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Overall Principles
The pathway includes the following general overall principles. It is accepted that not all patients with a knee problem require to be seen in secondary care to determine management. With appropriate specified indications some patients can be directed to initial treatment with options such as podiatry, physiotherapy and orthotics. At any time the pathway can…
Meniscal Repair
This information sheet provides information on the nature and purpose of the procedure in addition to an outline of the post-operative rehabilitation. Purpose and description of the procedure This operation involves repair of the meniscus or footballer’s cartilage in the knee. The cartilage acts as a protective weight bearing “shim” helping to transmit weight between…
Basic Science and Articular Cartilage Healing
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…
During the Hospital stay
On the day of surgery the leg is marked and final consent obtained. The procedure is usually performed under general anaesthesia and the anaesthetist will discuss post-operative pain relief. This will usually involve nerve blocks, which keep the leg and knee numb for a while, and analgesic tablets. After the operation the leg is initially…
Acute Knee Injury
This information has been written to help steer you through the process of what happens after injuring your knee. It outlines what types on injuries there are, how a diagnosis is made, and what sort of treatment is possible.The knee The knee is a complex joint between the thigh bone (femur) and the shin bone…
Knee Information
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…