Category Archives: Knee Surgery
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
Done in a day?
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
The case against ACL repair
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
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
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
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
Getting it Right First Time
YKC’s Jon Smith looks at the implications of a report designed to ensure fewer knee procedures require revision. Earlier this month, a study was published which looked at the guidance available to knee surgeons for classifying knee revisions (that is, work to correct or revise previous surgery). Revision knee classification is important, because only whenContinue Reading
Bead Blockers
Jon Smith queries a new procedure to reduce the pain of osteoarthritis. If you have osteoarthritis (OA), you won’t need me to tell you how painful it can be. Caused by the grinding of bone against bone as your protective knee cartilage wears away, OA is a chronic (i.e. long lasting) pain condition that canContinue Reading
Good to talk
We speak with Yorkshire Knee Clinic’s Jim Newman about the importance of the patient conversation. “Mr Newman … told me about the total knee replacement – he carefully explained what would happen and even showed me the implant.” Anthony Malcolm “Nick talks to you as if you’ve got a brain (and not all surgeons doContinue Reading
Jim Newman looks at a new prototype designed to help monitor knee loads – and has some concerns. Knee loading is of critical importance to a knee surgeon. For most of us, balancing the loads (that is, the forces passing through our knees) is something we do naturally. Whenever you shift your stance, perhaps becauseContinue Reading
