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Orthopaedic Consultant, UHCW NHS Trust since 2000 Trauma and Elective practise in group of 23 surgeons. Sub-specialist interest in Knee surgery including Cartilage repair, Cruciate Ligament Reconstruction, Meniscal Surgery, Primary Arthroplasty and Osteotomies about the knee Senior Knee surgeon for trauma and elective knee surgery Chairman UK Meniscal Study group, sub section of BASK Specialist…

This section provides a wealth of information about the knee; conditions that can affect it, treatment options and detail on the operations along with rehabilitation afterwards. These pages are provided for general information only — you should not undertake any part of a programme unless instructed by your consultant or physiotherapist. If you have had…

Evidence base for Rehabilitation Techniques for cartilage repair have been developed over the last 15 to 20 years but unfortunately there is no detailed scientific basis for rehabilitation programmes. Most of what is followed at the moment is based on a combination of basic science work combined with expert opinions and published techniques with rehabilitation…

Recent Presentations to learned societies (Since 2007) Spalding TJW Rathinam M, Hussain F. Thompson P. Biological resurfacing of the knee.BASK Spring Meeting, Belfast March 2007 (Poster) Spalding TJW, Rathinam M, Thompson P. The 5 to 9 year results of Autologous Chondrocyte Implantation cartilage repair of the knee in active Armed Forces personnelEFORT congress Florence, Italy….

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…