Mr Andrew Miller
is a Consultant Orthopaedic Surgeon
working in South Wales
with a special interest in Hip and Knee
problems
such as Trauma and Arthritis
Hip and Knee Surgery
Arthroscopic (Keyhole) Surgery, Outpatient (home the same day) Partial and Total Joint Replacements, Revision Joint Replacements and Robotic Surgery
Trauma
Broken Bones, Sports Injuries, Tendon Injuries, Hip and Knee Joint Problems
Pain Killing Injections
In Clinic Ultrasound guided injections of pain killing and Anti Inflammatory Injections such as Cortisone, Platelet Rich Plasma (PRP), Hyaluronan and Hydrogels
Mr Andrew Miller MB BCh BSc MSc MD FRCS (Orth)
Hip and Knee Specialist
Mr Andrew Miller is a consultant orthopaedic surgeon who has undertaken the prestigious Bristol Advanced Hip fellowship and was nationally selected as the TIG Major Trauma fellow to work alongside the military in the Queen Elizabeth Hospital, Birmingham. He was also honored to be selected as the OTA Traveling fellow to work in Tampa, USA where he worked alongside leading American trauma surgeons and trained in robotic joint replacement surgery.
He is an honorary clinic lecturer at Cardiff University where he undertook his doctorate in the Bio-medical and Bio-engineering Institute. He has a specialist research interest in novel injectable drugs that can be used to prevent or slow the development of arthritis such as PRP and DMOADs.
Mr Miller has published papers on the benefit of partial knee replacements and potential therapeutic drug targets to prevent arthritis in addition to editing revision text books for doctors in training.
Recent Posts and Activity
From today we can now offer patients in Wales cartilage transplants to treat knee injuries. The process involves harvesting the patients own cartilage cells (chondrocytes) before reimplanting the cells back into the injured area and sticking them down with fibrin glue. Thanks to the hard work of Aneurin Bevan orthopaedic staff we will be the first and only hospital to offer this treatment in Wales.
Robot assisted knee replacements are less painful, improve early function and allow discharge home quicker than conventional knee replacements. Thanks Richard Baker and the Chesterfield Hospital for letting me join you for two brilliant robotic cases yesterday. Hopefully we can sort out a robot for patients in South Wales very soon!
Doing a hip replacement by going around the back of the hip (posterior approach) and temporarily detaching the external rotator muscles has the lowest chance of surgical complications.
The anterior approach allows discharge home one day earlier but has a 3% higher complication rate.
Personally, I do not accept this increased risk just to save 24 hours length of stay and cut costs. That’s why I do the posterior approach for all hip replacements.
Sometimes this is the best job in the world.........
Celebrating Mum’s 80th birthday today almost 12 months to the day! (Accident 18th September )
Thank you for the part you played in her remarkable recovery! Always grateful... I captured some elements of the journey... Thought you should see it and be proud! Feel free to share. We have not been able to get back to say thank you due to COVID
This brilliant stemmed acetabular component from @implantcast_gmbh means it is possible to offer patients with bone tumours, metastasis and extensive pelvic fractures an acute hip replacement to get them up and back on their feet immediately. The stem fixes directly into the thick bone at the back of the pelvis (sciatic buttress) allowing the hip to be reconstructed with little or no bone around the cup (acetabulum). Had the privilege of being involved with 5 such cases in the last few months. One of which was bilateral! (Stock photo to protect patient confidentiality)
Leaving work a few weeks ago, just after the pandemic began I watched nursing staff line up quietly, 2 metres apart the whole length of the hospital atrium. They patiently waited to write tributes and pin heartfelt messages on a board that held a picture of a staff member who had recently died. After a moment of silence the nurse at the front wiped her tears, turned around and walked straight back onto the ward.
You know things are getting serious when the orthopaedic surgeons get sent for ECG training. Southmead hospital are running voluntary training sessions for surgeons to learn to manage sick medical and COVID +ve patients. I turned up this morning to find half the department had volunteered. Even the most senior trauma surgeons were there practicing skills they hadn’t used since medical school. We may not be the first speciality that comes to mind when you think about managing a respiratory virus pandemic but we are all in this together and will do whatever is required. #protectthenhs
It has been a privilege to have been part of the major trauma team looking after civilians and alongside the military here in Birmingham. Patients and Service Personnel treated here receive the best care I have seen anywhere in the world. It has been an honour. Thank you #uhbtrust #majortraumacentre
Doctorate ✅
3 year deadline and handed in with 30 minutes to spare but well worth it.
Thanks to everyone in the Cardiff University Biomechanics and Bioengineering Centre for your help with this project; BOFAS and AO UK for your funding and Dr Emma Blain for your patience and support.
A project that set out simply to compare arthritic change in two different joints snowballed providing biological justification for PRP and stem cell treatments in addition to identifying catabolic pathways that can be targeted with existing drugs! Watch out lancet here we come.... #prp #stemcelltherapy #osteoarthritis
Brilliant introduction to the Mako (Stryker) Robot last week in Exeter. The robotic arm allows surgeons to cut and position knee/hip replacements within a millimetre or degree of the pre-operative plan. Improved alignment, better post operative range of movement and reduced pain means most patients leave hospital a day early (kayani 2019).
Platelet Rich Plasma (PRP) is an effective and safe treatment for tendon pain and is now recommended for use in knee arthritis. The procedure involves taking a small sample of blood and spinning it down to remove all the beneficial growth factors before injecting it into the tendon or joint. PRP has been shown to provide better pain relief than hyaluronic acid injections (laudy 2015 BJSM) and doesn’t worse arthritis like cortisone injections (kompel 2019 radiology)
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