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…
Knee problems have been divided into five simple overall groups: Osteoarthritis Anterior knee painRecent injury or mechanical symptoms Inflammatory arthritisNone of the above or don’t know. For each type of problem 3 categories are allocated. Category 1 is the basic category with relatively minor symptoms that should be suitable for treatment with local core physiotherapy….
The procedure is indicated when there is no effective rim of meniscus remaining to support the joint surfaces. This occurs when there has been a large tear and when it was not possible for the surgeon to salvage the meniscus by repairing it. Not everyone needs a transplant but if there is progressive pain and…
Additional procedures can treat problems of the joint surface damage, joint instability or when the leg is out of alignment. When the transplantation operation is performed in conjunction with other procedures the rehabilitation program may change. The procedure possibilities include: • Surgical procedures to repair the joint surface such as microfracture or autologous chondrocyte implantation•…
Traditionally, examination of a joint involves the principle ‘look, feel, move’. Whilst this adage may still hold true for basic examination of the knee, the order and sequence of examination changes depending on the likely diagnosis suggested by the history. For example when examining a severely arthritic knee it is not necessary to examine for…
