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  • A programme involving Harrogate and District NHS Foundation Trust aimed at driving improvements for patients having hip and knee replacements has won a top national award. And YKC’s Dave Duffy is the lead clinician for Harrogate. You know about MRSA (methicillin-resistant Staphylococcus aureus). It’s the headline-grabbing superbug that’s front page news every winter, and whichContinue Reading

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    As a new study suggests group physiotherapy after a knee replacement may be more effective than individual physio, Dave Duffy explores why that may be. Efficiency. If you want to retain an NHS that can do the job required of it, finding new ways to do more with less is at the heart of deliveringContinue Reading

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    Is the drive towards same day knee replacement the wrong response to the wrong challenge? Dave Duffy explains… Same day knee replacement has become a bit of a ‘thing’ recently. It wasn’t so long ago that the idea of an outpatient knee replacement was so ludicrous as to barely be worth a mention, but asContinue Reading

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    Yorkshire Knee Clinic’s Prof. Nick London and Dave Duffy have been part of the panel assessing new guidelines for meniscal surgery. Last month a paper was published exploring treatment of meniscal tears in patients with osteoarthritis (OA). The study found that surgical treatments (i.e. knee operations) increased the tell-tale signs of OA quicker than non-surgicalContinue Reading

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    Prof. Nick London argues that context was sorely lacking from a recent report used by the Daily Mail. A recent Daily Mail article on the ‘WORST hip and knee replacements’ (capitalisation most definitely the Mail’s) understandably caused concern amongst patients and prompted an urgent combined response from the British Orthopaedic Association, the British Hip SocietyContinue Reading

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    We’re seeing more and more stories of same day knee replacement. Is it safe? And is it something Yorkshire Knee Clinic offers? Prof. Nick London explains. 20 years ago if you needed a knee replacement you could have expected a hospital stay of ten days to two weeks. Even ten years ago, that stay wouldContinue Reading

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    Prof. Nick London has concerns about those marketing ACL repair as a viable option for children and young people. Earlier this year, my Yorkshire Knee Clinic colleague Jim Newman published a post which looked at the worrying survival rates of ACL repairs (as opposed to ACL reconstructions). I’m not going to repeat Jim’s points (althoughContinue Reading

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    The open meeting of the Valencia European Knee Society earlier this month saw an important consensus reached that shifted the balance from total to partial knee replacement. Prof. Nick London explains. The European Knee Society (EKS) holds two types of meetings. Annual closed meetings (such as the one that took place in France earlier thisContinue Reading

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    The cost/benefit of robot assisted knee surgery: Prof. Nick London explores why, for the time being, the computer still says ‘no’. The recent meeting of the European Knee Society in Valencia saw a robust discussion about robot assisted knee surgery between advocates of the process who are starting to produce some supportive medium-term data, andContinue Reading

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    Jon Smith explains a technique he’s using in ACL reconstruction. *Photo courtesy of KARL STORZ Endoscopy UK Ltd The anterior cruciate ligament (ACL) is one of the main restraining ligaments of the knee. It sits in the centre of the knee and runs from the back of the thigh bone to the front of theContinue Reading

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