Knee pain can stop you from being active or even prevent you from doing day to day tasks. Painkillers and physiotherapy can help in many cases, but long-lasting or severe pain will sometimes need further treatment.

The Exeter Knee Reconstruction Unit (EKRU) is a team of specialist knee surgeons and health professionals. We aim to provide world class treatment for knee problems.

We are the largest knee unit in the South West, performing more than 150 ligament reconstructions, 600 knee replacements and more than 100 revision operations every year. We also act as a tertiary referral centre for the South West for complex knee problems. We also run specialist knee pain and infection clinics.

More on what we do

We carry out knee replacement and reconstructive surgery, including ligament and cartilage restoration. We are also involved in the latest research and techniques in cartilage grafting, ligament reconstruction, management of complex lower limb trauma, post-traumatic reconstruction, primary knee replacement, computer navigated and robotic knee surgery and revision knee surgery.

We have access to a specialist physiotherapy gym and a cutting edge laboratory.


Our surgeons perform the following operations and treatments:

  • Sports surgery
  • Biologics
  • Cartilage and meniscal transplant
  • Ligament reconstruction
  • Osteotomy
  • Patellofemoral surgery
  • Partial knee replacement
  • Knee replacement
  • Revision surgery
  • Trauma and fracture surgery

Our team

We have six orthopaedic knee consultant surgeons:

  • Mr Keith Eyres (primary and revision knee arthroplasty, Osteotomy)
  • Professor Andrew Toms (primary and revision knee arthroplasty, Osteotomy)
  • Mr Vipul Mandalia (ligament reconstruction, cartilage & meniscus surgery and , Patellofemoral surgery and primary knee arthroplasty, Osteotomy)
  • Mr Jonathan Phillips (primary and revision knee arthroplasty)
  • Mr Simon Middleton (ligament reconstruction and meniscal surgery, primary arthroplasty)
  • Mr Ben Waterson (primary and revision knee arthroplasty)

They are each supported by a team of surgical care practitioners, extended scope physiotherapists, orthopaedic knee fellows, registrars and junior doctors.

There is a dedicated team of medical secretaries and clerks, as well as an experienced team of ward and theatre practitioners.

Where to find us

RD&E Wonford, Barrack Rd, Exeter EX2 5DW

Princess Elizabeth Orthopaedic Centre (PEOC)

There is a separate entrance and car park for orthopaedics. However if you are attending from the main entrance of the hospital, turn right onto the main corridor and you will find us right at the end, past area J. Our reception area is on level 0.

The wards where the team work are Knapp, Dyball, Robin Ling, Durbin, Bramble and the Orthopaedic Admissions Unit.

Contact us

Our medical secretaries manage all patient and professional enquiries in the first instance.

Mr Eyres’ secretary: 01392 403529

Professor Toms’ secretary: 01392 403562

Mr Mandalia’s secretary: 01392 403501

Mr Phillips’ secretary: 01392 404774

Mr Middleton’s secretary:  01392 403574

Mr Waterson’s secretary: 01392 403494

Community services

We provide surgical and nursing care for patients of the PEOC in our community hospitals.


We have outpatient clinics running most days in the Outpatient Department of PEOC.

We also run a Virtual Knee Clinic which allows for some patients to have their X-rays at a department nearer their home and for their routine follow up care to be carried out without needing to come to the hospital. This is not available for all patients following surgery but we will invite patients that are suitable.

Supporting you

A number of activities take place within the unit to benefit ongoing patient care and develop effective and successful treatment pathways, including:

EKRU prides itself in delivering high quality, patient focused research. We have a number of research trials ongoing at any time and you may be invited to participate. All our research trials will have been reviewed by an ethics committee to ensure that we adhere to the highest standards of research practice.

EKRU has published over 90 research papers over the last 10 years. Notable studies include the evaluation of pain after knee replacement, treatment of infection, kinematic alignment and an anatomical analysis of the ligaments around the knee.

Patient Outcomes in Exeter
EKRU are pleased to publish excellent outcomes for our patients that are among the best in the UK. Results are publicly available through the “My NHS” website.

Patient Involvement
EKRU have started a peer support programme for patients undergoing the replacement surgery. The “Exeter Knee Supporters” meet regularly to provide moral support for our patients. We also host a “Patient Research Panel” who provide advice and a patient’s prospective on the design of knee research studies and patient information leaflets.

We have hosted successful Exeter Knee Walks every year since 2016 and we aim to continue to run these annually.

In 2017, the EKRU team were shortlisted for the UK Surgical Team of the Year at the prestigious British Medical Association’s Team of the Year Awards.

Education and Training
The team at EKRU host regular courses, teaching other consultant orthopaedic surgeons, trainee surgeons and health professionals how best to treat conditions of the knee.

Our surgeons are regularly invited as faculty to teach on a wide variety of courses.

We also have surgeons in training working with us. Over the past twelve years, 29 knee fellows have received specialist knee surgery training in Exeter.

Knee Fellowships
Are you interested in applying for one of our prestigious Exeter Knee Fellowships? Look out for vacancy advertisements in NHS Jobs. To arrange informal conversations regarding our fellowships you can email and your message will be forwarded.


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