“Just thought I would let you know that I had a very successful weeks skiing in Verbier and got back last weekend. Weather fantastic and knee held up very well. Many, many thanks.”

“I couldn't ask for a better surgeon than Neil, he has honestly changed my life in 1 year and I can't thank him enough.”

“I would sincerely like to thank you and your team for the work you did on my knee after the x-ray revealed a 'nasty' break. Your expertise has given me back the use of this leg and I can now walk unaided for half a mile or more. The previous knee operation has also been a complete success.”

“The process from start to finish was smooth and efficient. I always knew where I was in the process, what to expect and when. A thoroughly professional service with a smile.”

“Pre-op information first class. Post-op conditions also first class. Very successful operation.”

“I am now in week 6 after the operation on my knee and I feel I must express my admiration for your skill and delight at the result. I am walking well and striding confidently into a bright new future. Many thanks.”

“Recovery from my knee operation was much quicker than expected. By 10 months I hardly knew I'd had problems with my knee. Able to walk properly again without any thought.”

“Care very good. Mr Bradbury was faultless. Would have liked to see specialist physiotherapist, Genevieve, all through my recovery as she was very helpful. Saw her at 6 months after my knee operation.”

“Mr Bradbury did a fantastic job on my left knee. At 75 I now have my life back!”

“You all did so much to relieve my anxiety and concerns with my knee replacement. I shall remember you with gratitude every time I walk the dog in the future. Thank you”

Knee cap joint replacement surgery

Knee cap joint replacement surgery

 

The knee can be divided into three joints; medial (inside), lateral (outside) and patello-femoral (kneecap). If the kneecap alone is affected by arthritis then an artificial joint can replace this part.

There are advantages of a patella replacement over a full knee replacement in that there would be a smaller incision, less post-operative discomfort, quicker recovery, a better range of motion and the retention of your own main knee joint.

What does this involve?

Knee cap replacement surgery is carried out in hospital under general anaesthetic and local anaesthetic is injected into your knee at the end of the operation so you wake up with no pain

You will not be able to eat for eight hours prior to surgery although you will be able to drink small amounts of water up to four hours before.

The operation itself takes around 60 minutes and your surgeon will make a small cut down the front of your knee. The kneecap is removed and replaced with a patello-femoral artificial joint and the incision is closed with stitches or clips. An acrylic cement is usually used to bond the new joint directly onto your bones.

Afterwards your knee will be tightly bandaged to help minimise swelling and fine drainage tubes may also be left in for up to 48 hours.

When will I recover?

You are likely to stay in hospital for two to three days after your operation and your physiotherapists will give you exercises that help you walk the day after the operation. You will gradually progress from using crutches to using walking sticks and you will be allowed to go home once you are fully weight bearing and can manage stairs and to care for yourself.

The knee dressing can be peeled off easily several days after the surgery and, as the stitches are internal, they do not need to be removed. You will be given a cold compress or ‘Cryocuff’ along with instructions on how to cool your knee, which is important and aids recovery. You will see your consultant once again six weeks after your operation to review your progress.

Patella surgery recovery is moderate and reasonably quick. You are likely to need four to six weeks off work and driving following the operation.

What risks should I know about?

Kneecap replacement surgery is a relatively new procedure which has given good results to date with the promise of a long lasting solution to this particular problem. There are some potential complications you should be aware of. These only affect less than 4% of patients.

Infection can occur although our theatres have ultra-clean air operating conditions keeping infection rates at 1-2%.

Blood clots are possible in any major joint replacement surgery but again are in the 1-4% category and have well established treatments including aspirin.

A small patch of numb skin can be present on the outer part of the knee near the kneecap, this will improve over time

The knee will have some stiffness after the operation although we are aiming for 0-125 degrees of movement once things have settled down.