JHB Hip & Knee Unit | Specialising in joint replacement

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Get the professional care you need at the JHB Hip & Knee Unit

The JHB Hip & Knee Unit prides itself on being a patient-centric, academically focused centre. We adhere to international best practices in hip and knee arthroplasty surgery. By focusing our expertise on joint replacement surgery, we aim to achieve streamlined, reproducible and reliable results.

Value-based care is at the heart of the practice and, with this in mind, we are affiliated with Care Expert, Joint Care and ICPS. This offers patients affordable surgery, avoiding co-payments for in-hospital care.

The JHB Hip & Knee Unit is based at the Wits Donald Gordon Medical Centre in Johannesburg, one of the only private and academic hospitals in South Africa, which combines clinical excellence with private hospital efficiency.

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JHB Hip & Knee Unit, Home

Simple primary hip and knee replacements

JHB Hip & Knee Unit, Home

Complicated primary hip and knee replacements

JHB Hip & Knee Unit, Home

Revision hip and knee surgery

Specialists that will help you every step of the way

JHB Hip & Knee Unit, Home

Professor Anton Schepers

Orthopaedic Surgeon

MBBCh(Wits), FRCS(Edin), FCS(SA)Ortho South African

Professor Anton Schepers

Orthopaedic Surgeon

Professor Anton Schepers qualified MB,B.CH(Rand) in 1976, and as a Specialist Orthopaedic Surgeon on the 1st August 1985.

He started Private Practice in 1978, but retained constant contact with the Wits Orthopaedic Department as a part time consultant. He returned to full time practice in 1996 and ran the Joint Replacement Unit from 1997 until he was retired in 2010. During this time he trained many orthopaedic registrars who have entered private practice as joint replacement surgeons both locally and internationally.

He was Acting Head of the Orthopaedic Department from February 2002 to August 2002 and was appointed as Adjunct Professor of Orthopaedic Surgery in March 2004. He was elected as President of the Orthopaedic Association of South Africa in 2001 and served in this capacity until 2003 .He was elected as President of the South African Arthroplasty Association and served as such from 2005 to 2009.

He was elected as President of the College of Orthopaedics within the Colleges of Medicine from 2008 until 2011 and was Editor In Chief of the South African Orthopaedic Journal from 2013 until 2018 .Prof Schepers continued his joint replacement practice at the Wits DGMC in 2010.

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JHB Hip & Knee Unit, Home

Dr Neal Goldstein

Orthopaedic Surgeon

MBBCh(Wits), DA(SA), MRCS (UK), FCS(SA)Ortho

Dr Neal Goldstein

Orthopaedic Surgeon

After completing his internship and community service in South Africa, Dr Goldstein completed basic surgical training at St Mary's Hospital in London (UK) and became a Member of the RoyalCollege of Surgeons (MRCS). He returned to South Africa to undergo post graduate orthopaedic training, and received the FCS(SA)Ortho qualification with distinction in 2012 (recipient of the JM Edelstein gold medal). After working as a lower limb trauma consultant at Charlotte Maxeke JHB Academic Hospital, Dr Goldstein joined Professor Schepers and underwent a two-year dedicated arthroplasty fellowship.

more
JHB Hip & Knee Unit, Home

Dr Richard Kyte

Orthopaedic Surgeon

MBBCh(Wits), FCS(SA)Ortho

Dr Richard Kyte

Orthopaedic Surgeon Tumour and Sepsis

Clinical Focus: Musculoskeletal Sarcomas & Limb Salvage Surgery, Orthopaedic Sepsis (Incl. Periprosthetic Infection) & Limb Salvage Surgery, Arthroplasty – Primary & Revision, Orthopaedic Trauma.

more
JHB Hip & Knee Unit, Home

Dr Darren Rymer

Anaesthetist

MBBCh(Wits), DA(SA), FCA(SA)

Dr Darren Rymer

Anaesthetist

Having specialised at the University of Witwatersrand, Dr Rymer has been in full-time private practice since 2013. With a special interest in anaesthesia for arthroplasty, he is involved in over 250 arthroplasty procedures per year. Dr Rymer also has interests in ultrasound-guided regional anaesthesia and paediatric anaesthesia.

more
JHB Hip & Knee Unit, Home

Dr John Tilley

Specialist Physician

MB BCh 1998, FCP 2004, Cert Crit Care 2007

Dr John Tilley

Specialist Physician

Dr John Tilley is a specialist physician and intensivist. He is currently the Director of the Medical Intensive Care Unit at the Donald Gordon Medical Centre. Dr Tilley completed his undergraduate degree at Wits University, followed by his specialisation in internal medicine and completed his sub-specialist training in critical care. He has a special interest in clinical informatics and decision support systems.

