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  • Mr. Andrew Bruce | Hip and Knee Specialist | Coriel

    Mr. Andrew Bruce TD MBChB FRCS (Eng) FRCS (Tr&Orth) is our Hip and Knee Specialist. Get in touch to see how Mr. Andrew Bruce can help with your conditions. Mr. Andrew Bruce TD MBChB FRCS (Eng) FRCS (Tr&Orth) Hip and Knee Specialist Primary Hip Replacement (Cemented and Un-cemented). Osteoarthritis of the Hip. Osteoarthritis of the Knee. Primary Knee Replacement. Revision Hip Replacement. Knee Arthroscopy. Trochanteric Pain Syndromes. Enquire Now Mr Bruce obtained his medical degree from the University of Sheffield in 1993. He undertook basic surgical training in South Yorkshire. His Orthopaedic training took place in Durham, Whitehaven and on the South Trent Rotation based in Leicester. He undertook Fellowship training in Coventry, learning advanced techniques in complex primary hip replacement surgery and all facets of revision hip surgery. He was appointed as Consultant Orthopaedic and Trauma Surgeon in Doncaster in 2006. He is an honorary Defence Consultant Orthopaedic and Trauma surgeon and has served over 30 years in the reserve forces holding the rank of Lieutenant Colonel. He undertook two tours of Afghanistan at Camp Bastion Field Hospital. His main areas of practice are hip and knee replacement and revision hip surgery. He has a significant interest in the assessment and treatment of Greater Trochanteric Pain Syndrome (GTPS) and Trochanteric Bursitis. Mr Bruce is on the General Medical Council (GMC) specialist register for Trauma and Orthopaedic Surgery, certified by the Royal College of Surgeons of England and is a member of the British Orthopaedic Association (BOA), British Hip Society (BHS), British Medical Association (BMA) and the Combined Services Orthopaedic Society (CSOS). He is Married to Pamela and has 4 Children and a menagerie of 3 Dogs, 2 cats and 2 turtles. His interests include golf, skiing and cycling. His philosophy and ethos is to provide high quality, individualised patient centred care with consistent results. Mr Bruce is able to see patients at Park Hill Hospital, and The Coriel Clinic. Find us The Coriel Clinic, 138 Beckett Road, Doncaster DN2 4BA Call us 07946 396194 01302 238291 Email us enquiries@corielortho.com Whats App us 07946396194 Contact us First name* Last name* Email* Phone* Message* Submit Find us The Coriel Clinic, 138 Beckett Road, Doncaster DN2 4BA Call us 07946 396194 01302 238291 Email us enquiries@corielortho.com

