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Early physiotherapy is directed at patella mobility in addition to static quadriceps and hamstring work maintaining muscle bulk. The most important part of the initial rehabilitation is to maintain patella mobility in the medial/lateral plane as well as the superior/inferior plane. Once the wound has settled then mobilisation of the patella tendon should also start…
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 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.
Tim Spalding is one of the lead developers of the UK National Ligament Registry launched at BASK (British Knee Society Meeting) in March 2013. For detailed information see the website www.uknlr.co.uk or the attached pdf file All knee surgeons are encouraged to register through the website and to enter their patients into this nationally approved…
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…