He treats all aspects of knee injury and disease. He regularly cares for soft tissue and bone injury, sporting injuries and chronic disease. He performs surgery for various knee ligament injuries, including ACL rupture. He also treats meniscal injuries, with repairs or partial excisions where required. When damage to the joint surface is irreparable Damian also undertakes knee replacement surgery. This includies total and partial knee replacements. Damian only uses implants that he considers the most reliable, those that are followed by the national joint registry. He has an interest in enhanced recovery after surgery and has been developing the use of day case arthroplasty surgery for patients who are interested. He has been working with App developers to deliver an app that supports the patients experience of surgery.