b'Issue no:29Thirty Years of Surgery problems as wear and tear took their toll on the artificial prostheses. Revision surgery to renew these worn out joints led to the development of new and more complex at The Horder Centre operations. As many of these patients were referred to the Centre for treatment, new techniques and equipment were developed to meet this need. The Centre acquired an Orthosonic System to assist the surgeon when bone cement used at the primary operation had to be removed and new instruments specifically designed for revision surgery were acquired. When new techniques of bone grafting were developed, the Centre set up one of the first bone banks to collect bone from the femoral head of patients undergoing a primary hip replacement, bone which was previously discarded, so that it could be used to repair damaged bone found at revision surgery. It is of interest that when patients are asked to give their permission for their bone to be donated, many express the view that they are delighted their bone can be available to help others in this way. In 2012 the Centre received an award for its contribution to the Live Bone Donation Programme presented by the NHS Blood and Transplant Service.By the dawn of the New Millennium, more than 6,000 major joint replacements and over 3,300 other orthopaedic operations had been carried out and it was clear the theatre suite and surgical wards were nearing the limit of their capacity. In 2002 a major appealThe formalwas launched to raise 2.5 million to pay for a new surgical wing and in 2003 a new twin theatre suite wasopening of the opened. At the same time, extensive refurbishment of old outdated accommodation was carried out, providingsurgical department many benefits for future patients. In 2010, following a government initiative, a newtook place on 25 thcontract Any Qualified Provider was signed, making The Horder Centre the first independent healthcareApril 1990 by the provider in the South East to be awarded this new contract to treat NHS patients. This enabled the Centrethen President, Her to provide NHS services for orthopaedic surgery, pain services and rheumatology. In 2012, with consistentlyRoyal Highness high outcomes, The Horder Centre was named as one of the countrys best providers in an independent annualPrincess Margaretreport by the Dr Foster Guide. Today the Centre performs over 2,000 hip and knee replacements a year and offers a wide range of orthopaedic procedures and services. When last visited by the CQC the Centre was rated as outstanding. 7'