100 Park Runs…. with some help from an Unloader Knee Brace

My father-in-law, Claude Claassen, has osteoarthritis (OA) of his right knee. He is a very active man and we decided a few years ago to treat him conservatively

100 Park Runs…. with some help from an Unloader Knee Brace

My father-in-law, Claude Claassen, has osteoarthritis (OA) of his right knee. He is a very active man and we decided a few years ago to treat him conservatively



Osteotomy May Sound Like A Scary Word, But…

For some people with early knee arthritis a "high tibia osteotomy" (HTO) is a very good solution. It is a technically demanding operation and is done with the use of computer-assisted surgery.

Final phase ACL rehabilitation with some Portuguese passion!

Roberto da Silva is a professional soccer player who injured his right knee playing for his club in Europe. He tore his ACL and both the menisci (cartilages) and we performed successful reconstructive surgery for him in November 2016.


The injection of platelet enriched plasma (PERP) into tendon lesions has been proven to be beneficial for healing. Recently we used the technique to treat a cricket player from Stellenbosch University named Jean de Wet with patella tendinosis (jumper's knee).

ACL Injury

I hale from Port Elizabeth. Born and bred in the Friendly City, I have a soft spot for all things from the Eastern Cape and I have been enjoying the upswing in the Southern Kings fortunes over the past few weeks.

Wednesday is theatre with KneeDoc

After a great weekend break we had a very productive theatre list on Wednesday. Twelve knee procedures were performed today. One of the cases was for a repair of a meniscus tear.

German Medical Students

We had two German medical students visiting KneEDoc over the past 2 weeks.

Overberg CPD meeting

My wife, Chardri, and I travelled to the beautiful town of Swellendam last week to present a CPD (continuing professional development) meeting about the treatment of knee osteoarthritis.

ACL surgery, recovery.... and running like a champ!

The Puffer is a hectic 80km annual trail run event that starts in the Cape Point Nature Reserve and runs along the spine of the Cape Peninsula Mountains and ends at Hamilton Rugby Club in Green Point. It is a gruelling challenge and not the faint hearted.

Sausages and orthopaedic surgery

I had a very busy week with some long consulting days! Patients often ask me if I get tired after operating all day or after one long individual surgery. I always reply that I can operate all day long without getting tired because we as orthopaedic surgeons love operating!

A cycling wager I thought I had won

I recently purchased a new road bike and started doing some rides around the beautiful roads in the Cape Winelands again. During my latest ride this past weekend my mind wondered back to the last Argus Cycle Tour I completed in 2013 and the brilliant e-mail I received from a patient of mine shortly thereafter.

Family holiday bliss in KZN

Family holiday bliss in KZN My family and I have just returned from a wonderful holiday in KZN. After flying to Durban we picked up our Toyota Avanza rental and started our journey.

Wise words from a living legend

Wise words from a living legend I received my copy of the latest ISAKOS journal recently. ISAKOS is the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine and I am a member thereof.

50 joint replacements!

the joint venture 50 replacements50 joint replacements! The Joint Venture Trust was founded in 2009 but the dream was birthed in my heart as a young boy. I am absolutely astounded at all that has transpired for us to reach this significant milestone.

Barcelona ESSKA meeting

I attended a congress of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) held in Barcelona from 4 to 7 May. It was a wonderful opportunity for me to listen to presentations by world leaders in my field.

A Beautiful Thank You

Mr Louis de Waal recently underwent a knee replacement operation and penned this beautiful thank you letter. His writing style is very elegant, but not easy to read so I have transcribed it here for ease of reading:

What is on your mind my son?

Mr Zonisele is a beneficiary of The Joint Venture Trust. This is a NPO that I founded and to date we have performed 47 joint replacement operations for patients referred to us by Tygerberg Hospital. The operations are performed at Stellenbosch Medi-Clinic and the success of this project has only been possible because of the incredible benevolent spirit of my colleagues, a team of very dedicated trustees behind the scenes and the financial support of big corporates such as Old Mutual and Medi-Clinic.

