Mr Shakir Hussain, Consultant Orthopaedic Surgeon at the Royal Orthopaedic Hospital Birmingham, treats the full range of hip and knee conditions, from early-stage arthritis and impingement to complex revision surgery. With over 5,000 procedures performed, he offers expert assessment, second opinions, and treatment for private patients across the West Midlands and beyond.
Eleven hip conditions that frequently lead to hip replacement or hip resurfacing surgery. Each page covers symptoms, diagnosis, the role of conservative treatment, and when surgery becomes the right choice.
The most common reason for hip replacement. Cartilage in the hip joint wears down over years, causing groin pain, stiffness, and reduced walking distance. Eventually bone rubs on bone.
Hip arthritis: symptoms, causes, and treatment optionsThe blood supply to the femoral head is disrupted, causing bone death and rapid joint destruction. Often follows steroid use, trauma, or heavy alcohol consumption.
Hip avascular necrosis: diagnosis and treatmentAn autoimmune disease where the immune system attacks the joint lining, causing inflammation and progressive cartilage destruction. Often affects multiple joints together.
Rheumatoid arthritis of the hip: assessment and treatmentA break in the upper femur, usually the femoral neck or intertrochanteric region. Most often caused by a fall in older patients with reduced bone density.
Hip fracture: when hip replacement is neededA shallow hip socket present from birth that concentrates abnormal stress on the cartilage. Often leads to early-onset osteoarthritis in adulthood.
Adult hip dysplasia: causes, symptoms, and treatmentExtra bone on the femur or socket creates abnormal contact during movement, tearing the labrum and grinding away cartilage over years of normal activity.
Hip impingement (FAI): cam, pincer, and treatment optionsAccelerated cartilage wear that develops months or years after a hip injury, fracture, or dislocation has altered the joint's mechanics.
Post-traumatic hip arthritis: causes and treatmentA chronic inflammatory disease primarily affecting the spine that also damages and can fuse the hip joints, frequently requiring hip replacement.
Ankylosing spondylitis hip damage: treatment optionsConditions such as Legg-Calvé-Perthes disease and slipped capital femoral epiphysis alter the developing hip and frequently cause arthritis in adulthood.
Childhood hip disorders in adults: Perthes disease and SCFEA bacterial infection that rapidly destroys hip cartilage. Even after the infection is cured, the joint is often permanently damaged and requires reconstruction.
Hip septic arthritis: joint damage after infectionA tear in the ring of fibrocartilage around the hip socket. Causes groin pain, clicking, and reduced rotation, and can accelerate the development of hip arthritis when caused by impingement or dysplasia.
Hip labral tear: symptoms, diagnosis, and when it leads to arthritisNot sure what is causing your hip pain? A patient guide to the common causes in adults, red flags that need urgent assessment, and when conservative treatment is no longer enough.
Hip pain in Birmingham: causes, symptoms, and when to see a hip specialistThe most common reasons a hip replacement may fail and require revision surgery. Mr Hussain specialises in complex revision hip arthroplasty at the Royal Orthopaedic Hospital Birmingham.
The most common long-term failure mode of hip replacement. The bond between the implant and bone weakens over time, causing groin and thigh pain that worsens with weight bearing.
Hip implant loosening: causes, diagnosis, and revision surgeryBacteria colonise the implant surface and form a biofilm that antibiotics cannot penetrate. Specialist two-stage revision surgery is the gold-standard treatment for established infection.
Hip replacement infection: PJI diagnosis and treatmentRecurrent dislocation indicates significant joint instability. Dual mobility implants and component revision restore a stable, secure hip that stays in joint during normal activities.
Hip replacement dislocation: instability and revision surgeryA fracture around or below the hip implant, most often after a fall. The Vancouver classification guides whether fixation or revision surgery with a long-stem implant is the right treatment.
Periprosthetic hip fracture: Vancouver classification and treatmentWear particles from the bearing surfaces trigger bone loss (osteolysis) around the implant. Early bearing exchange or full revision with modern ceramic bearings stops further deterioration.
Hip implant wear and osteolysis: treatment and bearing optionsMetal-on-metal hip implants can release cobalt and chromium ions that damage surrounding soft tissue. Mr Hussain is one of the UK's highest-volume hip resurfacing surgeons, with specific expertise in ARMD diagnosis and revision.
