Mr Shibu Krishnan

I am a specialist Consultant Hip and Knee Surgeon, fellowship-trained in hip and knee arthroplasty, with a high-volume joint replacement and sports knee practice in Buckinghamshire.

My practice focuses on minimally invasive total hip replacement, robotic-assisted knee replacement, ACL reconstruction, complex primary and revision joint replacement, and sports knee injuries.

My latest National Joint Registry practice profile records more than 350 joint replacement procedures in a 12-month period, reflecting extensive experience in hip and knee replacement surgery.

I have particular expertise and extensive experience in minimally invasive total hip replacement. I use tissue-sparing techniques designed to minimise unnecessary disruption to muscles and surrounding soft tissues while achieving accurate reconstruction and stable implant positioning. My aim is to reduce pain, restore mobility and help patients return to their normal activities.

I perform total and partial knee replacements, including complex primary and revision procedures. I also have particular expertise in robotic-assisted total knee replacement. Robotic technology supports detailed surgical planning, accurate bone preparation, implant positioning and individualised knee balancing. It assists the surgeon rather than operating independently. I combine modern technology with extensive conventional knee replacement experience to tailor surgery to each patient's anatomy and clinical needs.

Alongside joint replacement, I have extensive experience in ACL reconstruction, knee arthroscopy and sports knee surgery, having performed more than 1,000 knee arthroscopies. I treat ACL injuries, knee instability, meniscal tears and cartilage injuries, including combined injuries affecting multiple structures within the knee. Not every ACL injury requires surgery. I assess knee stability, symptoms, sporting requirements and associated injuries before recommending treatment. Where appropriate, ACL reconstruction aims to restore stability and support rehabilitation towards returning to sport, exercise and everyday activities. My sports knee practice also includes meniscal repair, cartilage repair and restoration, and joint-preserving surgery, supported by specialist research and fellowship training in cartilage regeneration.

I undertake complex primary and revision hip and knee replacement surgery, including the assessment and treatment of painful, loose, unstable, worn or otherwise problematic previous joint replacements. These procedures often require detailed investigation, careful planning and specialist surgical expertise.

Not every patient with hip or knee pain requires an operation. I consider rehabilitation, injections and joint-preserving treatments where appropriate. For knee osteoarthritis, my practice includes Arthrosamid® injection in appropriately selected patients. Treatment recommendations are based on symptoms, examination findings, imaging, activity requirements and individual goals.

I completed higher surgical training in Trauma and Orthopaedics on the North-West London training programme, followed by specialist fellowship training at the Royal National Orthopaedic Hospital, Stanmore, including research in cartilage regeneration and a Lower Limb Fellowship. I subsequently completed the British Orthopaedic Association Transitional Fellowship in Hip and Knee Surgery, with further specialist training at St Mary's Major Trauma Centre, London, and University Clinic Münster, Germany. I am an Assistant Professor at St George's University School of Medicine, Grenada, an Associate Editor of the International Journal of Orthopaedic Sciences and a reviewer for The Bone & Joint Journal since 2012. My NHS practice is at High Wycombe Hospital and Stoke Mandeville Hospital, Buckinghamshire Healthcare NHS Trust.

I believe in treating the individual patient rather than simply an X-ray or scan. I take time to understand each patient's symptoms, lifestyle, expectations and treatment goals. Where appropriate, I consider non-operative and joint-preserving treatments before recommending surgery. When surgery is required, I combine extensive surgical experience with modern techniques to help reduce pain, restore function and support a return to the activities that matter most to each patient.

Outside work, I enjoy road cycling and hiking.