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, tumours, and congenital conditions.

Our orthopaedic surgeons are trained in all aspects of orthopaedic surgery, however they each have a special interest in specific areas. 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 upper limb specialist, Mr Marius Negru, include carpal tunnel syndrome, trigger finger/thumb problems, ulna nerve entrapment syndromes, tennis and golfers elbow, Dupuytren’s contracture, hand and wrist ganglions.  

Shoulder Conditions

Mr Marius Negru is also able to investigate and treat all major shoulder conditions including pain, degenerative / arthritic disease and bony injuries.

Foot Conditions

Common foot problems include degenerative disease, bunions, gait disorders, plantar fasciitis, Morton’s neuroma (a painful lump related to the nerves in the foot), fractures, congenital deformity and hammer toes. Many of these conditions can be treated locally in the clinic by our podiatry service, more complex procedures are undertaken by surgeons in our partner hospitals in Spain.

Knee & Lower leg problems

Mr Thomas Boerger, our orthopaedic knee and hip specialist, treats degenerative disease and traumatic injuries 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, unicondylar Oxford knee replacement and total knee replacement.  

Hip Conditions

Mr Boerger investigates and treats established hip arthritis. He provides total hip replacement surgery for patients who can no longer manage their symptoms with non-surgical means.

Partial Knee Replacement

Mr Boerger provides partial knee replacement surgery, mainly as an uncemented implant, to patients with single compartment knee osteoarthritis. The Oxford medial partial knee replacement provides excellent clinical outcomes and high rates of patient satisfaction. Partial knee replacement replaces only the arthritic part of the knee. It can correct bow leg deformity. Importantly, the cruciate ligaments and the unaffected compartments are preserved resulting in normal knee movements and a natural knee feel.

Mr Boerger provides bilateral partial knee replacement in one operation when required. Instead of undergoing two operations patients benefit from having both knees replaced during a single treatment episode. One pre-assessment, one anaesthetic, one hospital admission, one period of rehabilitation and follow-up. The cumulative risks are smaller than with two separate operations.

Total Knee Replacement

Total knee replacement is appropriate when more than one of the three knee compartments is affected by osteoarthritis, the knee is stiff and or deformed.

Mr Boerger performs total knee replacement with and without robotic assistance using industry leading implants.

Mr Boerger utilises the CORI Robotic Assisted Surgical System to enhance precision and predictability in total knee replacement.

Arthroscopy of the Knee

Mr Thomas Boerger is an expert arthroscopic knee surgeon. Procedures he carries out arthroscopically include meniscectomy, meniscal repair, cartilage surgery and anterior cruciate ligament reconstruction.

Hip Conditions

Mr Boerger is 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,  stabilisation of hip fractures, release of the lateral cutaneous nerve of thigh and, distal fascia lata release for chronic trochanteric bursitis.  

Broken bones & trauma

All our orthopaedic surgical team are experienced trauma surgeons.  As such they are able to manage most bone fractures either conservatively or using surgical techniques. 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) at our partner hospitals in Spain.

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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 & Orthopaedic) 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

Mr Boerger is a Consultant Specialist Knee Surgeon. With a career spanning three decades, Mr. Boerger is fully licenced and registered in the UK & Gibraltar as well as in Spain. Procedures undertaken: • Total knee replacement • Partial knee replacement • Bilateral partial knee replacement • Robotic assisted total and partial knee replacement. (CORI) • Arthroscopy of the knee • Anterior cruciate ligament reconstruction (ACLR) • ACLR in combination with lateral extra-articular tenodesis or LCLR • Meniscus surgery including repair • Cartilage surgery of the knee • Total hip replacement • Injections: Steroid, Hyaluronic Acid and PRP Mr Boerger is recognised for clinical excellence across Gibraltar, UK, and Europe. Mr Thomas Boerger is convinced of the benefits of accelerated recovery after hip and knee surgery. Patients are encouraged to mobilise on the day of surgery. Arthroscopy and ACL reconstruction patients usually go home on the day of surgery.


Languages spoken

English, German, reads medical Spanish


Interests

Coffee, Guitars, Gardening