  • Knee Ligament Injuries Treatments at Coriel

    About knee ligament injuries Ligaments are tough bands of tissue that connect bones in your body. The knee joint is made up of several ... Knee Ligament Injuries See more KNEE LIGAMENT INJURIES ABOUT KNEE LIGAMENT INJURIES Ligaments are tough bands of tissue that connect bones in your body. The knee joint is made up of several ligaments that attach your thigh bone to the bones of the lower leg and the knee cap, these can get torn and damaged. We can treat knee ligament injuries in Sheffield, Rotherham, Doncaster and Worksop . The four main ligaments are: Anterior cruciate ligament (ACL) – connects the thigh bone and shin bone at the front of the knee. Posterior cruciate ligament (PCL) – connects the thigh bone and shin bone at the back of the knee. Medial collateral ligament (MCL) – connects the thigh bone and shin bone on the inside of your knee. Lateral collateral ligament (LCL) – connects the thigh bone to the shin bone on the outside of your knee. Too much stress on the knee may cause one or more of these ligaments to stretch, tear or snap. The types of movements that can cause a knee ligament injury include: Twisting the knee Landing awkwardly An impact on the knee joint Hyperextending the knee These types of movements are likely to occur whilst playing sports but can also happen if you trip or fall. WHAT ARE THE SYMPTOMS OF A KNEE LIGAMENT INJURY? An injury to a knee ligament is painful, may cause swelling and make walking very difficult. After the injury has settled a simple ligament injury may heal and be fine. However injuries to the Cruciate ligaments usually casue symptoms of instability (feels wobbly). The knee can give way during sports or even just doing normal daily activities. WHAT TREATMENTS ARE AVAILABLE? Damage to knee ligaments ranges from mild to severe so treatment will depend on your injury. Soft tissues like ligaments can take longer to heal than muscles so you will need to be patient with your body. Even a mild injury could take three months before you are pain-free. For minor liagment injuries , a combination of rest, ice therapy, compression and elevation can initially treat your knee injury. Then, gentle exercises to promote the full range of knee motion will help with your recovery. A brace may be necessary to allow full healing and prevent further damage. It may not be apparent to you how badly damaged your knee is so it is always a good idea to get it chekced out by a specialist so nothing important is ‘missed’. Physiotherapists can put you on a knee exercise program that will be important for a full recovery. For more severe cases, such as a complete tear of the ACL, surgical reconstruction may be the only option. Extensive physiotherapy may also be required before and after surgery. Book your appointment to treat knee ligament injuries in Sheffield, Rotherham, Doncaster or Worksop. You can also follow us on social media. Our Specialists in Knee Ligament Injuries Mr. Shankar Thiagarajah Mr. Paul Haslam Mr. Andrew Bruce Enquire Now Find us The Coriel Clinic, 138 Beckett Road, Doncaster DN2 4BA Call us 07946 396194 01302 238291 Email us enquiries@corielortho.com Whats App us 07946396194 Contact us First name* Last name* Email* Phone* Message* Submit Find us The Coriel Clinic, 138 Beckett Road, Doncaster DN2 4BA Call us 07946 396194 01302 238291 Email us enquiries@corielortho.com

  • Baker’s Cyst Treatments at Coriel

    About Baker’s Cyst Baker’s Cyst is a knee condition where there is a build-up of fluid at the back of the knee. The fluid ... Baker’s Cyst See more BAKER’S CYST ABOUT BAKER’S CYST Baker’s Cyst is a knee condition where there is a build-up of fluid at the back of the knee. The fluid in the cyst is normally there to lubricate the knee joint but it collects in the depression at the back of the knee because of a separate knee condition. We can treat Baker’s Cyst in Sheffield, Rotherham, Doncaster and Worksop. Baker’s cysts may form following a sports-related knee injury or if you fall on land on your knees. But they are also associated with arthritis, gout or inflammation of the knee joint. Baker’s Cysts affects more women than men probably because women are more likely to develop osteoarthritis. Baker’s cysts are also known as popliteal cysts. WHAT ARE THE SYMPTOMS OF A BAKER’S CYST? A build-up of fluid at the back of the knee is the main symptom of Baker’s cyst. This can cause a feeling of pressure at the back of the knee which can cause calf pain. Some people may also experience pain in the knee or a clicking sound when moving their lower leg. Sometimes, the cyst can burst which results in the fluid leaking into your lower leg, a sharp pain, redness or swelling. Baker’s cysts can sometimes go away on their own but usually don’t it. It may be worth seeing your GP to rule out more serious conditions, such as Deep Vein Thrombosis (DVT). WHAT TREATMENTS ARE AVAILABLE FOR A BAKER’S CYST? Small Baker’s cysts will often clear up on their own. But you should seek treatment if the cyst is causing you pain or problems walking. Painkillers that help reduce inflammation, such as ibuprofen, can be taken. You can also try applying an ice pack (or a bag of frozen peas) to the back of your knee using a bandage to hold it in place. Cortisone steroid injections can also help with pain and inflammation. Most surgeons do not treat cysts surgically and leave them alone. However if you do experience symptoms and have a large cyst this can be removed. The old fashioned way to try to remove them was through a large cut at the back the knee. This is often unsuccessful with a high chance the cyst can come back. Modern key hole surgery techniques allow the cyst to be drained from inside the knee through 3 small incisions. You may have been told by a surgeon its not worth removing, unfortunately that surgeon may not know about key hole surgery techniques to remove them. If your cyst is large and gives symptoms ask for a second opinion from someone who know how to treat them with key hole surgery. If the cyst is caused by a different condition, such as a knee injury or osteoarthritis of the knee , treating the underlying condition may also help treat the Baker’s cyst. A proper diagnosis of your knee condition will be important for selecting the correct treatment. Book an appointment to treat Baker’s Cyst in Sheffield, Rotherham, Doncaster or Worksop. You can also follow us on social media . Our Specialists in Baker’s Cyst Mr. Paul Haslam Enquire Now Find us The Coriel Clinic, 138 Beckett Road, Doncaster DN2 4BA Call us 07946 396194 01302 238291 Email us enquiries@corielortho.com Whats App us 07946396194 Contact us First name* Last name* Email* Phone* Message* Submit Find us The Coriel Clinic, 138 Beckett Road, Doncaster DN2 4BA Call us 07946 396194 01302 238291 Email us enquiries@corielortho.com

