Introduction Obesity is one of the most common comorbidities in patients seen in the knee clinic. With obesity levels in the UK rising every year, over 50% of the population is set to be clinically obese by 2050. At such levels, it is projected that Obesity could cost the NHS nearly £50 billion per year….
Introduction Arthroscopy of the knee is an operation in which a small camera, and possibly surgical instruments, are inserted into the knee through two or three small puncture wounds. Understanding what the basic procedure entails is straightforward if we look at the etymology of the word. arthro- : relating to joints scopy: viewing, observation or…
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We are a growing population, not just in number but also in size! In 2011 almost 25% of the English population was obese and these numbers continue to rise. Most of us understand that being significantly overweight can cause all sorts of problems with health such as high blood pressure, heart disease and diabetes, but…
Evaluating the benefit of the surgery is important benefitting patients now and in the future. All patients undergoing the operation are asked to be part of an ongoing outcome assessment project, completing short questionnaires assessing symptom and activity levels before and after the surgery. Only by knowing results in detail can the service be improved…
Over 140 procedures have now been undertaken and University Hospital Coventry and Warwickshire NHS Trust remains the leading referral centre for the UK. Mr Spalding and Mr Thompson now have over 10 years’ experience of the technique and through continued analysis and lecturing internationally the team is one of the leading centres in the world….
The quality of the result of the operation is a key factor in deciding the indications as the replacement tissue is, after all, a donor graft that may not be as strong as the original and it takes time for it to fully integrate into the knee. Having invested a year of time in getting…
NICE has recently provided guidance on approval for Actifit meniscal reconstruction as given below. Mr Spalding published A research paper on Actifit in 2011 which formed part of the basis of the NICE review. All patients undergoing Actifit implantation are prospectively evaluated, by invitation to complete outcome evaluation scores, Pre-op and at 1,2 and 5…
Orthopaedic Consultant, UHCW NHS Trust since 2000 Trauma and Elective practise in group of 23 surgeons. Sub-specialist interest in Knee surgery including Cartilage repair, Cruciate Ligament Reconstruction, Meniscal Surgery, Primary Arthroplasty and Osteotomies about the knee Senior Knee surgeon for trauma and elective knee surgery Chairman UK Meniscal Study group, sub section of BASK Specialist…
