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…
The special function of the ACL As well as providing a restraint to abnormal knee movement, the ACL gives important information to the muscles involved in the reflex control of knee movements. Nerve fibres give the knee a sense of position and movement and this sensory awareness is known as proprioception. It is a normal…
Description and Diagnosis Patients complain of pain over the front of their knee with symptoms worse on sitting or standing, they are generally young and do not have clear osteoarthritis. There may be a history of patella dislocation. There are multiple causes generally grouped into three diagnoses: • Objected patella instability: history of true dislocation…
Controlling sheer stress and load is more complex in the patello femoral joint. The surgeon needs to specify the contact position of the articular cartilage so that exercises can be undertaken outside of this particular movement. The principle here is that when the area of repair is on the distal part of the patella or…
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.
Preoperative Preparation And Operative Period Pre Op Rehabilitation begins before surgery in the pre-operative phase to ensure that the individual and their knee are ready for the operation. Ensure full range of movement, especially normal hyperextension, i.e. so the knee extends to the same as the other leg. Exercises to maintain quadriceps and hamstring muscle…
