City Ortho


Specialist orthopaedics from world-class consultants

Appointments & Enquiries

020 7234 2771

HCA UK at The Shard, London Bridge Hospital

32 St Thomas Street

London  SE1 9BS

About City Ortho

Our team of skilled consultant orthopaedic surgeons specialise in treating all musculoskeletal injuries and conditions. Our specialists have experience of treating all types of orthopaedic problems using minimally invasive techniques.  We have thorough, effective and joined-up pathways and work with excellent therapists in a multi-disciplinary team.

Musculoskeletal conditions affect the joints, bones and muscles and can have a significant impact on quality of life. In the UK, more years are lived with musculoskeletal complaints than any other long-term condition. There are more than 200 musculoskeletal conditions and they are thought to affect around 9.6 million adults and 12,000 children across the country. 

At City Ortho we provide clinical excellence to treat these conditions with an efficient, caring and patient-centred approach. Our internationally renowned consultant orthopaedic surgeons are leaders in their field and have extensive experience in:

  • shoulder and upper limbs
  • hips and knees
  • feet and ankles
  • hands and wrists

Surgical and non-surgical treatment

Surgery is not always necessary for musculoskeletal conditions and our aim is to ensure that all our patients receive an accurate assessment of their injury or condition and a tailor-made treatment plan to get them back to full activity as quickly as possible.

Where surgery is required, we use the latest techniques, reducing the need for general anaesthetic where possible and offering day-case surgery in most types of operation.  Our facilities are among the most advanced in the UK. We have access to world-class diagnostic and surgical facilities and work with London’s leading physiotherapy and rehabilitation teams. 

City Ortho specialties and treatments include:

  • Physiotherapy, osteopathy and injection therapy
  • Hand and wrist surgery: Carpal tunnel release, Trigger finger release, Dupuytren's contracture, ganglion surgery, arthroscopy (keyhole surgery), hand and wrist fractures
  • Hip and knee surgery: Arthroscopic hip and knee surgery, Femero acetabular impingement (FAI) Hip and knee replacements, arthroscopy (keyhole surgery), meniscal repair, replacements and transplants, lower limb fractures
  • Shoulder and upper limb surgery: Rotator cuff repair, Acromioclavicular joint (ACJ) reconstruction, arthroscopic shoulder surgery, shoulder pain, frozen shoulder (adhesive capsulitis)
  • Foot and ankle surgery: Bunion surgery, plantar fasciitis, ligament reconstruction, Achilles tendonitis, arthroscopic foot and ankle surgery, ankle replacements 

The City Ortho team

City Ortho is a team of world-class consultant orthopaedic surgeons. Each member has national and international reputations in their field which means you benefit from expert care using the latest surgical techniques.

We are dedicated to getting our patients back to full mobility as soon as possible. We work with leading therapists and healthcare professionals to ensure you receive the highest possible standards of care and treatment whether you have a common musculoskeletal complaint or a more complex condition.

I have gone to Professor Kochhar for several years for help in managing joint problems. He has been thorough, cautious and responsive. For my series of injections, Professor Kochhar has proceeded with small amounts, and only proceeded to larger amounts, and eventually radiology-assisted procedures, in response to my specific symptoms. Although surgery has been discussed, Professor Kochhar has never pushed surgery but rather presented it as an option. We have worked together on pain management strategies short of surgery, which has better matched my London lifestyle and work requirements.

Julie Elward-Berry, City Ortho patient

Our specialists at City Ortho

Professor Tony Kochhar City Ortho

Professor Tony Kochhar

Consultant Shoulder Elbow and Upper Limb Surgeon


Mr Laurence James

Consultant Foot and Ankle Surgeon


Mr Serge Nikolic

Consultant in Pain Medicine


Mr Jonathan Bird

Consultant Knee Surgeon

Some of the orthopaedic conditions we treat

Our team of consultant orthopaedic surgeons have extensive experience in the treatment of a wide range of conditions including:

rotator cuff repair

Rotator cuff repair

Many rotator cuff tears do not need surgery and the first step in treatment is usually conservative measures. Where surgery is required, major repairs can be carried out arthroscopically (keyhole surgery), as a day-case procedure.


Ankle fractures

An ankle fracture is a break in one or more bones that make up the ankle joint. Sometimes ligaments may also be damaged. Treatment varies and will depend on the type and severity of the injury.


Osteonecrosis of the knee

Osteonecrosis is a condition in which a section of bone dies because of lack of blood supply to it. It is one of the most common causes of knee pain in older women. Consultants at City Ortho have expertise in both surgical and non-surgical treatment options.

Shoulder and elbow

Acromioclavicular joint (ACJ) separation

A shoulder separation is a common injury, especially in certain sports. Most shoulder separations are injuries to the acromioclavicular joint. City Ortho consultants can successfully treat this injury with non-surgical treatment or reconstruction surgery.



City Ortho consultants treat a range of arthritis conditions including osteoarthritis. Osteoarthritis occurs when the protective cartilage on the ends of your bones wears down over time. Symptoms can be effectively managed with lifestyle changes, physiotherapy, medication and surgery in some cases.

