KNEE ARTHRTIS

The knee is a common joint affected by arthritis. Symptoms include pain, swelling, stiffness, feeling like the knee might give way, and difficulty kneeling.

There are two main types: "bow leg" (varus) arthritis and "knocked knee" (valgus) arthritis. Bow leg arthritis usually doesn’t require urgent surgery, but knocked knee arthritis should be assessed by an expert sooner. This type can cause ligament issues that may need more complex procedures and implants to fix.

Knee Pain and Treatment

If knee pain disrupts your sleep, requires more painkillers, or impacts your quality of life, it might be time to consider knee surgery.

Non-Surgical Treatment

- Try non-surgical options first, like weight management, light exercise, a balanced diet, and quitting smoking.

- Your GP can help with pain management and refer you to lifestyle programs if needed.

How I Can Help

- I can offer injections if you're not ready for surgery. These can provide relief, but it's not guaranteed.

- I perform knee replacements if pain persists. The surgery is reliable and successful, but meticulous planning is key.

Knee Replacement Surgery

- The operation involves replacing arthritic bone with new knee implants.

- It takes about 60-90 minutes and you'll stay in the hospital for 2-3 days.

- Managing expectations is important for a successful outcome. We'll work together to set realistic goals before and after surgery.

On the left is the arthritic knee before surgery,on the right you can see the same knee after surgery

My Approach:

- I perform knee replacements without a tourniquet and use computer navigation for perfect alignment.

- After surgery, I follow an Enhanced Recovery regimen for reduced pain, swelling, and quicker recovery.

Implants I Use

- I use the Stryker Triathlon system, known for excellent results worldwide.

- For younger patients, I use fully un-cemented Stryker implants.

My Results

- None of my knee replacement patients have needed revision surgery.

What to Expect During Surgery

Pre-operative Assessment

- We'll assess your fitness for surgery and provide detailed information about the process.

- Some medications may need to be stopped before surgery.

Day of Surgery

- Arrive at the hospital 60-90 minutes before the operation.

- You'll be prepared for surgery and assessed by the anesthetist.

- I'll discuss the procedure, mark the operation site, and answer any questions.

Post-Operative Care

Rehabilitation:

- We follow an Enhanced Recovery protocol for better pain management and faster recovery.

- You'll receive physiotherapy to help you regain mobility.

- Measures like calf compression and blood thinning injections help prevent clots.

Discharge and Recovery

- You'll be discharged home within a couple of days.

- You'll continue your recovery with physiotherapy, and I'll review your progress in clinic.

- Most patients start walking unaided within four to six weeks and continue to recover over the following months.