Image-Insertion Osteotome


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…
Problems can occur. Some are minor but some may need another operation to help. It is clearly important to understand these risks before undergoing surgery. The main risks include: Failure to provide enough stability in the knee to allow return to full sporting activities. Either the ligament does not heal in a tight enough position…
The second phase of rehabilitation from six weeks onwards is directed at building up strength in the leg while the area of bone regrowth becomes stronger. After three months functional activities can be introduced. At the 6-week follow-up appointment X-rays are taken and, if satisfactory, the brace is removed. Free full weight bearing is allowed….
Proprioception Phase (Sensory Awareness) WEEKS 3 – 6 Aim : The aim of this phase is to work on proprioceptive exercises and to develop light endurance and strength training. This stage is also important for developing core stability to help you progress to full active function. By the end of six weeks your knee should…
The overall rehabilitation plan emphasises the importance of pre-operative exercises followed post operatively by early control of swelling and regaining full extension (straightening) and flexing of the knee (bending). Working on strength can only start once swelling and range of movement have been controlled. Return to function then follows. Key to Success The key to…
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…