Miller Orthopaedic Surgery

08/08/2026

From complex knee reconstruction to a 5K run 🏃‍♂️

4½ months after a robotic-assisted total knee replacement — and Jason has just completed his first official 5K in over five years.

Jason underwent a robotic-assisted total knee replacement in March 2026. This was a particularly complex case, with previous metalwork from an ACL reconstruction creating significant challenges for planning and implant positioning.

The Mako robotic system allowed us to carefully plan the operation in three dimensions, taking the existing fixation into account and optimising the position and balance of the knee replacement.

The result has been fantastic.

By May, Jason was comfortably walking several miles a day with his dog. He then managed the walking demands of Las Vegas, followed by around 10 miles a day at the British Grand Prix in July.

And now… he’s running again. 🙌

“Just over 30 minutes, which I’m happy with for a first proper run in 5 years! Good job my son was there to drag me around. Knee all good 👍”

His next goal? Building his fitness back up and completing a triathlon. 🏊‍♂️🚴‍♂️🏃‍♂️

For me, this is exactly what modern knee replacement surgery should be about — not simply relieving pain, but helping patients get back to the activities that matter to them.

A complex case, meticulous planning, robotic-assisted surgery and, most importantly, a motivated patient who has worked incredibly hard on his recovery.

Congratulations Jason — what a result! 👏

KneeSurgery Orthopaedics KneeReconstruction PatientSuccess 5KRun RunningAfterKneeReplacement

07/08/2026

Today, a national conversation has started.

Richard Littlejohn has shared his experience with Arthrosamid® after six years of debilitating knee pain, describing how the treatment helped him avoid an immediate knee replacement and asking whether innovations like this could help reduce NHS waiting lists.

But this is just the beginning.

I’m incredibly proud that Contura, the manufacturer of Arthrosamid®, has recently funded a £250,000 clinical research study in partnership with Aneurin Bevan University Health Board and Cardiff University.

The study will recruit 100 patients currently waiting for knee replacement surgery in Wales. Each patient will receive an Arthrosamid injection, and we will follow them carefully to determine whether they still require knee replacement surgery after treatment.

This is an exciting opportunity to generate high-quality evidence that could help shape the future management of knee osteoarthritis and potentially improve outcomes for thousands of patients.

I’m delighted to be leading this study as Chief Research Lead, alongside Emma Blaine at Cardiff University, working with colleagues across Aneurin Bevan University Health Board.

Research changes practice. We look forward to sharing the results over the coming years.

AneurinBevanUHB Innovation KneePain JointPreservation EvidenceBasedMedicine AndrewMiller ClinicalResearch

27/06/2026

100 MAKO-assisted joint replacements 🎉🤖

I was delighted to be joined by the Chief Executive of St Joseph’s Hospital, Stuart Hammond, as we marked this special occasion.

A huge thank you to the exceptional theatre team, anaesthetists, ward staff and everyone behind the scenes who make these procedures possible. Robotic-assisted joint replacement is a true team effort, and I’m fortunate to work alongside such talented colleagues.

The MAKO system doesn’t replace surgical judgement—it enhances it. By combining advanced 3D planning with real-time intraoperative guidance, it allows me to perform every operation with precision while tailoring treatment to each patient’s individual anatomy.

Thank you to St Joseph’s Hospital for supporting innovation, to Stryker for their partnership, and for the fantastic surprise cake to mark the occasion! 🎂

Most importantly, thank you to my patients for placing their trust in me. It’s a privilege to help people regain their mobility, reduce pain and return to the activities they enjoy.

Here’s to continuing to innovate, improve patient care, and many more successful MAKO-assisted joint replacements at St Joseph’s.

09/06/2026

24/04/2026

Congratulations on an exceptional academic presentation at the recent Isokinetic meeting.

19/02/2026

17/12/2025

Pioneering research at our Biomechanics and Bioengineering Research Centre in Wales is shaping the future of osteoarthritis care and rehabilitation through cutting-edge technology and innovation. Learn more: https://www.arthritis-uk.org/our-research/our-research-impact/our-research-centres/biomechanics-and-bioengineering-research-centre-impact-report/ Cardiff University

16/12/2025

Cardiff University
Arthritis Research Showcase

13/10/2025

5 weeks post robotic partial knee replacement (posted with consent)