This information sheet on Microfracture cartilage repair is in three sections:
• Information on the nature and purpose of cartilage repair surgery utilising the microfracture technique
• An outline of the post-operative rehabilitation and reasons why it is important to follow a gradual specific plan
• Example detailed exercise plan.
Over 140 procedures have now been undertaken and University Hospital Coventry and Warwickshire NHS Trust remains the leading referral centre for the UK. Mr Spalding and Mr Thompson now have over 10 years’ experience of the technique and through continued analysis and lecturing internationally the team is one of the leading centres in the world….
First Phase (up to 6 weeks)This is directed at regaining range of movement and reducing the swelling combined with patella femoral mobilisation to reduce scar tissue. Knee Brace: The knee brace should be used at all times when moving around for the first 6 weeks to protect the osteotomy site. For the first 3 weeks…
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…
On the day of surgery the leg is marked and final consent obtained. The procedure is usually performed under general anaesthesia and the anaesthetist will discuss post-operative pain relief. This will usually involve nerve blocks, which keep the leg and knee numb for a while, and analgesic tablets. After the operation the leg is initially…
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….
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.
