Welcome to the UK knee and sports injury specialist website

This website is designed to give some general information to patients and physicians to help them make informed decisions on knee and hip surgery. This includes painful conditions of knees and hips, outcomes of surgery, and potential pitfalls.

Specialisms of the midland knee and hip consultant

Mr Prakash specialises predominantly in knee and hip joint surgery especially for young adults (age 20-65). He routinely performs surgery related to sports injuries and arthritis.

Approach to knee and hip surgery

His approach is to try and preserve the joints for as long as possible, while giving his patients a good quality of life. He also offers conservative treatments such as keyhole surgery and injection therapies.


A range of procedures

Mobile-bearing total knee replacements (TKR)

Although the procedure is called knee replacement, it would be more accurate to call it knee resurfacing. Mobile bearing knee replacements allows the joint to rotate and find its position of least constraint. These joints will last much longer than the alternative fixed bearing knee replacement.

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Uni-compartmental knee replacements (UKR)

A UKR is a partial knee replacement.The damaged parts of the knee joint are shaped to accommodate the metal prosthesis. Once bone ends are prepared, the metal parts of the implant are fixed to them with bone-cement. If your knee is damaged in only one compartment you may be a candidate for this.

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Patello-femoral joint replacements (PFJR)

If you are experiencing pain going up and down stairs, may be suffering from arthritis of the front of the knee (which is known as the patello-femoral joint or PFJ). This procedure is a partial knee replacement in which worn down bone and cartilage surfaces are removed and replaced with metal implants.

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Total hip replacement (THR)

A total hip replacement is surgery to replace the diseased cartilage and bone of the hip joint with artificial materials. A total hip replacement involves removal of the diseased ball and socket, while preserving as much soft tissue structures (joint capsule and ligaments) as possible.

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Computer assisted orthopaedic surgery (CAOS)

Research has shown that computer-navigated surgery improves both the accuracy and the reliability of the positioning of knee replacements. It is expected that the improved positioning of the knee replacement prosthesis should give better long-term results, resulting in longer life of the prosthesis.

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Cartilage transplant (ACT/ACI/MACI)

There is a new technological development which can be performed to help repair damaged articular cartilage. It uses a patient’s own cells in an effort to repair damage. This technique is called autologous chondrocyte implantation (ACI), or autologous chondrocyte transplantation (ACT).

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Improving quality of life

  • For six years I was in pain, I was unable to stand for any length of time and my posture was not good and I found the normal routine of life quite difficult. I was referred to Mr Prakash and the treatment and care I received was excellent. Within seven months, I had joint replacements for both my knees.

    Following both operations, I was home within three days and off my crutches within six weeks; it has given me a new lease of life. I attend an easy gym three times a week and a keep-fit class once a week, I can now do all the things I used to do without any pain, which is great. Friends and family cannot believe the fantastic improvement I have made.

    Sheila Smallman

  • I had been in pain for four years and my life severely restricted after septic arthritis in my hip. My life changed when I was referred to Mr Prakash. His explanations of my condition were clear and easy to understand and gave me renewed confidence, and after the operation I felt a great weight lifted from me.

    From only being able to get around on crutches before the operation, I am now totally independent and even more active than before the problem. I now go to the gym three times a week and do a lot more walking. A big ‘thank you’ to Mr Prakash and his team.

    Terry Smallman

    Retired Engineer

  • As a not particularly sporty person I managed to get myself an injury normally associated with sportsmen and body builders. I am an I.T. specialist and, from time to time, have to handle heavy computer equipment. One day while manoeuvring a very heavy piece of kit from the back of my car I felt an intense pain in my right arm accompanied by a loud snapping noise! I lost most of the strength in my arm and strange lumps and bruises started to appear.

    After a couple of visits to A&E I was referred to the Fracture Clinic where I met Divya Prakash who quickly diagnosed that I had a suspected detachment of my distal bicep tendon which would probably require surgery to correct. This came as a bit of a shock, I was very apprehensive about the thought of having an operation under general anaesthetic and also feared that the holiday I’d booked for my family in two weeks’ time would have to be cancelled.

    I need not have worried. Mr Prakash arranged for me to have an ultrasound that day which confirmed that I had suffered a complete detachment of my bicep tendon. He then arranged for me to have surgery the very next morning. I saw Mr Prakash again on the evening before my operation where he outlined the procedure clearly, told me exactly what would happen before and after the operation and put my mind at rest about my fears regarding the general anaesthetic and ‘going under the knife’.

    The morning of the operation could not have gone any smoother. I was only in hospital for a few hours and despite me knowing that this was a complex procedure for the surgeon, Mr Prakash’s professional and sympathetic manner left me feeling totally reassured and that I was in safe hands.

    I managed to get my holiday after all, and two months on I have full movement in my arm, I’m totally pain free and regaining strength. The scar is neat and tidy and I’m well on target for a full recovery.

    Divya Prakash may well be a leading knee and hip specialist but I can tell you from personal experience, he does a pretty excellent job with arms too!

    Thanks very much

    Paul Brighton

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