The practice

How this practice works.

One surgeon, two joints, six phases. What that means in practice and why the numbers are published.

One surgeon, start to finish.

Every consultation in this practice is with Professor Rodda, and every operation is performed by him. You are not assessed by one person and operated on by another, and the person who reviews you afterwards is the person who did the surgery.

That is only possible because the practice is narrow. Two joints, two operations, and nothing else.

Volume, and why it is on this page.

As at 2026 Professor Rodda performs more than 800 joint replacements a year, including more than 500 knee and more than 300 hip replacements, and has performed more than 5,000 since entering consultant practice.

Those numbers are published because volume is one of the few surgeon-level factors consistently associated in the literature with better outcomes in joint replacement. Registry analyses show revision rates falling as annual caseload rises, and the effect is particularly marked for partial knee replacement. It is a reasonable thing for a patient to ask about and a reasonable thing for a surgeon to answer.

Professor Daevyd Rodda in theatre scrubs beneath the operating lights
Every operation in this practice is performed by Professor Rodda.

The six phases.

Both the hip and knee journeys run through the same six phases. Each one has a purpose and something you should leave with.

  1. Orientation. Arranging the appointment, and a written fee estimate before you attend. Nothing is booked before you know what it costs.
  2. Diagnosis. Establishing what is actually causing the pain, which is not always the joint. You should leave with a diagnosis in plain language.
  3. Decision. Working out what to do, explicitly including not operating. A large proportion of people referred here do not need surgery yet.
  4. Preparation. If you decide on surgery, optimising the things that change your risk: blood sugar, weight, smoking, iron, dental and skin infection, and strength before the operation.
  5. Intervention. The operation, to the plan agreed with you.
  6. Recovery. Reviews at approximately two weeks, six weeks, three months and twelve months, with a written rehabilitation protocol.

The nurse practitioner clinic.

Not everyone referred needs a surgical opinion. The practice nurse practitioner can assess you, arrange imaging, begin non-operative treatment and refer on if surgery becomes appropriate. That appointment is available sooner and costs less, and for many people it is the more useful one.

What is not done here.

Professor Rodda does not perform arthroscopy, ligament reconstruction, cartilage repair, osteotomy or joint preservation surgery, and does not operate on shoulders, elbows, hands, feet, ankles or spines. Where one of those is the right operation you will be told so and referred to a colleague who does it. Being told an operation is not the right one is a legitimate outcome of a consultation.

This page provides general information about a medical condition and a surgical procedure. It is not individual medical advice and does not replace consultation with a qualified practitioner. Outcomes vary between individuals and all surgery carries risk. A referral is needed for a consultation with Professor Daevyd Rodda; without one, you can start with the practice nurse practitioner, who can provide it.