In recent years arthroscopic (key hole) surgery has replaced open joint surgery. There are now almost no joints, bursae and tendon sheaths that cannot be treated endoscopically. Exceptional image quality (now using high definition 40 inch plasma screens), and increasingly sophisticated motorised instrumentation, have greatly improved the accuracy of endoscopic treatment. This has lead to greatly improved outcomes with many septic joints now returning to excercise in less than 4 weeks.
Fracture repair techniques are constantly evolving which has led to an increase in the number that can be successfully repaired. The recent introduction of 'locking plate implants' has improved the structural integrity of plate fixation, leading to improved outcomes on procedures such as pastern arthrodesis.
By combining our advanced imaging techniques with endoscopic surgery we have been able to develop treatments for conditions such as deep flexor tendon tears in the navicular bursa.