Image – Wedge Opener


Evidence base for Rehabilitation Techniques for cartilage repair have been developed over the last 15 to 20 years but unfortunately there is no detailed scientific basis for rehabilitation programmes. Most of what is followed at the moment is based on a combination of basic science work combined with expert opinions and published techniques with rehabilitation…
This knee pathway is part of work undertaken with Consultants, General Practitioners and Allied Health Professionals from UHCW NHS Trust, George Eliot Hospital, South Warwickshire Hospital, and Coventry and Warwickshire PCT’s. The aim of the pathway is to establish an appropriate and clinically relevant pathway to improve care for patients presenting to their general practitioner…
The ‘keyhole surgery’ operation to reconstruct the ACL involves replacing it with other strong tendons from areas around the knee. Two main grafts are in common use: the Hamstring Tendon graft and the Patella Tendon graft. Both are considered to be equally good and the choice usually depends on the surgeon’s preference. Currently the Hamstring…
The operation is performed when there is early wear in one side of the knee in order to slow down the wear and to ‘buy time’ for the knee. It is also performed in certain ligament injuries where instability of the knee is associated with bowing of the leg.
Preoperatively in outpatients x-rays of the knee are taken to help determine the amount of correction required. A hinged knee brace is ordered which will hold the leg enough for the osteotomy (bone cuts) to heal, yet will allow early range of movement exercises.
Tim is a Consultant Orthopaedic Surgeon based at the University Hospitals Coventry Warwickshire NHS Trust. He qualified from Charing Cross Hospital Medical School in London in 1982 and completed a fellowship in knee and sports surgery in Toronto, Canada in 1995. He has been specialising in knee surgery since that time. Tim’s interests cover the…