Image-Opening Wedge

Description and scenario Patient presenting with non-mechanical pain, intermittent or permanent swelling in the knee, possible deformity and symptoms related to activity. Investigations Main appropriate investigation is plain x-ray with 3 views: • PA 30º weight bearing view• Lateral at 30 – 45º flexion • Skyline view single knee at 30 – 45º flexionCategory and…

Specialist Knee Surgeon, University Hospitals Coventry and Warwickshire NHS TrustHonorary Associate Professor, Warwick Medical School, University of Warwick_____________________________________________________________________________ Qualifications MB. BS. (LOND) 1st August 1982 FRCS(Ed) 8th July 1988 FRCS Orth 26th April 1994 Date of Birth 24th September 1959 Accredited 1st January 1996 Medical School Charing Cross Hospital Medical School, London Current Appointment Consultant…

Basic Science and Articular Cartilage Healing Articular cartilage has no blood supply and no nerve supply. Chondrocytes (articular cartilage cells) obtain their nutrition from the synovial fluid while the underlying bone provides nutrition to the deeper layers. Chondrocytes function to produce the extracellular matrix and work hard to produce proteoglycans. Collagen fibres turn over less…

ARTHROSCOPY of the knee is an operation in which a small camera and surgical instruments are inserted into your knee through two or three small (1cm) puncture wounds. The structures within the knee are assessed including the meniscus (mobile footballer’s cartilage), the synovium (lining of the knee), the articular cartilage (joint surfaces), and the cruciate…

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…

The operation is performed when there is early wear in one side of the knee in order to slow down the wear and to ‘buy time’ for the knee. It is also performed in certain ligament injuries where instability of the knee is associated with bowing of the leg.