以到離島遊玩。

Mr Chan