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The menisci of the knee make the sockets for the thigh bone to rotate in and they provide the shock absorber for impact loads. If a substantial amount is removed after injury then this can result in early wearing of the joint surfaces. Complete loss of the meniscus usually results in early arthritis developing within…
Preoperatively in outpatients alignment x-rays of the whole of both legs are taken to help determine the exact amount of correction required. A hinged knee brace is ordered which will support the leg while the bone heals and yet it will allow some early range of movement exercises.
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…
The second phase of rehabilitation from six weeks onwards is directed at building up strength in the leg while the area of bone regrowth becomes stronger. After three months functional activities can be introduced. At the 6-week follow-up appointment X-rays are taken and, if satisfactory, the brace is removed. Free full weight bearing is allowed….
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…