Orthopaedic Speciality Clinics

Comprehensive Foot & Ankle Care

We understand that your mobility starts from the ground up. Our Foot and Ankle Department specialises in treating the full spectrum of conditions—from common ailments to complex reconstructive surgeries and sports-related fractures. By combining advanced diagnostic imaging with minimally invasive surgical techniques, we can help you get back on your feet.

Please click here for a list of NOHC Consultant Orthopaedic Surgeons

Outpatient Clinic Times

Click here to access the Outpatient Department Clinic Timetable

The Hospital is perhaps best known for hip and knee replacement surgery. In fact, we perform almost 2,000 total hip and knee replacement and revision surgeries annually and treat a host of other conditions. We also provide specialist clinics for the treatment of complex knee pathologies and an enhanced recovery programme for patients undergoing hip and knee replacement surgery.

Complex Knee Clinic

The Complex Knee Clinic, established at the National Orthopaedic Hospital in 2018, convenes bi-monthly under the direction of Consultant Orthopaedic Surgeons Professor John O’Byrne, Mr Peter Keogh, Mr Adrian Cassar-Gheiti, Mr Sven O’hEireamhoin, Mr Andrew Hughes, and Physician Associate Ms Ciara Doran.

Serving as a National Referral Centre, the clinic provides comprehensive multidisciplinary evaluations involving multiple consultants. Patients referred to the clinic generally fall into one of the following categories:

  • Individuals dissatisfied with the outcome after routine total knee replacement
  • Patients requiring revision procedures due to failed total knee arthroplasty
  • Patients presenting with complex primary pathology necessitating multidisciplinary intervention

Every patient journey begins with an exhaustive assessment by three independent orthopaedic specialists, supported by advanced multi-modal imaging. We believe in collaborative excellence, where surgery is required, procedures are performed jointly by two consultant surgeons to ensure the highest standard of precision.

Same-Day Surgery & Discharge Programme

In 2018, NOHC introduced same-day surgery and discharge for patients undergoing total hip replacement surgery. This initiative was driven by Mr James Cashman, a consultant orthopaedic surgeon, and Dr Brid McGrath, a consultant anaesthetist. In 2024, the programme was extended to partial and total knee replacement surgery, and to date, more than 300 patients have successfully undergone joint replacement under the programme.

Please click here for a list of NOHC Consultant Orthopaedic Surgeons

Outpatient Clinic Times

Click here to access the Outpatient Department Clinic Timetable

A healthy spine is essential to a pain-free and active lifestyle. At the National Orthopaedic Hospital Cappagh, we provide excellent surgical and non-surgical treatments to relieve back pain and improve function and mobility. In addition to performing numerous spinal surgeries annually, we offer minimally invasive interventional radiological treatments for a range of spinal conditions.

Conditions treated
Conditions treated at the Hospital may include:
Tumours Spinal deformity Chronic back pain
Scoliosis (curvature of the spine) Herniated disc (bulged, slipped or ruptured) Kyphosis – curvative of the vertebrae
Ankylosing spondylitis (inflammation of the joints of the spine) Lumbar spinal stenosis (narrowing of vertebral column and compression of the nerves and blood vessels) Osteoporosis (porous bone) and other degenerative conditions

 

Conditions that affect the hand, wrist, arm, elbow and shoulder limit your ability to perform everyday tasks. At the National Orthopaedic Hospital Cappagh, we explore non-surgical treatments where possible; however, in some instances, surgery is unavoidable.

