“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 replacement surgery

Knee replacement surgery

 

The most common type of arthritis is osteoarthritis, where there is gradual wear and tear of a joint. Arthritis eventually wears away the normal cartilage covering the surface of the joint and the bone underneath becomes damaged. Where this occurs in the knee, your consultant may recommend a knee replacement.

The damaged and worn surfaces of the knee joint are carefully removed and resurfaced with a Cobalt/Chrome metal joint that is sized to fit. High density polyethylene (a type of plastic) sits between the metal surfaces and acts as a bearing surface. The back of the kneecap is also usually resurfaced with the same material

Knee replacements last at least fifteen to twenty five years and will return you to normal movement and activity levels with less pain.

What does this involve?

Knee Replacement surgery is carried out in hospital under general anaesthetic although most people also have a spinal anaesthetic to make the legs completely painless for a few hours.

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 up to 90 minutes and your surgeon will make a 15 to 30 cm cut down the front of your knew. The kneecap is moved to one side so that the joint can be reached. Once the joint has been replaced 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 one to four days after the 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 ten 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.

Knee replacement is a major operation and recovery takes place over 6-12 weeks. At six weeks, some patients will still be using a walking stick but most are walking well and independently at twelve weeks although you may not see the full benefit of surgery for up to a year.

What risks should I know about?

Knee replacement surgery is a very successful operation but 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 degs of movement once things have settled down.