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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…
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.
Types of tears: functional or non-functional Several different words are used to describe a torn ACL including ruptured, snapped, injured, torn and popped for example. Once injured, it can partially heal in some people and this may give sufficient restraint to return to non pivoting sports. In most however, the ligament will not heal tight…
Evaluating the benefit of the surgery is important benefitting patients now and in the future. All patients undergoing the operation are asked to be part of an ongoing outcome assessment project, completing short questionnaires assessing symptom and activity levels before and after the surgery. Only by knowing results in detail can the service be improved…
Surgical reconstruction is indicated in individuals who wish to return to pivoting type sports, and for those who have problems with giving way during day-to-day activities. We have previously outlined how repeated giving way of the knee may lead to damage of other structures within the knee and it is this repeated giving way that…
After a meniscus tear there are 5 options:• Leave alone and allow symptoms to settle reducing activity levels – safe if this results in no pain and no swelling in the knee• Arthroscopic surgery to remove the torn fragment – a very common and successful procedure• Arthroscopic surgery to repair the torn fragment – performed…