Surgery

These pages are not designed to be an exhaustive list of all surgical procedures around the knee. They contain brief information regarding certain, more common operations.

MPFL Reconstruction

In some cases following patellar dislocation it is necessary to reconstruct the ligament that provides a restraint to outward movement of the kneecap, the medial…

Anterior Cruciate

Anterior cruciate ligament surgery is not an operation for the occasional surgeon and should only be carried out by a surgeon with experience and training in the…

Posterior Cruciate

Posterior cruciate ligament reconstruction is required following an injury to the PCL if the knee is unstable. This usually only is the case if multiple ligaments…

Minimally Invasive Unicompartmental (Partial) Replacement

When only one side of the knee joint is affected by arthritis it may be possible to replace only the…

Patello-Femoral (Partial) Replacement

Patello-femoral joint replacement is a partial joint replacement performed when the patello-femoral (behind the kneecap) joint is very…

Total Joint Replacement

When more than one part of the knee joint is arthritic and the symptoms being suffered justify surgery, a total knee replacement (TKR) is…

Pain relief after knee replacement surgery

Traditionally pain relief after knee replacement surgery has been opiate (morphine) based delivered intravenously. This has often resulted in severe nausea for…

Arthroscopic Debridement

Arthroscopic debridement is an operation designed for osteoarthritis of the knee. The idea is to use a keyhole operation to “clean up” ragged surfaces on…

Meniscal Repair

If a tear of the meniscal cartilage is in the periphery of the cartilage and is fresh, that is within 6 weeks of injury, then the cartilage should be repaired rather than removed. Any…

Meniscectomy

If a meniscal cartilage is injured, typically during a twisting injury, and the patient suffers from pain or instability then the cartilage will require treatment. If the injury is not fresh…

Plica Removal

Plicas are removed arthroscopically (through “keyholes”) with the use of small tools passed through incisions in the front of the knee. The surgery is performed as a daycase and…

Removal of Loose Bodies

Most loose bodies can be removed arthroscopically via keyhole incisions. The arthroscope is used to localise the…

Injections

The two most commonly used injections into the knee are of steroid and of a shock absorbing substance called hyaluronic acid. Injections into the knee carry a small risk of introducing infection…

Autologous Cartilage Transfer

Autologous chondrocyte transfer is a treatment for defects in the articular cartilage that lines the joint. It involves taking a sample of normal cartilage from inside the knee and sending it to a lab to be cultured. Here…

Microfracture

Microfracture chondroplasty is a procedure pioneered by Dr Richard Steadman in the US and is a treatment for defects in the articular cartilage surface of the knee joint in which small controlled…

Osteochondral Grafting

Osteochondral grafting is a procedure designed to treat defects in the articular cartilage lining if the knee joint. In this procedure a tunnel of bone…

Patellar Realignment

Patellar realignment procedures are used to correct the way a kneecap moves through the groove on the front of the thigh bone in the patello-femoral…

Osteotomies

An osteotomy is a controlled break of a bone and the bone is moved into a new position before being fixed to ensure the bone heals in the new position…

Fracture Fixation

Following any fracture around the knee the most important principle is to accurately reconstruct the…

Conformis customised knee replacements

ConforMIS have developed the only customised knee replacements that are designed specifically for the patient’s knee…



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