Treatments & procedures

Focused, evidence-based care for the shoulder and upper limb, with robotic-assisted joint replacement for the hip and knee.

Shoulder Surgery & Replacement

Dr Julyan's principal interest. From keyhole repair to anatomic and reverse replacement, including MAKO robotic shoulder replacement.

  • Rotator cuff repair
  • Shoulder instability & dislocation
  • Impingement & bursitis
  • Anatomic & reverse replacement
  • MAKO robotic shoulder
  • Frozen shoulder

Robotic Joint Replacement

MAKO robotic-assisted surgery plans and places each implant with sub-millimetre accuracy, supported by ARVIS augmented reality.

  • MAKO robotic knee replacement
  • MAKO robotic hip replacement
  • MAKO robotic shoulder
  • ARVIS augmented-reality guidance
  • Partial & total options
  • Faster, more predictable recovery

Arthroscopy (Keyhole)

Minimally invasive surgery through small incisions, reducing pain and speeding recovery for many shoulder, knee and elbow problems.

  • Diagnostic arthroscopy
  • Shoulder & rotator cuff
  • Knee meniscus & cartilage
  • Elbow debridement
  • Day-case where suitable
  • Lower-impact rehabilitation

Elbow Surgery

Treatment for painful, stiff or unstable elbows - surgical and non-surgical.

  • Tennis & golfer's elbow
  • Elbow instability
  • Stiffness & arthritis
  • Ligament reconstruction
  • Nerve entrapment
  • Fracture care

Hand & Wrist

Care for the small, intricate structures of the hand and wrist, where precision matters most.

  • Carpal tunnel release
  • Trigger finger
  • Tendon repair
  • Ganglion removal
  • Wrist arthroscopy
  • Fracture fixation

Sports Injuries

Getting active people back to sport safely, drawing on years as a team doctor for Blue Bulls age-group rugby.

  • Shoulder dislocations
  • Rotator cuff tears
  • Tendon & ligament injuries
  • Overuse conditions
  • Return-to-sport planning
  • Rehabilitation support

Fracture & Trauma

Expert fixation and reconstruction of upper-limb and peri-articular fractures.

  • Shoulder & collarbone fractures
  • Upper-arm & elbow fractures
  • Forearm & wrist fractures
  • Complex peri-articular fractures
  • Internal fixation
  • Post-injury rehabilitation

Your Care Journey

From first visit to full recovery

  1. Step 1

    Consultation

    A thorough history and examination to understand your symptoms and goals.

  2. Step 2

    Diagnosis

    Imaging such as X-ray, ultrasound or MRI to confirm the cause precisely.

  3. Step 3

    Treatment

    A tailored plan - conservative first, surgical (often robotic or keyhole) when needed.

  4. Step 4

    Recovery

    Guided rehabilitation with hand and physiotherapists to restore lasting function.

Not sure which treatment you need?

Book a consultation and Dr Julyan will guide you through the options.

Book an appointment