Your knees are made up of bones, cartilage, muscles, ligaments, tendons and nerves. They allow your legs to move when you walk, stand, run, turn and bend down and they also provide support for your body. If your knee becomes injured, which can often happen when playing sports, or worn due to osteoarthritis, then you’ll probably feel a great deal of pain and the correct functioning of your knee may be difficult.
Knee injuries and conditions are common and so therefore are knee surgeries. Knee surgery is often used for the treatment of different conditions that can cause knee pain.
At New Hall Hospital, we are proud to work together with well-regarded orthopaedic surgeons who have a special interest in knee surgery. We offer excellent, local care for the diagnosis and treatment of knee problems. We provide a full range of diagnostic facilities as well as excellent rehabilitation support and physiotherapy for our orthopaedic knee service.
The knee surgeries we regularly perform include: knee arthroscopy, meniscal tear surgery, ACL reconstruction and knee replacement surgery.
The range of knee surgeries we offer
A knee arthroscopy allows your knee surgeon to look inside your knee to find out more about your knee pain and diagnose your knee problem. Knee arthroscopy is a minimally invasive technique. Your surgeon makes small incisions in the skin around your knee and inserts a metal tube with a camera and light source, called an arthroscope, into your knee joint.
Once a diagnosis has been made your surgeon may decide to continue with treatment at the same time. They might repair torn cartilage and ligaments or wash out and remove any loose bodies caused by wear and tear of the knee joint surfaces that may be getting caught in your joint.
In the knee joint there is a semi-circular cartilage called the meniscus that acts as a shock absorber between the thighbone and shinbone.
If the meniscus gets torn it can cause pain on the inside of your knee. Tears to the meniscus are common and happen when the knee is twisted suddenly. Often the meniscus is injured through direct impact in contact sports or people with osteoarthritis are at risk of tearing their meniscus.
Often, minor tears don’t need any other treatment than rest, ice and medication to relieve the pain. Some tears do need surgery. Your knee surgeon will decide the best course of treatment for your meniscal tear which will depend upon its size, type and location.
Anterior cruciate ligament (ACL) reconstruction
Your anterior cruciate ligament is a major ligament in your knee that joins your thighbone and shinbone together at the knee joint. This ligament offers stability to your knee especially when twisting or pivoting.
The ACL is frequently injured in contact sports. For example, in football, rugby, basketball and netball, direct contact to the knee from opponents can cause an ACL injury. Skiers are also particularly susceptible to ACL injuries when landing jumps, skiing moguls or during twisting falls. Your ACL can also be torn when you slow down quickly whilst changing direction and turning for example whilst playing squash. People who’ve had an ACL injury often say it feels like your knee is giving-out from under you.
Knee surgery is often recommended for a badly damaged ACL and will involve an ACL reconstruction, otherwise known as a knee ligament reconstruction. Your knee surgeon will replace your torn ACL with a graft from another part of your knee or from a donor. This new ACL will restore the stability and function of your knee joint.
Knee replacement surgery
Knee replacement surgery, also known as knee arthroplasty, replaces your damaged, worn or diseased knee joint with a prosthetic one. Your orthopaedic surgeon will normally recommended knee replacement surgery if your knee joint is painful even when its resting. The pain you feel is the result of wear and tear or damage often due to osteoporosis.
Knee replacements can be partial or total and this decision will be based on the extent of damage or wear and tear to your knee joint. A partial knee replacement (PKR), also called a uni-compartmental knee replacement, will replace just the ends of the bones on one side of your knee to restore the smooth function of your knee joint. A total knee replacement (TKR) replaces all of the parts of your knee joint. After knee replacement the mobility in your legs should return and your knee pain will be relieved.
The following consultants specialise in knee surgery at New Hall hospital
Mr Kask (NHS only)
Watch our consultant, Mr David Cox, running through some patient FAQs: