Description and scenario Patient presenting with non-mechanical pain, intermittent or permanent swelling in the knee, possible deformity and symptoms related to activity. Investigations Main appropriate investigation is plain x-ray with 3 views: • PA 30º weight bearing view• Lateral at 30 – 45º flexion • Skyline view single knee at 30 – 45º flexionCategory and…
Indications for MRI Scanning MRI scans are indicated for patients with meniscal tears, patients with difficulty diagnosing ACL or ligamentous injury of the knee and for patients with traumatic chondral injuries. MRI is also indicated for patients with unexplained pain that do not fit any diagnostic categories. MRI scans should be restricted to patients with…
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.
Driving is usually possible after five days when the knee is feeling comfortable. Make sure you can bend and straighten your knee vigorously without pain. Check that you can perform an emergency stop safely.
Tim Spalding is a specialist knee surgeon based at the University Hospital Coventry and Warwickshire NHS trust and privately at the Warwickshire Nuffield Hospital and at the BMI Meriden Hospital. Clinics also take place in Stratford-upon-Avon This site provides detailed information on conditions affecting the knee and their treatments, with links to a network of…
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…