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Blog Posts (43)

  • Understanding Closing Wedge Osteotomy of Proximal Phalanx: A Guide for Patients

    Transverse toe deformities, such as hammer or claw toes, can cause discomfort and difficulty with footwear. A closing wedge osteotomy of the proximal phalanx is a surgical procedure designed to alleviate these issues by reducing pain and improving toe alignment. Here’s an overview of the procedure and what to expect during recovery. What is Closing Wedge Osteotomy of Proximal Phalanx? This procedure involves removing a small wedge of bone from the proximal phalanx (the bone closest to the foot) to straighten the affected toe. If necessary, the joint at the base of the toe may be released, and the tendon lengthened to enhance correction. In some cases, a stabilising wire is used to maintain the new alignment during healing. This wire is typically removed during a follow-up appointment. The surgery usually takes 15 to 30 minutes and does not typically require a cast. Why Consider This Surgery? The main goals of the procedure are: To reduce pain caused by toe deformities. To straighten the affected toe. To minimise the formation of calluses or corns. Advantages: Maintains some mobility in the affected toe. Risks and Considerations While the procedure is effective, specific risks include: Recurrence of the deformity. The toe may not touch the ground (floating toe). Pain around the surgical site. Loosening of screws or pins (if used), potentially requiring removal. Long-term swelling of the toe. Malalignment of the toe. Your consultant will discuss these risks with you and explain the steps taken to minimise them. Who is a Candidate for This Procedure? This surgery is recommended for individuals experiencing: Painful hammer or claw toe deformities. Painful corns or calluses caused by toe misalignment. Difficulty finding comfortable footwear despite wearing sensible shoes. Alternative Treatments: Changing activity levels. Using painkillers or anti-inflammatory medications. Altering footwear styles or using toe protectors. Regular podiatry care to manage symptoms. What to Expect During Surgery The procedure is typically performed under local anaesthesia, ensuring you remain awake but pain-free. If necessary, sedation or general anaesthesia may be used. You will spend some time in the day surgery unit both before and after the procedure to rest. A responsible adult must accompany you home and assist you for the first 24 hours post-surgery. Recovery Timeline Initially (First 2 Weeks): Pain is most pronounced during this period, but prescribed painkillers will help manage discomfort. Rest is essential. Keep your foot elevated and minimise movement. Use crutches as instructed to limit weight-bearing on the operated foot. Two Weeks After Surgery: Attend a follow-up appointment to check your progress and remove sutures if necessary. X-rays may be taken to assess healing. You may be fitted with a new dressing or air cast boot if required. 2-8 Weeks After Surgery: Gradually increase activity levels as advised by your healthcare team. Swelling and mild discomfort are common but should gradually improve. Wear supportive lace-up shoes or trainers and start walking as tolerated. Rehabilitation exercises may be introduced, or a referral to a physiotherapist provided. 8-12 Weeks After Surgery: The foot should feel more functional and natural. Swelling continues to reduce. Sporting activities may be considered, depending on recovery progress. Beyond 12 Weeks: Attend a final review 6-8 months after surgery. Improvements in alignment and pain relief will continue to be noticed. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks post-surgery. Follow all post-operative care instructions provided by your surgical team. Attend all scheduled follow-up appointments to monitor healing. Closing wedge osteotomy of the proximal phalanx is an effective procedure for correcting transverse toe deformities and relieving associated discomfort. By adhering to recovery guidelines and working closely with your healthcare team, you can achieve significant improvements in mobility and quality of life. If you are considering this procedure, consult your healthcare provider to determine if it is the right option for you.

