Total Knee Replacement

Total Knee Replacement Why is a Knee Replacement Performed? Approximately 80,000 knee replacements are performed annually in the UK and these numbers are increasing each year. The commonest reason to perform a TKR is for osteoarthritis of the knee where the patient’s symptoms are now severe and interfering with quality of life (pain and disability). […]

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Unicompartmental knee replacement

Should I have a unicompartmental knee replacement (UKR)? In many cases patients only have arthritis in only one part of the joint; this is termed medial compartment osteoarthritis and is the commonest pattern of arthritis. If cartilage in the other parts of the knee joint is well preserved, then a patient will be suitable for […]

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Anterior Cruciate Ligament (ACL) Reconstruction

Anterior Cruciate Ligament (ACL) Reconstruction Anterior Cruciate Ligament (ACL) Reconstruction is performed when the knee is persistently unstable. It is one of the most common knee operations performed and has excellent success rates with return to competitive sports within 1 year. The procedure is performed as a day case (sometimes patients are kept in overnight) […]

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Autologous Chondrocyte Implantation

What is Autologous Chondrocyte Implantation? Autologous Chondrocyte Implantation (ACI) is a procedure suitable for larger cartilage defects in the knee (larger than 2 by 3 cm). It is a procedure that has been performed for nearly 20 years and involves taking a biopsy of patient cartilage, growing and culturing your own cartilage cells in a lab, […]

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ABICUS procedure

ABICUS procedure – Bone Marrow Derived Cells Our surgeons have developed a pioneering new technique to regenerate the damaged joint surface (articular cartilage). The procedure has been trialled at University Hospital Southampton, with Gorav Datta as the principle lead for the trial. Patients are suitable if they have a full-thickness cartilage defect, with either normal […]

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Patello Femoral Replacement

Patello Femoral Replacement In around 10% of patients with knee arthritis their pain is coming from a worn knee cap. Although patients with this type of arthritis can usually walk with minimal or no pain when on level ground, they suffer from pain when crouching, going up and down stairs, walking on hills and getting […]

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Knee Arthroscopy

Knee Arthroscopy This procedure is commonly known as ‘key-hole surgery’ because it involves a camera attached to a thin  telescope, being inserted into the knee joint through small incision. This allows the surgeon to look inside the knee joint and identify any problems, small instruments can also be inserted via a second incision to treat […]

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Revision total Knee replacement

Revision Total Knee replacement Although the failure rate per annum is low, knee replacements do not last forever. There are two main reasons to revise a knee replacement. The first, and most common, is infection, which can cause early loosening of the TKR. This usually occurs in the first couple of years after the initial […]

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High Tibial Osteotomy

High Tibial Osteotomy A Tibial Osteotomy is an operation in which your tibia (shin bone) is surgically broken (this means that it is broken under the control of a surgeon), once broken the tibia can then be realigned into a better position. The purpose of this is to alter the way that forces cross the knee […]

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