Metallosis and adverse reaction to metal debris: diagnosis and revisionKnee conditions and a symptom guide covering the problems that most often lead to total or partial knee replacement. Each page covers symptoms, diagnosis, conservative treatment, and when surgery becomes the right choice.
The most common reason for knee replacement. Cartilage in the knee wears down over years, causing medial knee pain, swelling, and stiffness that limit walking and everyday activities.
Knee arthritis: symptoms, causes, and treatment optionsA tear or rupture of the anterior cruciate ligament causes acute pain, swelling, and giving way. Untreated, ACL injury significantly increases the long-term risk of post-traumatic knee arthritis.
ACL injury: symptoms, diagnosis, and long-term treatmentMCL and LCL injuries cause medial or lateral knee pain and instability. Chronic ligament damage can accelerate cartilage wear and increase the long-term risk of knee arthritis.
Knee ligament injury: MCL and LCL assessment and treatmentCartilage loss behind the kneecap causes anterior knee pain on stairs, slopes, and after prolonged sitting. May be treated with partial or total knee replacement depending on extent of involvement.
Patellofemoral arthritis: kneecap pain, diagnosis, and treatmentDisruption of the blood supply to the femoral condyle causes bone death and rapid joint destruction. Advanced AVN of the knee often requires partial or total knee replacement.
Knee avascular necrosis: diagnosis and surgical treatmentAn autoimmune condition causing symmetrical knee inflammation and cartilage destruction. When medical therapy cannot control joint damage, total knee replacement restores function.
Rheumatoid arthritis of the knee: assessment and treatmentA chondral defect or articular cartilage loss in the knee causes pain, swelling, and locking. Untreated cartilage damage can progress to full osteoarthritis requiring knee replacement.
Knee cartilage damage: symptoms, grading, and treatmentSecondary osteoarthritis developing years after a knee fracture, ACL rupture, or meniscal injury that permanently altered joint mechanics. Often presents at a younger age than primary arthritis.
Post-traumatic knee arthritis: causes and treatmentA knee replacement that no longer functions properly, causing pain, instability, or reduced movement. Requires specialist revision knee replacement surgery at a dedicated orthopaedic centre.
Failed knee replacement: causes, symptoms, and revision surgeryNot sure what is causing your knee pain? A patient guide to the common causes in adults, red flags that need urgent assessment, and when conservative treatment is no longer enough.
Knee pain in Birmingham: causes, symptoms, and when to see a knee specialistFive conditions that are the most common reasons for revision knee replacement surgery. Each page explains the mechanism of failure, how it is diagnosed, and the specialist surgical treatment available.
Bacteria attach to implant components and form a biofilm the immune system cannot clear. The most complex cause of knee replacement failure, requiring specialist two-stage revision surgery.
Infected knee replacement: diagnosis and two-stage revision surgeryThe most common mechanical cause of knee replacement failure. The bond between implant and bone gradually breaks down without infection, causing progressive pain and instability over years.
Knee implant loosening: causes, diagnosis, and revision surgeryLigament or soft tissue failure around the implant causes the knee to give way or buckle. Corrected with constrained revision implants matched to the degree of ligament deficiency.
Knee replacement instability: causes and revision surgery optionsA fracture of the bone directly around a knee implant, most commonly after a fall in a patient with osteoporosis. Treatment ranges from internal fixation to full revision depending on implant integrity.
Periprosthetic knee fracture: surgical treatment and recoveryPolyethylene spacer degradation produces debris that triggers bone destruction around the implant. If unchecked, osteolysis undermines fixation and necessitates revision surgery.
Knee implant wear and osteolysis: when revision surgery is neededMr Shakir Hussain is a Consultant Orthopaedic Surgeon at the Royal Orthopaedic Hospital Birmingham, one of the largest specialist orthopaedic hospitals in Europe. He also operates at Priory Hospital Edgbaston and Harborne Hospital.
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Book a private consultation with Mr Hussain at the Royal Orthopaedic Hospital, Priory Hospital Edgbaston, or Harborne Hospital. Most patients are seen within two weeks.