“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

Kneecap joint replacement surgery

Kneecap joint replacement surgery

 

The knee can be divided into three joints; medial or inside, lateral or outside and patello-femoral or kneecap joint. 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 six 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 an Avon 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 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 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 degs of movement once things have settled down.