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Before the OperationWhen you are admitted to the hospital the operating surgeon will re-examine your knee, marking the particular leg and will ask you to sign a consent form. Any last minute questions can be answered. The nursing staff and physiotherapist will also visit you to explain the procedure.

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…

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…

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…

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…

Driving is usually possible after five days when the knee is feeling comfortable. Make sure you can bend and straighten your knee vigorously without pain. Check that you can perform an emergency stop safely.