  • Everything You Need to Know About Nail Surgery for Ingrowing Toenails

    Ingrowing toenails (onychocryptosis) can cause significant discomfort and disrupt daily life. This blog aims to provide a comprehensive overview of ingrowing toenails, the surgical procedure to address them, and postoperative care based on information from a patient information leaflet. What is an Ingrowing Toenail? An in-growing toenail occurs when the edge of the nail grows into the surrounding skin, causing pain, redness, and sometimes infection. In severe cases, it may lead to pus formation and bleeding. A curved or involuted nail pressing against the skin, while not technically ingrowing, can mimic the symptoms and result in discomfort. Is It Serious? If left untreated, an ingrowing toenail can cause infections that may spread to the rest of the toe, leading to more severe complications. What Causes Ingrowing Toenails? Several factors contribute to ingrowing toenails, including: Posture and Gait: Improper foot positioning or walking patterns. Foot Deformities: Conditions like bunions, hammer toes, or excessive pronation. Improper Nail Growth: Nails that naturally curl or splay. Tight Footwear: Shoes, hosiery, and socks that exert pressure on the toes. Excessive Sweating: Moist skin increases vulnerability to nail penetration. Poor Nail Care: Incorrect trimming or picking at nails. Brittle Nails: Sharp edges or breakage can contribute to the problem. Why Surgery? The primary goals of surgery for ingrowing toenails are: Reducing pain and discomfort. Preventing infection. Facilitating easier footwear choices. Potential Risks of Surgery Like any medical procedure, nail surgery comes with some risks, including: Regrowth: Occurs in about 5% of cases and may require a repeat procedure if it becomes problematic. Delayed Healing: Healing may take 4–12 weeks, influenced by factors like age, overall health, and adherence to aftercare instructions. Reaction to Phenol/Radiolase: The chemical or laser used to prevent nail regrowth may occasionally cause localized redness and delayed healing. Infection: Following aftercare instructions can help prevent this. Bleeding: Minimal bleeding is expected, but elevating the foot after surgery minimizes this risk. Anaphylaxis: A rare but serious reaction to the local anesthetic or phenol. Preparing for Surgery Here’s what to keep in mind on the day of your procedure: Eat beforehand to ensure stable blood sugar levels. Wear open toed shoes or sandals to accommodate post surgical dressings. Arrange transportation home, as driving is not permitted for 12 hours after surgery. Inform podiatry staff of any recent changes in medication or health conditions. Remove nail varnish before the procedure. Plan for time off from work, school, or college. PostSurgery Pain Management Once the anesthetic wears off, mild pain is expected. Over-the-counter painkillers like paracetamol are typically sufficient to manage discomfort. Aftercare Instructions Proper aftercare is critical for healing. Follow these steps: Removing the Dressing: If it’s stuck, soak your foot in a warm saltwater solution (1 part salt to 4 parts water) for 2–3 minutes to loosen it gently. Cleaning : After soaking, allow the foot to air dry naturally. Redressing: Use a clean homemade plaster as demonstrated by clinical staff. Replace the dressing daily until there’s no discharge. Ending Dressing Use: Once the toe remains clean and dry for three consecutive days, the dressing can be left off. Key Takeaways Ingrowing toenails, though common, can become serious if untreated. Surgery provides an effective solution, but understanding the risks and following aftercare guidelines is essential for optimal recovery. If you’re experiencing the symptoms of an ingrowing toenail, consult a healthcare professional to explore treatment options and regain comfort.