Comprehensive diagnostics and imaging

Our facilities incorporate an extensive range of the most advanced technology and equipment to help diagnose and treat all musculoskeletal disorders. Diagnostic tests include:

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    Ultrasound scan – a procedure that uses high-frequency sound waves to create an image of part of the inside of the body

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    CT scan – Computed Tomography scan (CT scan, previously known as a CAT scan) is a scan that uses x-rays and a computer to create images of the body in detail

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    MRI (Magnetic Resonance Imaging) scan - uses magnetism to build a series of cross-sectional pictures of inside the body

The multidisciplinary team caring for our patients

As well as benefiting from highly skilled consultant anaesthetists and physiotherapists, the team is supported by a dedicated administration team with a wealth of experience of working in both the NHS and private healthcare. Orthopaedic Clinical Nurse Specialists support the City Ortho team to ensure specialised care is delivered at every patient touchpoint.
These nurses support patients and their families in every aspect of their care and can help plan each stage of their journey. The comprehensive care you will receive covers all needs for both outpatients and inpatients. We are committed to delivering bespoke care, sensitive to any specialist requirements or cultural needs. 

View all treatments and services

  • Physiotherapy

    Need to know

    A science-based method of therapeutic techniques to help recovery of muscles and joints and rehabilitate them after illness, surgery and injuries. Physiotherapy helps you rebuild strength, restore your mobility, flexibility and function, it can support you back to full fitness or a more active life....

  • Osteopathy and chiropractic treatments for sports injuries

    Need to know

    Osteopathy and chiropractic treatments are considered to be types of complementary and alternative medicine (CAM). They do not involve the use of surgery or drugs, and treatment is based on soft tissue treatment and manipulation of joints and the spine. Common sport-related injuries they are used to...

  • Injection therapies sports medicine

    Need to know

    We use a range of injection therapies, including ultrasound guided injections (also known as corticosteroid injections) and platelet rich plasma (PRP) injections, to reduce inflammation, minimise scar tissue and promote tissue regeneration. These are used in peripheral joints and around tendons...

  • Trigger finger release

    Need to know

    Trigger finger, which is also known as stenosing tenosynovitis, is a painful condition where your finger or thumb jams or locks. If steroid injections fail to treat the condition, a small operation can be done to stop your tendons from catching in the tunnels in your hand.

  • Carpal tunnel release

    Need to know

    Carpal tunnel syndrome is a condition where there's pressure on the nerve that controls sensation and movement in your wrist and hand. This nerve runs through the carpal tunnel in your hand. Carpel tunnel surgery to release the pressure on the nerve is recommended when other treatments have failed to...

  • Treatments for Dupuytrens contracture

    Need to know

    Dupuytren's contracture is a condition affecting the hand. It can be treated with injected medicine and sometimes surgery. The first symptoms are small, fluid-filled lumps under the skin in the palm of the hand. These contain collagen, a type of protein. As the protein builds, a rope-like cord develops...

  • Ganglion removal

    Need to know

    A ganglion cyst is a bump that usually appears on the fingers or wrist. Its exact causes are unknown, although it is thought to be a leakage of synovial fluid from the joint or tendon. While benign, a ganglion can be unsightly, may cause pain and can even restrict movement. We can offer two main options...

  • Hip replacement surgery

    Need to know


  • Meniscal surgery

    Need to know

    Damage to cartilage in the knee can happen at any age. Your treatment will depend on the type of tear you have. Tears caused by long-term wear typically require part of the damaged tissue to be removed, while less serious tears can sometimes be repaired with keyhole surgery. Many types of degenerative...

  • Arthroscopic meniscectomy

    Need to know

    Damage to the cushioning cartilage within the knee (meniscus) can happen at any age. A meniscectomy is a key hole procedure to remove the damaged part of this cartilage. This procedure aims to reduce pain and swelling in the knee and improve function.

  • Ankle replacement surgery

    Need to know

    Ankle replacement surgery is a treatment to relieve the pain caused by ankle arthritis. Your consultant may recommend ankle replacement surgery if your symptoms have not responded to other treatments. During the surgery, your surgeon will remove the ends of the damaged bones and fit a plastic-and-metal...

  • Ankle lateral ligament reconstruction

    Need to know

    If you have ankle instability, your consultant may recommend lateral ligament reconstruction surgery. Here, the weakened ligaments on either side of the ankle are renewed to better support the ankle and increase mobility. This procedure is used to strengthen sprained ankles where the ligaments have...

  • Bunion removal

    Need to know

    Pressure on the inside of your foot can cause your big toe to be pushed against your other toes. As a result a bunion (a painful bony lump) forms, which is a deformity of your big toe. Bunion removal can get rid of this bony lump and also help to realign your toes.

  • Bunion correction surgery

    Need to know

    A bunion is a deformity of your big toe. If there is too much pressure on the inside of your foot at the base of your big toe, it can be pushed against your other toes. A painful, bony lump then forms on the joint. Bunion correction surgery can remove this bony lump, helping to realign your toes.

Our location

HCA UK at The Shard,

London Bridge Hospital, 32 St Thomas Street

London SE1 9BS

Contact us

City Ortho is situated in London Bridge Hospital. Outpatients take place at HCA UK at The Shard.

020 7234 2771
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