When a complex orthopaedic case can’t wait and your team can’t make it, Enigma Surgical Support steps in. We provide highly experienced, independent theatre support across primary and revision joint replacement, spinal implant, and trauma implant surgery — fully insured, fully professional, and available within 24 hours anywhere in the UK.
Medical device companies rely on their own clinical specialists to support surgery. But what happens when your staff are sick, double-booked, or simply do not have the experience a complex revision or trauma case demands?
The surgery still goes ahead. The surgeon still needs support. And your client relationship is on the line.
That’s where Enigma Surgical Support comes in.
“We are there as your orthopaedic expert in the room - protecting your customer relationship and ensuring the surgeon has the specialist support they need.”
— Andy Uff, CEO
We work on behalf of medical device companies to provide expert advisory and technical support in theatre - helping surgical teams with instrumentation, implant selection, and technique guidance when your own staff cannot attend.
We don’t touch the patient. We don’t represent the hospital. We represent you, making sure the case runs smoothly and your customer gets the standard of support they expect.
"I recently had the opportunity to work with Enigma, a company that offers representative support for orthopaedic surgical cases when the primary company rep is unavailable. I can confidently say that their service is exceptional and a game-changer for surgeons in need of reliable assistance at short notice. Andy and the Enigma team bring a wealth of primary and revision experience in orthopaedic procedures, implants, and surgical techniques. This truly shines through in the approach to their work. Their deep knowledge and expertise allow them to step in seamlessly, ensuring that operative procedures are completed both efficiently and safely."
- Mr Sunil Panchani | Consultant Orthopaedic Surgeon | Hip and Knee | Wrightington Hospital
Primary joint replacement
We provide confident, experienced theatre support for primary hip, knee, elbow and shoulder replacement procedures. We ensure your instrumentation and implant guidance is delivered to the highest standard.
Revision joint replacement
Revision joint surgery is where our expertise really sets us apart. With over 15 years of orthopaedic experience, our team has deep, hands-on knowledge of revision joint procedures — the kind of complex, complicared orthopaedic surgery that most people simply don’t have the background to support. We do.
Spinal implant surgery
Our team provides specialist theatre support for spinal implant procedures, bringing the same standard of expert, independent advisory support that surgeons and device companies depend on.
Trauma implant surgery
Trauma cases are by nature unpredictable and time-critical. Our team is experienced in supporting trauma implant surgery, ready to mobilise at short notice to ensure your case has the expert cover it needs.
Custom implant surgery
Custom and patient-specific implants require a particularly precise level of technical knowledge in theatre. Our team are experienced in supporting custom implant cases (Both joint replacement and complex trauma), giving surgeons and device companies the confidence that comes from having a genuine specialist in the room.
I had a complex shoulder revision that needed a customised implant. Our implant company had competing cases to cover that day and asked if Enigma Surgical Solutions could step in instead. Andy drove two hundred and ten miles to ensure he was there when we needed him. He was patient with the scrub staff, guiding them on implant assembly, and provided excellent intraoperative guidance on implant positioning, screw selection and placement. Having his expertise on hand for such a complex procedure made all the difference. The procedure went smoothly, and there was no noticeable difference in the level of support compared to having our own implant company’s rep in theatre.
- Mr Owain Ennis | Consultant Orthopaedic Surgeon | Upper Limb | Prince Phillip Hospital
Need cover urgently? We can be available within 24 hours.
Available within 24 hours
We understand that surgical cover is often needed at short notice. Our team can be available within 24 hours when required - giving you a reliable safety net when time is against you.
Fully insured — independently
Our team carries their own personal liability cover. You don’t need to extend your own policy or take on any additional insurance burden. We are a truly plug-and-play solution with no hidden complexity.
Rare, genuine expertise
This isn’t generalist cover. Our specialists bring over 50 years of combined orthopaedic experience across primary and revision joint replacement, spinal, trauma, and custom implant surgery. We have the skills that take years to develop and can’t be improvised in the moment.
A dedicated team of four
We are a team of four experienced orthopaedic surgical support specialists, with backgrounds with the worlds largest orthopaedic companies such as Stryker, ZimmerBiomet and DepuySynthes. We offer you greater availability and flexibility when you need cover at short notice.
UK-wide coverage
We operate across the United Kingdom, ready to travel to wherever your case is taking place.
Protecting your surgeon relationships
We work on your behalf, representing your company in theatre with the professionalism and knowledge your surgeons expect. Your reputation is safe with us.
“When our orthopaedic rep cancelled at 8am that morning, I contacted Enigma Surgical Support straight away. Andy responded immediately and offered to cover the case that same afternoon if we moved the patient to after lunch. We rearranged the list accordingly, and Andy was there. Having someone who knew the procedure inside out, directing the scrub staff and anticipating what came next made a huge difference. The case ran smoothly and efficiently and the anaesthesia risk to the patient was kept to a minimum by avoiding unnecessary delays. Enigma is without question the best surgical case cover company I’ve worked with. Their proactive, knowledgeable support makes a real difference in theatre. I encourage orthopaedic companies to utilise Andy and his team for case coverage. Whether planned or unexpected, Enigma Surgical Support ensures surgeons remain supported when their device company cannot be there. In a profession where reliability and expertise directly impact patient care, Enigma Surgical Support has proven itself to be an invaluable partner.”
- Mr Jeevan Chandrasenan | Consultant Orthopaedic Surgeon | Hip and Knee | Clinical Director, Chesterfield Royal Hospital
Enigma Surgical Support works exclusively with medical device companies operating in the orthopaedic space. Whether you need emergency cover for a case tomorrow, or want to establish an ongoing relationship for reliable backup, we are here when you need us.
If you need a trusted, insured, and genuinely experienced orthopaedic team to call on - we can help.
