Tims Curriculim Vitae

This operation is a correction to the alignment of the leg, e.g. for a bowed leg or knock kneed leg, by cutting through the bone (osteotomy), changing the shape and holding it with a plate and screws. Wear in the medial (inner) compartment of the knee is treated by an opening wedge osteotomy made in…

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 x-rays of the knee are taken to help determine the amount of correction required. A hinged knee brace is ordered which will hold the leg enough for the osteotomy (bone cuts) to heal, yet will allow early range of movement exercises.

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Exercises need to be done 4 – 5 times per day: little and often is better than an extensive overload period. Pain, heat and increasing swelling in the knee are potentially bad: Any of these symptoms can mean that exercises are being overdone. This is unlikely to indicate a serious problem, but these symptoms should…