Cure Day Clinic meeting February 2016

I was recently invited to deliver a presentation on Osteoarthritis of the knee at the Cure Day Clinic Somerset West. It took place on the 18th February and the audience was a mixture of local GP’s, physiotherapists and biokineticists.

Knee replacement cadaveric course

Knee replacement cadaveric courseI had the privilege of attending a meeting arranged by a company that manufactures knee replacement prostheses held in Cape Town recently. Attendees to the course were mostly from South Africa, but there were a few colleagues from as far afield as Nigeria.

Mr Brandon Senekal: from zero to hero in 5 months!

Mr Brandon Senekal: from zero to hero in 5 months!Mr Brandon Senekal underwent a left knee replacement operation in October 2015. He is a very keen cyclist. He sent me a message after he had completed the Argus Cycle tour on Sunday 6th March 2016 letting me know it had gone well.

Argus Cycle Tour 2016

Argus Cycle Tour 2016

Congratulations to all my patients who completed the Argus Cycle Tour on Sunday 6th March. Having taking part in the race a number of times I know the training and effort that it costs to have a good race. This is such a beautiful ride. Every year that I give it a skip (for some reason or another) I end up with deep regrets!


Over the past few months I have had enquiries from a number of my patients regarding a product called Flexiseq. This is a topical preparation that is marketed for use in osteoarthritis of the knee. I therefore undertook a review of the literature to educate myself regarding the product.

A special gift from Hawaii

A special gift from HawaiiOne of my patients from Port Elizabeth blessed me with a very generous gift in December. As always we are very busy towards the end of the year leading up to the December holiday period. He was very thankful for that we accommodated him on short notice to fit him in to have his consultation with me and the necessary knee surgery before the holiday. He would therefore still have the prospects of competing in the Ironman race in Port Elizabeth in April 2016.

Socrates and current medical ethics

Socrates and current medical ethicsLast week I attended a seminar on medical ethics at the CTICC presented by the Medical Protection Society (MPS). There were a number of excellent speakers. I learnt some valuable lessons from a medico legal expert from the UK. Besides being thoroughly engaging and hilarious he shared many examples and interesting facts. The one thing that stood out for me was what he termed "information asymmetry". This refers to the vast gap often present between a doctor and a patient's knowledge of a condition and the management options thereof.

Top 20 award for Stellenbosch Medi-Clinic

Top 20 award for Stellenbosch Medi-ClinicDiscovery Health recently launched a hospital rating system. The results of the surveys they have been conducting over a number of years among Discovery Health members have been used to rate all private hospitals in South Africa. Patients were asked to complete a survey after their discharge from the hospital. They were asked, among other factors, to score the level of their doctors' and the nurse's communication, the cleanliness of the hospital and the degree of their pain control.

Bag of Tricks

A recent patient of mine decided to bring along to his consultation with me all the remedies he has been administering over the past few months for his knee pain. He emptied his bag of tricks onto my desk:

2nd Combined Congress of SA Knee Society and Belgian Knee Society, Table Bay Hotel, 1st and 2nd November 2015

2nd Combined Congress of SA Knee Society and Belgian Knee Society, Table Bay Hotel, 1st and 2nd November 2015I had the pleasure of attending this meeting over the past weekend. Our Belgian colleagues are a great bunch of knee surgeons: friendly, knowledgeable, humble and with a shared sense of humour. It was therefore a great two days of sharing ideas and listening to presentations by world experts in their field.

The Sports Gene

Over the past long weekend I finished reading a brilliant book: The Sports Gene by David Epstein. It was recommended to me (and in fact leant to me!) by a good friend, colleague and mentor: Dr Dave Pollock.
It is a thoroughly gripping read for anyone who is interested in sports performance.
Here are but a few extracts from the book that I found enlightening (Mr. Epstein's word are quoted in italic):