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The majority of Mr Pacheco's work consists of knee surgery and sports injuries of the lower limb. He commonly performs knee replacement (total and partial), revision knee surgery, patellofemoral surgery (knee cap) including replacement and stabilisation procedures, complex arthroscopic (keyhole) knee ligament reconstruction and meniscal repair, cartilage procedures and sports injuries surgery. His NHS practice also consists of a wide repertoire of trauma surgery and hip replacement surgery.