“To speak to medical professionals who specialise in sports injury was a breath of fresh air. The experience for me was the best it could be, especially as an athlete with a potentially career-ending injury. Everyone was caring and I was given the hope I so badly needed. It was now possible that... Read More

“Everything was wonderful. I am now completely pain free and absolutely thrilled.”

“Thank you for the excellent operation you did on my knee. It has healed up really well with only a very small scar left. Most of the acute pain is now gone and each week it pains a little less. I am looking forward to the long (pain free) walks I used to do before. So many thanks, you are the... Read More

“Thank you so much for seeing me and treating me so quickly after my skiing accident! I was amazed and impressed that you managed to arrange my surgery so quickly. Mum and I have a nickname for you - GOD!”

“'Thank you' seems inadequate words for the debt of gratitude I owe you all. Your expertise and skills heal body and soul. Your care and kindness humble me.”

“I felt fully engaged from the start and actually found the whole process quite enjoyable! I felt informed without being patronised, well prepared, both by the consultation with Neil, the paperwork and booklets. The outcome has exceeded my expectations and the care was tremendous, as was the pain... Read More

“Neil performed a PCL replacement in my right knee back in 2000. At the time, it was a procedure that few knee surgeons had the skills to perform. He fully informed me of the risks attached to the procedure, the likelihood of success and allowed me to take my time to decide on how I wished to... Read More

“You fitted me with a completely new knee on 20th June. It is absolutely amazing and I'm getting on and off, riding and jumping with ease. It has brought back all the possibilities in retirement that had come to an end with a bad knee. It's not yet four months since the operation.....lets hope the... Read More

“Now that I seem to be well on the road to recovery, I'd like to thank you personally for my new partial knee replacement on 31st July 2017. Having not quite had the courage to watch the full operation on your website, I am nevertheless aware of the enormous skill and expertise required for this... Read More

Knee cartilage surgery

Knee cartilage surgery

 

In the knee, there are areas of cartilage tissue which act like shock absorbers in the joint – these are called menisci. There are also areas of cartilage covering the ends of the long bones at the knee joint – these are called articular cartilages. Both of these areas of cartilage may become damaged causing significant problems for patients.

When doctors talk about a cartilage injury to a knee, they usually mean an injury to one of the menisci. See meniscus repair surgery.

However, the knee also has cartilage covering the ends of the bones in the joint – this is called articular cartilage – and damage can occur here as well.

Symptoms of cartilage damage include swelling, joint pain, stiffness and a decreased range of movement in the affected joint. Cartilage covers the surface of joints, enabling bones to slide over one another while reducing friction and preventing damage. It helps to support your weight when you move, bend, stretch and run.

Articular cartilage damage is one of the most common and potentially serious types of cartilage damage, and usually affects the knee joint. The damage can result in pain, swelling and some loss of mobility.

Non-surgical treatments, such as physiotherapy and non-steroidal anti-inflammatory drugs (NSAIDs), are usually recommended for minor to moderate cases of cartilage damage.

What does surgery involve?

There are a number of surgical techniques available, such as encouraging the growth of new cartilage, or taking a piece of healthy cartilage from elsewhere in the joint and using it to replace damaged cartilage.

The Chondrotissue Graft is the latest development in articular cartilage repair and or replacement surgery. This is a high-tech scaffold that is a sterile absorbable matrix sponge-like textile made of non-woven polyglycolic acid treated with hyaluronic acid. It has been shown to induce mesenchymal progenitor cells (stem cells) to differentiate into cartilage cells.

Microfracture is an excellent technique for treating small patches (less than 1cm² defects). It can be performed easily via keyhole (arthroscopic) surgery and does not require complicated equipment.

In the most serious cases, the entire joint may need to be replaced with an artificial joint, such as a knee replacement or hip replacement.