Conditions Treated
Hands
Arthritis Complex fractures Carpal tunnel syndrome
Hand cysts and tumours Finger conditions (trigger finger, mallet finger) DeQuervain’s disease (irritation and swelling of the thumb tendon)
Dupuytren’s contracture (a hereditary condition that causes the tissue to thicken) Reflex sympathetic dystrophy (a chronic condition causing pain, stiffness, swelling, sweating and discolouration)
Wrist
Complex fractures Joint pain Ganglions (small fluid-filled sacs or cysts)
Tendonitis (inflammation or swelling of the tendon)
Elbow
Sports injuries Medial Epicondylitis (Golfers elbow) Cubital Tunnel Syndrome (a fluid build-up caused by trauma)
Osteochondritis dissecans (loss of blood to the cartilage within elbow joint) Lateral Epicondylitis (Tennis elbow)
Arm
Radial tunnel syndrome (dull aching pain at the top of the forearm caused by pressure on the radial nerve)
Shoulder
Chronic pain Joint damage Sports injuries
Rotator cuff injury Osteoporosis (porous bone) Frozen shoulder (stiffness and pain)
Brachial Plexus injury (stretched, compressed or ripped nerves connecting the shoulder and spinal cord)

Consultant Orthopaedic Surgeons specialising in Upper Limb

  • Ms Olivia Flannery
  • Prof Hannan Mullett
  • Mr Patrick Groarke
  • Ms Grainne Colgan
  • Mr Kieran O’Shea
  • Ms Ann-Maria Byrne

Hours of operation

Click here to access Outpatient Department Clinic Timetable

The Sports & Exercise Medicine Clinic is dedicated to the diagnosis, treatment, prevention and management of conditions that affect and prevent activity.

We know that when disease and injury strike, it can be devastating for those who lead an active lifestyle. We will diagnose your injury and formulate a treatment pathway to aid your recovery. And we will provide you with expert advice to guide your return to activity and sport, and help prevent injury recurrence. Our approach to treatment combines general, orthopaedic and rehabilitation medicine and allied sports sciences, for effective patient outcomes.

The Clinic also offers Occupational Health Services.

Conditions Treated
Foot and ankle
Plantar fasciitis Achilles tendinopathy Stress fractures
Ankle impingement Tendon issues- e.g Peroneal/ tibialis posterior Tarsal tunnel syndrome (painful foot condition caused by nerve compression)
Knee
Patella tendon/ patellas instability Patellofemoral pain Early Knee Osteoarthritis
Knee pain in athletes, particularly runners Meniscal injury and tear (cartilage damage)
Hip/ Groin
Osteoarthritis Buttock pain Labral tear
Muscle micro tear
Leg
Anterior cruciate ligament injury/tear Recurrent calf/hamstring/quadriceps injury
Spine
Lumbar/ Thoracic and cervical non-surgical cases Adolescent back pain – Spondylolysis
Shoulder
Rotator cuff pathology/ subacromial impingement Adhesive capsulitis (frozen shoulder) Non-surgical glenohumeral labral injuries
Elbow
Carpal Tunnel syndrome De Quervain’s Tenosynovitis Common extensor/ flexor origin tendinosis (tennis/ golfers) elbow
Other
Exertional compartment syndrome Concussion Tired athlete
All running-related injuries Cycling-specific injuries Recurrent calf/ hamstring/ quadricep injuries
Exercise-related medical conditions (asthma/ migraine/ cramps etc) Adolescent apophysitis (tightened muscle attaching to the growth plate (apophysis) at the hip, causing irritation and inflammation)

Sports & Exercise Clinic Expertise

  • Dr Noel McCaffrey

 

The National Joint Register

The National Joint Register was established in 2005 to collect the data of patients undergoing total hip replacement surgery at the Hospital. The register was the first of its kind in Ireland. Led by Mr Patrick Kenny, Consultant Orthopaedic Surgeon, the register has recorded details of more than 10,000 hip replacement surgeries since inception in 2005. The information it holds enables us to communicate with past patients, review their progress at regular intervals and determine the efficacy of the surgical technique and implant used. Moreover, should a device fail or cause complications in the future, we can consult the register to identify and contact the patients affected.

The Irish National Orthopaedic Register

In 2018, the Irish National Orthopaedic Register was introduced to record national patient data for joint replacement surgery. The pre-existing joint register will continue to run concurrently for the foreseeable future as it contains rich historical data collected since 2005.

https://www.hiqa.ie/areas-we-work/health-information/data-collections/irish-national-orthopaedic-register-inor