Specialists in hip and knee surgery with access to the world's leading technology in a personalised dedicated unit.
Art /ärt/ noun:
1. A skill at doing a specified thing, typically one acquired through practice.
2. The expression or application of human creative skill and imagination, typically is a visual form.
Sci•ence /ˈsīəns/ noun:
The intellectual and practical activity encompassing the systematic study of the structure and behavior of the physical and natural world through observation and experiment.
ScienceCraft /kraft/ noun:
1. An activity involving skill in making things by hand.
2. a skilled activity or profession.
We recognise that the art of medicine is in combining science with our best skills and resources to create individual solutions for each of our patients unique problems.
Our team comprises dedicated surgeons, physiotherapists, nursing staff and theatres all with the common goal of achieving the best possible patient outcomes.
The Hip and Knee Surgeons are based at Life Kingsbury Hospital in the Southern Suburbs of Cape Town.
We operate in state of the art laminar flow theatres designed to produce conditions for the best possible orthopaedic results. Only "clean" surgery is performed at the Kingsbury Hospital as compared to general all purpose theatres where potentially contaminating surgery may be performed.
The hospital has a full range of supportive and ancillary services including X-ray, ultrasound, CT and MRI scanning and pathology.
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Cape Town, situated on the southern tip of the African continent, is one of the most scenic cities in the world. It enjoys a Mediterranean climate with dry summers and winter rain. It is geared to tourism with numerous world heritage and natural wonder sites with an easy distance of central Cape Town. Cape Town is referred to as the "Mother City of South Africa" because of its physical role in the early settlement and historical development of South Africa.
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Dr Leith Stewart
BSC, MBChB(Stell.), F.C.S.(SA)(Orth)
ORTHOPAEDIC SURGEON
Dr Stewart specialises exclusively in arthroplasty, arthroscopic (keyhole) surgery and rehabilitation of hips and knees. This ranges from the treatment of sports injuries to the management of osteoarthritis.
In addition to primary treatment, Dr Stewart specialises in the management of complex orthopaedic deformities of the hip and knee joints as well as the treatment of failed or infected existing replacements (revision surgery).
Dr Stewart has a special interest in hip resurfacing which is a bone conserving alternative to a total hip replacement. His patients will benefit from the latest international orthopaedic advances and techniques.
Leith is a B.I.F (born in the fifities) and is married with 3 children, educated in Scotland and at Michaelhouse. He obtained a BSc in Chemistry and Applied Mathematics at Natal University then went on to complete his MBChB at Stellenbosch. He specialised in Orthopaedic Surgery at UCT graduating in 1993. He then studied in Exeter for a year under Dr Graham Gie doing hip and knee surgery and then stayed on there as a consultant for another year.
He has been in full time private practice at Kingsbury Hospital for 27 years. Dr Stewart has lectured in the UK, Europe and India on knee and hip surgery.
Leith has always been a keen sportsman, representing South Africa in hockey and Natal in athletics. He cycles and plays old man's hockey.
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Dr Clive White
MBChB(UOFS), MRCS(London), FC(Orth)SA, MMed(Orth)(UCT)
ORTHOPAEDIC SURGEON
Dr Clive White is a consultant orthopaedic surgeon with a special interest in hip resurfacing and replacement as well as knee replacement and arthroscopic (keyhole) hip and knee surgery. He joined Dr Stewart in private practice at Life Kingsbury in 2012.
Dr White has been actively involved in researching hip resurfacing. He has published and presented at meetings locally and abroad on various aspects of orthopaedic surgery and regularly attends educational courses to deepen his knowledge.
Since graduating with his MBChB at the University of the Free State he worked in the Orthopaedic department of Grey's Hospital and then went to the United Kingdom to work in Exeter, a world recognized centre of excellence in hip surgery. During this time he completed his Membership of the Royal College of Surgeons of England and developed a keen interest in hip and knee surgery. He returned to the University of Cape Town and obtained both his FC(Orth)SA and his MMed in Orthopaedic Surgery.
After qualifying as an orthopaedic surgeon Clive did a Fellowship in Knee Arthroplasty and Reconstruction in the UCT Orthopaedic Department, followed by a second post-graduate fellowship in hip and knee replacement and arthroscopic surgery under the guidance of Dr. Leith Stewart.
Clive is married with three children and his interests include mountain biking and family time. He is passionate about achieving the best results possible through individual solutions for all patients.