  • Understanding Ganglion Excision Surgery: A Guide for Patients

    A ganglion, a ballooning of the joint capsule or tendon sheath, can cause pain and discomfort, particularly when it becomes large or presses on surrounding tissues. Ganglion excision surgery is a straightforward procedure designed to remove the ganglion and provide relief. This guide will walk you through the procedure, its benefits, and the recovery process. What is Ganglion Excision Surgery? Ganglion excision surgery involves the complete removal of the ganglion, addressing the root cause of pain or discomfort. This procedure is typically performed on the top of the foot, with an incision placed over the space between the metatarsal heads. Absorbable stitches are used whenever possible, and plaster is generally not required. The surgery usually lasts between 30 to 60 minutes and does not involve bone healing or fixation, making the recovery relatively quick. Why Consider This Surgery? The primary goals of ganglion excision surgery are: To alleviate pain caused by the ganglion. To remove troublesome or enlarging ganglions. To improve mobility and comfort in footwear. Advantages: A relatively short procedure. The lesion is excised completely. No bone healing required. Minimal recovery time. Risks and Considerations While ganglion excision surgery is generally safe, specific risks include: Thickened or tender scars, which may improve over 12 months. Areas of numbness, which may also reduce over time. Recurrence of the ganglion. Circulation disturbances in the affected area. Your consultant will discuss these risks with you in detail and provide guidance on how to minimise them. Who is a Candidate for This Procedure? This surgery is recommended for individuals experiencing: Painful or troublesome ganglions that interfere with daily activities. Numbness or pressure-related symptoms caused by the ganglion. Difficulty fitting into sensible footwear due to the size or location of the ganglion. Alternative treatments: Altering activity levels. Using painkillers or anti-inflammatory medications. Changing footwear or using extra-width shoes with protectors. Drainage of the ganglion without excision (may be less effective long-term). What to Expect During Surgery The procedure is typically performed under local anaesthesia, which is administered around the base of the toe. Most patients find this more comfortable than a dental injection. If preferred, sedation or general anaesthesia can also be considered. Although the surgery itself is brief, you will spend some time in the day surgery unit before and after the operation to rest. A responsible adult must accompany you home and assist you for the first 24 hours. Recovery Timeline First 2-4 Days: Pain is typically most intense during this period, but painkillers will help manage discomfort. Rest is crucial. Keep your foot elevated and minimise movement. Use crutches as instructed to avoid putting weight on the operated foot. One Week After Surgery: Attend a follow-up appointment for dressing changes. Gradually increase activity within pain limits. Swelling or pain indicates overexertion. Two Weeks After Surgery: Sutures will be removed unless located on the sole of the foot (these are removed after three weeks). Bandages are no longer required, and you may no longer need crutches. You can get the foot wet and start wearing regular shoes if comfortable. 2-6 Weeks After Surgery: The foot begins to feel normal, though swelling may persist, especially at the end of the day. You may return to work, although manual labour may require additional recovery time. Driving can resume if you can safely perform an emergency stop. Confirm with your insurer. Avoid sports and high-impact activities during this period. 8-12 Weeks After Surgery: Swelling decreases significantly, and the foot feels more natural. You may consider returning to sports or other activities based on recovery progress. Six Months After Surgery: A follow-up review will evaluate your recovery. Swelling should be minimal, and most patients experience the full benefits of the procedure. Twelve Months After Surgery: Complete healing is achieved, with stabilisation of any remaining improvements. Planning for Recovery To ensure a smooth recovery: Arrange for assistance with daily tasks during the initial weeks. Follow all post-operative care instructions provided by your consultant. Attend all scheduled follow-up appointments to monitor healing progress. Ganglion excision surgery is a reliable solution for removing problematic ganglions and improving foot comfort. With proper care and adherence to recovery protocols, most patients experience significant relief and return to normal activities. If you’re considering this procedure, consult your healthcare provider to determine if it’s the right option for you.

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