As a practising orthopaedic surgeon, Dr Jacques du Toit provides fastidious care to his patients, striving for a return to mobility and full functionality of the limb after surgery.
ORTHOPAEDIC SURGEON WITH SPECIAL INTEREST AND EXPERIENCE IN JOINT REPLACEMENTS, REVISION & INFECTED JOINT SURGERY.
Dr ALJ du Toit is an orthopaedic surgeon with a focused practice in knee and hip joint replacements, complex joint revision surgery, prosthetic joint infection (PJI) management, and orthopaedic oncology. He is one of a limited number of surgeons with dedicated expertise in managing failed and infected joint replacements, often treating complex referral cases from across South Africa.
With extensive clinical experience and years of international teaching and training in revision arthroplasty and prosthetic joint infection, Dr du Toit provides advanced, evidence-based orthopaedic care for patients requiring both primary and highly complex reconstructive surgery.
SERVICES
JOINT REPLACEMENT SURGERY
Joint replacement surgery can significantly improve mobility, relieve pain, and restore quality of life in patients with advanced joint disease. Dr du Toit specializes in knee replacement and hip replacement surgery, offering both primary and complex procedures tailored to the individual patient.
His approach emphasises:
- Accurate diagnosis and patient selection
- Modern surgical techniques
- Long-term functional outcomes
- Careful peri-operative planning to minimise complications
REVISION JOINT REPLACEMENT & FAILED ARTHROPLASTY
Revision joint replacement surgery is significantly more complex than primary joint replacements and requires specialised training and experience.
Dr Jacques du Toit has a particular interest in the management of failed knee and hip replacements, including cases involving:
- Implant loosening or failure
- Bone loss
- Instability or stiffness
- Previous multiple surgeries
These procedures often require advanced reconstructive techniques and are frequently referred by other orthopaedic surgeons.
PROSTHETIC JOINT INFECTION (PJI) & INFECTED JOINT MANAGEMENT
Prosthetic joint infection is one of the most serious complications following joint replacement surgery and requires specialised multidisciplinary care.
Dr Jacques du Toit is recognised for his focused expertise in the management of infected joint replacements, including:
- One-stage and two-stage revision surgery
- Use of antibiotic cement spacers
- Complex re-implantation strategies
- Long-term infection eradication and limb preservation
He regularly manages chronic and complex infections that have failed previous treatment and has extensive experience in this highly specialised field.
ORTHOPAEDIC ONCOLOGY
Dr du Toit also manages benign and malignant bone and soft tissue tumours, providing assessment, biopsy, and surgical treatment where indicated.
His orthopaedic oncology practice focuses on accurate diagnosis, safe biopsy techniques, and limb-preserving surgical strategies in collaboration with oncology specialists.
GENERAL ORTHOPAEDIC PROCEDURES
General orthopaedic care includes the management of fractures following trauma, as well as soft tissue and nerve-related conditions that affect limb function and mobility.
Dr du Toit provides assessment and surgical treatment for selected general orthopaedic conditions when appropriate.
He also performs minimally invasive arthroscopic surgery of the shoulder and knee for the management of specific injuries, with the aim of restoring function, relieving pain, and enabling a safe return to activity.
SANDTON PROSTHETIC JOINT INFECTION (PJI) UNIT
The Sandton Prosthetic Joint Infection Unit is a specialist, referral-based service dedicated to the management of complex prosthetic joint infections and implant-related bone infections.
It is one of only a limited number of focused PJI units in South Africa managing these challenging conditions within a structured multidisciplinary team (MDT) framework, similar to established international centres.
The unit brings together orthopaedic subspecialists, infectious disease physicians, microbiologists, radiologists, and specialised allied healthcare professionals to provide coordinated, evidence-based care. This collaborative approach allows for individualised treatment strategies, including DAIR, one-stage and two-stage revision surgery, aimed at improving infection eradication rates, limb function, and long-term outcomes.
Management protocols are aligned with internationally accepted PJI guidelines, ensuring that patients receive care consistent with best practice standards used in leading global referral units.