Specialist Knee Replacement & Arthroplasty in London & Essex
Mr Shivakumar Shankar offers comprehensive, consultant-led surgical knee care ranging from partial (unicompartmental) knee resurfacing to robotic-assisted total knee arthroplasty. By focusing on dynamic soft-tissue balance, kinematic alignment, and preservation of healthy bone and ligaments, patients achieve stable, natural-feeling joint motion.
Total Knee Replacement (TKR)
Precision resurfacing of the femoral condyles and tibial plateau for multi-compartmental degenerative arthritis. Aligns leg axes, corrects severe bowlegs or knock-knees, and restores smooth functional mobility.
- • Corrects fixed flexion contractures
- • Durable cobalt-chrome and cross-linked poly bearings
- • Day 1 post-operative mobilisation
Robotic Mako-Assisted Knee Surgery
Robotic arm guidance provides live kinematic feedback on ligament tension throughout the full range of motion prior to bone resection. Delivers sub-millimeter positioning with minimal soft-tissue release.
- • Dynamic intra-operative ligament balancing
- • Patient-specific bone cut boundaries
- • Superior early post-operative knee flexion
Partial (Unicompartmental) Knee Replacement
For arthritis confined strictly to either the medial or lateral compartment. Preserves the healthy patellofemoral and opposite compartments, as well as both the ACL and PCL cruciate ligaments.
- • Feels like a natural knee with normal proprioception
- • Smaller surgical incision with rapid recovery
- • Shorter hospital stay and faster return to sport
Kinematic Alignment vs Mechanical Alignment
Traditional mechanical alignment forces every patient's knee into an arbitrary 90-degree straight angle, frequently requiring aggressive ligament releases. Mr Shankar champions customised kinematic alignment: