Signature knee replacement

Knee replacement surgery providing more of a custom fit specifically for you.


An MRI scan is used to plan the use of the Signature custom guides for the surgeon, giving optimal recovery for the patient.

Why you might need it

An MRI (magnetic resonance imaging) 3D scan is used to plan the use of the Signature custom femoral and tibial alignment guides, that enables the surgeon to create a detailed pre-operative surgery plan, tailored to the patient's specific requirements.

The Signature technology and custom made alignment guides allow the surgeon to accurately recreate the patient’s original limb alignment providing a knee replacement which replicates the patient’s unique anatomy. By recreating the patient’s individual anatomy the surgeon can provide the optimal post operative result. 

This less invasive surgical procedure, is similar to a traditional knee replacement but without the requirement to place instruments inside the thigh and shin bone to assist with alignment and positioning. This can significantly effect the outcome of the procedure by reducing medical complications and long term loosening rates.

Find a Spire hospital offering this treatment

Who will do it?

Our patients are at the heart of what we do and we want you to be in control of your care. To us, that means you can choose the consultant you want to see, and when you want. They'll be with you every step of the way.

All of our consultants are of the highest calibre and benefit from working in our modern, well-equipped hospitals.

Our consultants have high standards to meet, often holding specialist NHS posts and delivering expertise in complex sub-specialty surgeries. Many of our consultants have international reputations for their research in their specialised field.

Before your treatment

You will have a formal consultation with a healthcare professional. During this time you will be able to explain your medical history, symptoms and raise any concerns that you might have.

We will also discuss with you whether any further diagnostic tests, such as scans or blood tests, are needed. Any additional costs will be discussed before further tests are carried out.

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Preparing for your treatment

We've tried to make your experience with us as easy and relaxed as possible.

For more information on visiting hours, our food, what to pack if you're staying with us, parking and all those other important practicalities, please visit our patient information pages.

Our dedicated team will also give you tailored advice to follow in the run up to your visit.

The procedure

During the knee replacement procedure, an assortment of instruments are used to verify component sizing, establish proper positioning and remove bone and cartilage. Traditional total knee replacement sometimes uses instruments placed inside the thighbone and/or shinbone to assist with implant alignment and positioning.

Signature personalised positioning guides are placed directly onto your thighbone and shinbone, and therefore do not require instrumentation of the bone canal, allowing for a potentially less invasive procedure and a reduced number of instruments used during surgery.

Why choose Spire?

We are committed to delivering excellent individual care and customer service across our network of hospitals, clinics and specialist care centres around the UK. Our dedicated and highly trained team aim to achieve consistently excellent results. For us it's more than just treating patients, it's about looking after people.

Important to note

The treatment described on this page may be adapted to meet your individual needs, so it's important to follow your healthcare professional's advice and raise any questions that you may have with them.

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