Clinical expertise

Clinical expertise- organised by area

The work spans several connected areas of orthopaedic practice, each with its own decision-making, each with its own evidence, each shaped by the same underlying question: what is the right next step for this joint, at this stage, for this person?

preservationrepairregenerationprecisionrecoveryreplacement, when right

Reviewed and authored by Professor Lee. See credentials and independent verification.

Professor Paul Lee, clinical expertise
The clinical areas

Specialist work, organised the way a patient might experience it

Each area below has its own decision framework, its own treatments, and its own boundary: where Professor Lee would step in, and where he would actively recommend against intervention. Choose where the question begins.

Cartilage and joint preservation, Professor Paul Lee

01

Cartilage and joint preservation

Not every arthritic joint needs to be replaced, and not yet.

Specialist assessment of arthritic joints that may still be preserved, protected or biologically supported before replacement becomes the default. Anchored in the ICRS Accredited Teaching Centre of Excellence in cartilage and joint preservation surgery.

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ChondroFiller and cartilage regeneration, Professor Paul Lee

02

ChondroFiller and cartilage regeneration

Cartilage is not just another tissue.

ChondroFiller (CFI / CFI+ / CFI++), single-stage autologous cartilage implantation (STACi), osteochondral allograft transplantation and preservation strategies for focal full-thickness cartilage defects.

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ACL and sports knee injuries, Professor Paul Lee

03

ACL and sports knee injuries

Ligament preservation, not only ligament reconstruction.

STARR augmented ACL repair, BEAR-style repair, ACL reconstruction, MPFL surgery and a sports-medicine perspective on returning athletic patients to function.

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Meniscus preservation, Professor Paul Lee

04

Meniscus preservation

The meniscus matters more than people are told.

Specialist decision-making around meniscus injury, root tears, augmented meniscus repair and combined cartilage damage, with the long-term joint in mind, not just the symptom.

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Hip preservation and SPAIRE, Professor Paul Lee

05

Hip preservation and SPAIRE

When replacement is right, do it well.

Hip preservation first. When replacement is the right answer, SPAIRE (Spare Piriformis And Internus, Repair Externus) and the Bikini-incision anterior approach preserve the soft tissue around the joint for faster recovery and fewer post-operative restrictions.

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Joint injections and orthobiologics, Professor Paul Lee

06

Joint injections and orthobiologics

Used precisely, not as a marketing category.

Arthrosamid (polyacrylamide hydrogel), PRP, PRF, microfragmented adipose tissue, hyaluronic acid and diagnostic image-guided injections inside a wider preservation strategy.

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Recovery and rehabilitation optimisation, Professor Paul Lee

07

Recovery and rehabilitation optimisation

Recovery is part of the operation, not after it.

Prehabilitation, structured progression, sleep, strength and Regen PhD systems thinking, designed to make whatever treatment you have, work better.

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Hip and knee replacement, Professor Paul Lee

08

Hip and knee replacement

When the joint cannot be saved, the operation still matters.

Hip arthroplasty, knee arthroplasty, kinematic alignment, TWIS-TKR knee replacement, partial vs total joint replacement, and decision-making for the operation that is right for this patient.

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Complex second opinions, Professor Paul Lee

09

Complex second opinions

For the cases where the standard pathway is not the whole answer.

Second-opinion assessment for patients told they need a replacement and want to understand whether anything else is possible. International patients welcome.

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The connecting thread

What connects all of this work

Can your joint still be saved before replacement?

That is the thread that runs through Professor Lee's clinical work. Not every patient is the same. Not every joint is the same. And not every pathway should be approached as though they are.

The areas above are not a menu, they are a way of organising the same underlying question, on the terms that actually matter for the person sitting in the room.

That is where good decisions begin.

Clinical expertise is not only about what can be done

It is about knowing what should and should not be done, and when

preservationrepairregenerationreplacement

The important thing is not simply doing more. It is making sure the decision is the right one.

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Regen PhD
Care Quality
Randox
PHIN
Oryon
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FCA
ISCAS
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MSK Doctors
Regen PhD
Care Quality
Randox
PHIN
Oryon
Sleep and Health Clinic
FCA
ISCAS
Phoenix
MSK Doctors
Regen PhD
Care Quality
Randox
PHIN
Oryon
Sleep and Health Clinic
FCA
ISCAS
Phoenix
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