more
JHB Hip & Knee Unit, Home

Michele Carr

Physiotherapist

Dr Richard Kyte

Physiotherapist

Michele Carr graduated from UCT in 1993. She has a special interest in Orthopaedics and has completed a post graduate diploma in Orthopaedic Manipulative Therapy. There are 7 physiotherapists working with her in the Practice all of whom have an interest in rehabilitation. They are committed to working with the patient to ensure that their road to recovery is as quick and as smooth as possible.

more

Specialists that will help you every step of the way

JHB Hip & Knee Unit, Home

Professor Anton Schepers

Orthopaedic Surgeon

MBBCh(Wits), FRCS(Edin), FCS(SA)Ortho South African

Professor Anton Schepers

Orthopaedic Surgeon

Professor Anton Schepers qualified MB,B.CH(Rand) in 1976, and as a Specialist Orthopaedic Surgeon on the 1st August 1985.

He started Private Practice in 1978, but retained constant contact with the Wits Orthopaedic Department as a part time consultant. He returned to full time practice in 1996 and ran the Joint Replacement Unit from 1997 until he was retired in 2010. During this time he trained many orthopaedic registrars who have entered private practice as joint replacement surgeons both locally and internationally.

He was Acting Head of the Orthopaedic Department from February 2002 to August 2002 and was appointed as Adjunct Professor of Orthopaedic Surgery in March 2004. He was elected as President of the Orthopaedic Association of South Africa in 2001 and served in this capacity until 2003 .He was elected as President of the South African Arthroplasty Association and served as such from 2005 to 2009.

He was elected as President of the College of Orthopaedics within the Colleges of Medicine from 2008 until 2011 and was Editor In Chief of the South African Orthopaedic Journal from 2013 until 2018 .Prof Schepers continued his joint replacement practice at the Wits DGMC in 2010.

more
JHB Hip & Knee Unit, Home

Dr Neal Goldstein

Orthopaedic Surgeon

MBBCh(Wits), DA(SA), MRCS (UK), FCS(SA)Ortho

Dr Neal Goldstein

Orthopaedic Surgeon

After completing his internship and community service in South Africa, Dr Goldstein completed basic surgical training at St Mary's Hospital in London (UK) and became a Member of the RoyalCollege of Surgeons (MRCS). He returned to South Africa to undergo post graduate orthopaedic training, and received the FCS(SA)Ortho qualification with distinction in 2012 (recipient of the JM Edelstein gold medal). After working as a lower limb trauma consultant at Charlotte Maxeke JHB Academic Hospital, Dr Goldstein joined Professor Schepers and underwent a two-year dedicated arthroplasty fellowship.

more
JHB Hip & Knee Unit, Home

Dr Richard Kyte

Orthopaedic Surgeon

MBBCh(Wits), FCS(SA)Ortho

Dr Richard Kyte

Orthopaedic Surgeon Tumour and Sepsis

Clinical Focus: Musculoskeletal Sarcomas & Limb Salvage Surgery, Orthopaedic Sepsis (Incl. Periprosthetic Infection) & Limb Salvage Surgery, Arthroplasty – Primary & Revision, Orthopaedic Trauma.

more
JHB Hip & Knee Unit, Home

Dr Darren Rymer

Anaesthetist

MBBCh(Wits), DA(SA), FCA(SA)

Dr Darren Rymer

Anaesthetist

Having specialised at the University of Witwatersrand, Dr Rymer has been in full-time private practice since 2013. With a special interest in anaesthesia for arthroplasty, he is involved in over 250 arthroplasty procedures per year. Dr Rymer also has interests in ultrasound-guided regional anaesthesia and paediatric anaesthesia.

more
JHB Hip & Knee Unit, Home

Dr John Tilley

Specialist Physician

MB BCh 1998, FCP 2004, Cert Crit Care 2007

Dr John Tilley

Specialist Physician

Dr John Tilley is a specialist physician and intensivist. He is currently the Director of the Medical Intensive Care Unit at the Donald Gordon Medical Centre. Dr Tilley completed his undergraduate degree at Wits University, followed by his specialisation in internal medicine and completed his sub-specialist training in critical care. He has a special interest in clinical informatics and decision support systems.

more
JHB Hip & Knee Unit, Home

Michele Carr

Physiotherapist

Dr Richard Kyte

Physiotherapist

Michele Carr graduated from UCT in 1993. She has a special interest in Orthopaedics and has completed a post graduate diploma in Orthopaedic Manipulative Therapy. There are 7 physiotherapists working with her in the Practice all of whom have an interest in rehabilitation. They are committed to working with the patient to ensure that their road to recovery is as quick and as smooth as possible.

more

Need a hip or knee replacement?
Your journey...

