My Approach

Honest Decision Making

Not every knee needs an operation — and not every patient is best served privately. Patients with significant medical comorbidities or complex systemic disease are often better managed through NHS pathways, where the full multidisciplinary team is immediately available. Mr Ross-Thriepland will tell you honestly which setting is right for you.

When surgery is the right answer, the 6R framework ensures the most appropriate intervention is chosen — preserving and reconstructing before realigning, and realigning before replacing. Every consultation ends with a clear, evidence-based recommendation and an honest explanation of the alternatives. You will see the same consultant throughout.

The SRT 6R Framework™

The knee is a mechanical system. The 6R Framework applies engineering thinking to clinical decision-making — working through a structured hierarchy to find the least invasive, most anatomy-preserving solution for each individual patient.

  • Restore Anatomy
    Anatomical reconstruction where native structure can be preserved. What can be saved, should be saved.

  • Repair Tissue
    Ligamentous and soft tissue repair using proven techniques — restoring the passive stabilisers before addressing bone.

  • Realign Mechanics
    Mechanical axis correction via osteotomy — redistributing load away from damaged compartments to slow or halt progression.

  • Resurface Cartilage
    Cartilage restoration for appropriate candidates — addressing focal defects before end-stage degeneration develops.

  • Replace When Necessary
    Unicompartmental or total arthroplasty when biological options are exhausted — implant selection informed by engineering knowledge.

  • Return to Function
    A structured return-to-sport and rehabilitation pathway co-designed with specialist physiotherapy. Success measured by what you do again.