Mr Keith Borowsky

Consultant Upper Limb Surgeon

MB BCh (Wits), FCS (SA) (Orth), MMed (Orth)

Specialises in

  • Shoulder arthroscopy
  • Rotator cuff repair
  • Joint pain treatment (joint injections)
  • Joint manipulation treatment

Also available for:

Virtual consultations:

Languages spoken

English, French, German, Afrikaans, Hebrew

I have been practising orthopaedics for 35 years and have been a consultant for 27 years, working in both academic institutions and in private practice. I offer expertise for all shoulder and elbow arthroscopic and reconstructive procedures, as well as conservative non-surgical management with ultrasound guided injections and specialised physiotherapy.

Over 14 years as a substantive consultant at Medway Maritime Hospital, I established a shoulder and elbow service for both arthroscopic and reconstructive procedures and acted as Clinical Lead Clinician and Head of Clinical Governance for the department. I then took sabbatical leave to develop private research and am now developing a shoulder replacement for fractures. I have broad experience in orthopaedics and specialise in both conservative management with ultrasound guided injection and both arthroscopic and open surgery. I currently perform around 200 procedures per year and I divide my time between practice, clinical work and research.

I have broad experience in both arthroscopic and open reconstructive surgery of both the shoulder and elbow - which I have regularly practiced both on the NHS and privately since 1998.

In addition to my clinical work, I have also worked as an Honorary Senior Lecturer at Brighton and Sussex Medical School - where I have performed extensive mechanical studies on fractures of the shoulder, that have been the basis of acceptance of two articles in the International Journal of Shoulder and Elbow Surgery. The first article outlines an interpretation of the current problem with shoulder replacement for fractures. This article also won the prize for Best Podium Presentation at the British Shoulder and Elbow Society meeting. The second article outlines a potential solution. I also practice in the Medico-legal field and have a keen interest in both injury compensation and medical negligence. I particularly enjoy working with the team at Spire Alexandra Hospital and my patients in the quest for reliving pain and restoring function.

I am the leader, designer and co-ordinator of an initiative to develop a new shoulder replacement implant for fractures of the proximal humerus (shoulder). This is a challenging problem that particularly affects elderly women who tend to have osteoporotic bone. Treatment of these fractures is internationally recognised as an unsolved problem in orthopaedics. I am also involved in research into the problem of massive rotator cuff tears and possible prosthetic solutions for this.

Most of my initial research has been at Brighton and Sussex Medical School in a position of Honorary Senior Lecturer. I have also gained experience in Solid Works 3D design in order to further research into prosthetic devices. I also practice in the Medico-legal field and have a keen interest in both injury compensation and medical negligence.

I have been a Consultant at Spire Alexandra Hospital for 20 years and one of the most important things about this hospital is the tone - this is a hospital whose staff know each other well and are not only experts in what they do, but have the time to care and listen on an individual basis. I have seen the difference this makes to treatment and how people appreciate this.


General Medical Council Number: C3158102

Treatment information

Some of the principal treatments carried out by Mr Keith Borowsky at Spire include:


Other treatments

  • Ultrasound guided joint injections

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Additional information

Elbow surgery
Hand surgery
Shoulder surgery
Sports injury
Upper limb surgery
Wrist surgery
Soft tissue injuries
Sports medicine
Soft tissue injury

Special clinical interests: Ultrasound guided joint injections; Arthroscopy; Shoulder surgery; Elbow surgery; Osteoarthritis and shoulder joint replacement; Sports injury; Upper limb surgery; Wrist surgery; Soft tissue injuries; Medico legal reports.

MB BCh / University of Witwatersrand Johannesburg / 1982
Bachelor of Medicine, Bachelor of Surgery
MB BCh is a degree given to physicians on the basis of training.

Professional memberships

British Orthopaedic Association (BOA)

British Shoulder and Elbow Society (BESS)

South East Shoulder and Elbow Group (SETSEG)

Professional leadership

I am currently involved in research into prosthetic replacement for both Shoulder Fracture and Massive Cuff tear. Previously on the NHS, I held the position of Lead Clinician in the Orthopaedic Department and Head of Clinical Governance for Orthopaedics.

  • Hemi arthroplasty replacement for complex fractures of the shoulder
  • Ultrasound injections
  • Orthopaedic joint fusion


Is failure of tuberosity suture repair in hemiarthroplasty for fracture mechanical?

A new concept for tuberosity repair in hemiarthroplasty for fracture use of a clamp and underlying ledge to form a trapdoor

Honorary Senior Lecturer at Brighton and Sussex Medical School.

Personal interests: Classical music, piano, mathematics and 3D software. 

Owns 100% of an Ultrasound scanner he uses at the hospital.
Telephone 01634 662 822 / 662 845
Private secretary Jan Roberts
Private secretary telephone 01634 662 812
Private secretary email