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Hip Arthroscopy
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Hip Resurfacing
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Total Hip Replacement
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Knee Arthroscopy
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Meniscus Tear
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ACL Reconstruction
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Total Knee Replacement
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Dr Stewart becomes the first surgeon in South Africa authorised to implant the ReCerf® Ceramic-on-Ceramic Hip Resurfacing
This exciting technology was launched in 2019.
It is indicated for use to allow hip resurfacing in smaller patients, females and patients with any detectable metal allergies.
It has been released for use by only six surgeons worldwide in a controlled clinical trial. Dr Stewart is recognised internationally as vastly experienced in Hip Resurfacing and as such has been involved in the early stages of research into the use of this implant.
ReCerf® Ceramic Hip Resurfacing -
The role of Hip Resurfacing in modern orthopaedics
This article published in a highly reputable international medical journal in 2020 gives patients considering hip resurfacing accurate information upon which to base their decision.
The role of hip resurfacing in modern orthopaedics -
Direct anterior approach hip replacements have doubled the risk of major complications
This article published in a highly reputable international medical journal in 2019 explaings why we don't ever do the direct anterior approach hip replacement or would not have it done to ourselves. We replace and resurface all hips through the widely recognised the posterior approach which preserves the abductor muscles which are critical to prevent patients from limping permanently after surgery.
Direct anterior approach discredited -
UK Hip Society not in favour of direct anterior approach
This recent consensus statement of expert hip surgeons shows that 75% of hip surgeons believe there is no justifiable reason to use this approach.
UK Hip Society consensus against direct anterior approach -
Cemented stems have lower risk of failure
A cemented stem used with a cementless socket is called a hyrid hip, we extensively use the Exeter Cemented Stem in this way for hip replacements for patients of all ages. This decision has been justified by registry data in multiple studies and in particular on the UK National Joint Registry where any hip replacement done with an Exeter Cemented Stem has approximately half the risk of failure of any other combination at any time point after surgery.
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Failed metal hips widely reported in the press
Many patients contact us after reading newspaper reports of failed metal hips, particularly the ASR from DePuy, worried that they might be affected by the debacle.
We would like to reassure our patients that this practice has never implanted one of these devices with the high risk of failure. All resurfacings and large head metal hip replacements done in our practice are Birmingham Hip Resurfacings, whether as the original resurfacing product, the BMHR (since 2009), or on a stem as a total hip replacement.
The BHR continues to produce excellent clinical outcomes and despite the massive press backlash against hip resurfacing due to the failure of other devices is still being implanted successfully around the world. The results of the BHR for the correct indications still outperform other devices on the registries.
This being said there are rare instances of every type of hip replacement (metal, ceramic, cemented or uncemented) on the market failing and any patients with persistent or new pain or instability are still advised to contact their orthopaedic surgeon with any concerns.
Please see our patient information section in the library above, particularly the Advice for patients with metal hips PDF, the MHRA guidelines Feb 2012 PDF and the Patient information on bearing surfaces in hips PDF to find out more.
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Excellent results of Birmingham Hip Resurfacing in the Australian Hip Registry 2011
This registry, widely acknowledged as one of the best in the world and the first to pick up the warning signs when the ASR started failing, recently reported excellent outcomes of the BHR. The Australian Registry BHR Results PDF from the manufacturers summarises those results.
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Dr Stewart and Dr White to report on a South African Hip Resurfacing Registry
Since October 2009 we have been entering all of our patients who have a Birmingham Mid Head Resection (BMHR) hip resurfacing into a registry to analyse our results. There are over 125 patients enrolled so far.
We will be presenting the results of our own series as well as combined results from six other South African surgeons participating in the registry at the South African Arthroplasty Society Congress early in 2013.
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Dr Leith Stewart
BSC, MBChB(Stell.), F.C.S.(SA)(Orth)
ORTHOPAEDIC SURGEON
T +27 21 683 6037
Email Dr Stewart
F +27 21 683 6633 -
Dr Clive White
MBChB(UOFS), MRCS(London), FC(Orth)SA, MMed(Orth)(UCT)
ORTHOPAEDIC SURGEON
T +27 21 683 6037
Email Dr White
F +27 21 683 6633
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Directions
Room 604, Kingsbury Suites, Wilderness Road, Claremont, Cape Town, 7708.
From Main Road Claremont turn down Wilderness Road at the traffic lights opposite the BP garage, heading toward Kingsbury Hospital. Then take the first right into Wilderness lane. Enter the boom gate at the end of this road - there is ample undercover parking. Use the Kingsbury Suites entrance and take the lift to the 6th floor.