Orthopaedic surgery (Orthopaedics) is the branch of surgery which treats  conditions involving the musculoskeletal system (bones and muscles). Orthopaedic surgeons use both surgical and non-surgical treatments to treat musculoskeletal pathology including trauma, sports injuries, degenerative diseases, infections, tumors, and congenital conditions.

Our orthopaedic surgeons are trained in all aspects of orthopaedic surgery, however have a special interest in diseases of the knee, hip and foot. They have a wide experience in dealing with sports induced injuries and orthopaedic trauma. Some of the orthopaedic services available at the Specialist Medical Clinic are:

Hand & Upper limb Conditions

Common hand and upper limb conditions treated by our specialists include Carpal tunnel syndrome, Trigger finger / thumb problems, Ulna nerve entrapment syndromes, Tennis and golfers elbow, Dupuytren’s contracture, hand and wrist ganglions.  You can read more about our specialist upper limb surgeon Mr Marius Negru here.  and our hand surgeon Mr Andy Fowler.

Shoulder Conditions

Our specialist team (Mr Marius Negru) can investigate and treat all major shoulder conditions including pain, degenerative / arthritic disease and bony injuries, You can read more about our specialist shoulder surgeon Mr Marius Negru here.

Foot Conditions

Common foot problems include degenerative disease, fractures, congenital deformity, Hammer toes, Bunions and Morton’s Neuroma (a painful lump related to the nerves in the foot). Many of these conditions can be treated locally in the clinic. More complex procedures requiring general anaesthesia are undertaken by our surgeons in our partner hospitals in Spain.  You can read more about  our specialist foot surgeon Mr George Chami  here.

Knee & Lower leg problems

Our orthopaedic team treat degenerative disease and traumatic injuriesy to the knee. Procedures available through the clinic include, Arthroscopy +/- meniscectomy, meniscal repair, articular surface debridement, cartilage transfer, anterior and posterior cruciate ligament reconstruction. Other procedures around the knee include Larson’s lateral collateral ligament reconstruction, high tibial osteotomy, uni-condylar Oxford knee replacement and total knee replacement.  You can read more about our specialist knee surgeon Mr Thomas Boerger here.

Hip Conditions

Our orthopaedic team are able to investigate and manage a wide range of hip pathology including arthritis and hip impingement syndromes.  Conditions such as include nerve entrapment syndromes, chronic bursitis and non-arthritic pain are also treated. Surgical procedures include Total Hip replacement,  Stabilization of hip fractures, release of the lateral cutaneous nerve of thigh and , Distal fascia lata release for chronic trochanteric bursitis.  You can read more about our specialist Hip surgeon Mr Thomas Boerger here.

Broken bones & trauma

All our orthopaedic surgical team are experienced trauma surgeons.  As such they are able to manage most bone fractures wither conservatively or using surgical techniques. Treatments available at the clinic include the manipulation and casting of limb fractures. In more complicated cases our team offer open reduction and plate fixation of fractures, intra-medullary long bone fracture fixation, peri-articular fracture fixation and tendon repair (Achilles, Quadriceps, Extensor hand and foot).

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Your Specialists

From a footballer: "I can recommend Dr Thomas Boerger. He explained everything clearly and made me confident to proceed. After my knee injury I was considering options, but it was clear that if I were to return to playing football and being really active , I needed surgery. I am truly happy with the results of my ACL reconstruction. I am back playing football"."

Mr Thomas Boerger MD FRCSI (Tr&Orth)

Consultant Orthopaedic and Trauma Surgeon

Areas of expertise

Hip and Knee replacements Meniscus and Soft Tissue (Knee Ligament) surgery Other general Orthopaedics conditions which include Upper and Lower Limb Fracture fixation, as well as Paediatric Fracture management.

Education and professional training

Mr Boerger undertook his primary medical degree at Free University Berlin, Germany, where he also completed a Research Doctorate. Mr Boerger then embarked on Basic Surgical Training at Imperial College in London. His published medical research is recognised worldwide (400 citations) and the research findings have contributed to current understanding in the biomechanics of the fracture studied. He then completed the Higher Specialist Trauma / Orthopaedic training at North West Thames / Imperial College London, UK. Mr Boerger is also subspecialty and fellowship-trained in both Hip and Knee Arthroplasty (Replacement) and Soft Tissue/Ligament Reconstruction in Florence, Italy, as well as Canberra and Sydney of Australia.

Professional Qualifications, Associations & Accomplishments

MC specialist register for Trauma & Orthopaedics 2005-to date. GMC License to Practice, current. GMC registration, 1992 - to date. CCST / UK Board Certified Trauma & Orthopaedic Surgery 2005. FRCS (Trauma & Orthopaedics) Intercollegiate Examination 2003. FRCSI, Dublin 1997. Medical Doctorate, Berlin Germany 1992. State Examination Medicine, Berlin Germany 1990. British Orthopaedic Association member since 2000. ISAKOS and ESSKA member since 2006.

Professional experience

In 2006, Mr Thomas Boerger was appointed as the first ever fully UK-trained and intercollegiate-board certified Consultant Orthopaedic Specialist Surgeon at St Bernard's Hospital, Gibraltar. He modernized the Orthopaedic specialty in Gibraltar through his work in revolutionizing and strengthening the service to become one that is fit for purpose and ready for the future. Mr Boerger has a well-established professional network and enjoys a reputation of clinical excellence across Gibraltar, UK and Europe. Mr Thomas Boerger prioritizes accelerated recovery after hip and knee surgery whereby patients are facilitated to get up and mobilize within the same day of the replacement surgery; and it is routine that his ACL reconstruction patients go home on the day of surgery. As Mr Boerger offers bilateral partial knee replacement, his patients are also able to avoid a separate second side surgery and can hence concentrate on the single episode of in-patient stay with rehabilitation and a naturally earlier return to pain-free mobility, regaining their independence and confidence in a renewed life.

Languages spoken

English, German, reads medical Spanish


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