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Joint Loading and Biomechanics Loading of a joint can have variable effects on the articular cartilage. Sudden impact loading can cause specific damage and in addition repetitive loading may also promote degenerative change whereas appropriate load within the required range will help with nutrition and function of the joint. The articular cartilage acts as a…
Tim is a Consultant Orthopaedic Surgeon based at the University Hospitals Coventry Warwickshire NHS Trust. He qualified from Charing Cross Hospital Medical School in London in 1982 and completed a fellowship in knee and sports surgery in Toronto, Canada in 1995. He has been specialising in knee surgery since that time. Tim’s interests cover the…
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…
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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…
Controlling sheer stress and load is more complex in the patello femoral joint. The surgeon needs to specify the contact position of the articular cartilage so that exercises can be undertaken outside of this particular movement. The principle here is that when the area of repair is on the distal part of the patella or…