JHB Hip & Knee Unit, Home

1. First things first

Make an appointment
JHB Hip & Knee Unit, Home

2. Share your information by

completing a digital questionnaire
JHB Hip & Knee Unit, Home

3. Visit our premises for your

first consultation with the orthopaedic surgeon
JHB Hip & Knee Unit, Home

4. Get a closer look

with our X-ray department imaging
JHB Hip & Knee Unit, Home

5. Baseline assessment

Treat surgically or non-surgically
JHB Hip & Knee Unit, Home

6. Baseline assessment

Non-surgical management
  • Physiotherapy
  • Biokinetics
  • Lifestyle modification
  • Pain management
JHB Hip & Knee Unit, Home

7. Baseline assessment

Surgical management
  • Confirm eligibility for value-based care programme
  • Physician assessment (fitness for surgery), routine pathology and additional radiology
  • Physiotherapy assessment and prehabilitation (prep before surgery)
  • When all parties are happy to proceed, confirm date of surgery and obtain scheme authorisation
  • Covid-19 test?
JHB Hip & Knee Unit, Home

8. Surgical management

Surgical preparation
  • Stop anti-inflammatories 1 week prior to surgery
  • Bath or shower in Hibiscrub (an antiseptic cleanser) the night before admission and the morning of surgery
  • Complete pre-operative medical questionnaire
  • Anaesthetic assessment
JHB Hip & Knee Unit, Home

9.Surgical management

Undergo surgery
  • General anaesthesia combined with morphine spinal
  • Primary surgery; surgical time is approximately 1 to 1½ hours (depending on case complexity)
  • Revision surgery; variable
JHB Hip & Knee Unit, Home

10. Surgical management

Post-operative care
  • Our aim is for you to be mobile and walk as soon as possible (with support from our physiotherapist)
  • Analgesia, anti-emetics (pain and nausea relief) and DVT prophylaxis
  • Post-operative x-ray
  • We aim to discharge you 2 to 3 days post-surgery (for a primary, uncomplicated surgery)
  • Wound check approximately 10 days post procedure
JHB Hip & Knee Unit, Home

11. Surgical management

Post-operative follow-up
  • Approximately 6 weeks after surgery
  • Use of crutches is variable and will be discussed with physiotherapist
  • If fit enough driving permitted from 3 weeks

Need a hip or knee replacement?
Your journey...

JHB Hip & Knee Unit, Home

1. First things first

Make an appointment

JHB Hip & Knee Unit, Home

2. Share your information by

completing a digital questionnaire

JHB Hip & Knee Unit, Home

3. Visit our premises for your

first consultation with the orthopaedic surgeon

JHB Hip & Knee Unit, Home

4. Get a closer look

with our X-ray department imaging

JHB Hip & Knee Unit, Home

5. Baseline assessment

Treat surgically or non-surgically

JHB Hip & Knee Unit, Home

6. Baseline assessment

Non-surgical management

  • Physiotherapy
  • Biokinetics,
  • Lifestyle modification
  • Pain management
JHB Hip & Knee Unit, Home

7. Baseline assessment

Surgical management

  • Confirm eligibility for value-based care programme
  • Physician assessment (fitness for surgery), routine pathology and additional radiology
  • Physiotherapy assessment and prehabilitation (prep before surgery)
  • When all parties are happy to proceed, confirm date of surgery and obtain scheme authorisation
  • Covid-19 test?
JHB Hip & Knee Unit, Home

8. Surgical management

Surgical preparation

  • Stop anti-inflammatories 1 week prior to surgery
  • Bath or shower in Hibiscrub (an antiseptic cleanser) the night before admission and the morning of surgery
  • Complete pre-operative medical questionnaire
  • Anaesthetic assessment
JHB Hip & Knee Unit, Home

9. Surgical management

Undergo surgery

  • General anaesthesia combined with morphine spinal
  • Primary surgery; surgical time is approximately 1 to 1½ hours (depending on case complexity)
  • Revision surgery; variable
JHB Hip & Knee Unit, Home

10. Surgical management

Post-operative care

  • Our aim is for you to be mobile and walk as soon as possible (with support from our physiotherapist)
  • Analgesia, anti-emetics (pain and nausea relief) and DVT prophylaxis
  • Post-operative x-ray
  • We aim to discharge you 2 to 3 days post-surgery (for a primary, uncomplicated surgery)
  • Wound check approximately 10 days post procedure
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