Image-Opening Wedge


The importance of the ACL is that it is the main stabiliser of the knee and without it fast pivoting and twisting actions become difficult and result in giving way of the knee. It is hard to get back to pivoting type sports without a good ACL. In addition repeated buckling or giving way of…
Problems can occur. Some are minor but some may need another operation to help. It is clearly important to understand these risks before undergoing surgery. The main risks include: Failure to provide enough stability in the knee to allow return to full sporting activities. Either the ligament does not heal in a tight enough position…
This section provides a wealth of information about the knee; conditions that can affect it, treatment options and detail on the operations along with rehabilitation afterwards. These pages are provided for general information only — you should not undertake any part of a programme unless instructed by your consultant or physiotherapist. If you have had…
The overall rehabilitation plan emphasises the importance of pre-operative exercises followed post operatively by early control of swelling and regaining full extension (straightening) and flexing of the knee (bending). Working on strength can only start once swelling and range of movement have been controlled. Return to function then follows. Key to Success The key to…
This knee pathway is part of work undertaken with Consultants, General Practitioners and Allied Health Professionals from UHCW NHS Trust, George Eliot Hospital, South Warwickshire Hospital, and Coventry and Warwickshire PCT’s. The aim of the pathway is to establish an appropriate and clinically relevant pathway to improve care for patients presenting to their general practitioner…
There are six main rehabilitation phases and example exercises for each phase are given in the sections that follow. Many different exercises are available to achieve the goals and these are tailored to each individual by the physiotherapy team. Various example exercises are outlined in each section. Phase 1: Preoperative preparation/operative period. Phase 2: Initial…