4. Robert Marston

Robert Marston

Consultant Orthopaedic Surgeon

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Treatments offered by Mr Robert Marston

Mr Marston provides private treatment for hip, knee and lower limb problems such as arthritis, sports injuries and trauma.

Treatments available include:

  • Total hip replacement
  • Revision hip replacement
  • Total knee replacement
  • Partial knee replacement
  • Revision knee replacement
  • Knee arthroscopy
  • Foot surgery (bunion surgery, arthritis and neuromata)
  • Lower limb fractures

 

Consultation

Initial consultation fee: £250

Follow-up consultation fee: £165

Mr Marston is available for consultation at the following times:

King Edward VII’s Hospital

Tuesday

15.00 – 20.00

King Edward VII’s Hospital

Thursday

09.00 – 13.00

 

Treatments, operations and tests

The aim of bunion operation is to straighten your big toe and reduce the size of your bunion.Before bunion surgery is considered, non-surgical approaches or conservative care should be tried. You could wear extra-wide special shoes or you can use a splint. Splints hold the big toe straighter but they do not fix the problem and the toe will not remain straight when you are not wearing the splint. Anti-inflammatory medications can be of help to reduce pain and swelling, and simple painkillers can relieve the pain. Physiotherapy will not help.
Arthrodesis, also referred to as artificial ankylosis, is a surgical procedure done to fuse the joint between some bones, which often results in the elimination of movement of the said joint. The procedure is often done on patients with joint pains caused by arthritis and fractures. The most commonly affected joints are those in the spine, feet, and hands. If any joint in the toes is affected, a toe arthrodesis may be performed. Some deformities in the toes can also be corrected using the toe arthrodesis procedure. The most common reason in performing a big toe arthrodesis is due to arthritis.
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.
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.
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.
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.
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 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.
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.