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FREQUENTLY ASKED QUESTIONS

If you have any questions about consulting the Mackay Clinic for treatment, surgery - including with the InternalBrace, then you have come to the right page

FIND THE ANSWERS HERE

General Questions About Consulting The Mackay Clinic

HOW DO I MAKE AN APPOINTMENT WITH PROFESSOR MACKAY

For Ross Hall Hospital in Glasgow and Kings Park Hospital in Stirling – call BMI directly.

For Space Clinic in Edinburgh - call the clinic directly

HOW MUCH IS AN INITIAL CONSULTATION?

£195

HOW MUCH IS A CONSULTATION?

First consultation is £195     Follow up consultations £95

ANY CHANCE YOU COULD CONTACT ME IF THERE IS A CANCELLATION??

You would have to call the BMI Enquiry Centre regularly to check for cancellations

DO I HAVE TO COME BACK FOR AN APPOINTMENT TO GET MY MRI RESULTS??

Please make a follow up appointment to discuss findings and future care.

CAN I GET MY SCAN RESULTS OVER THE PHONE?

No, a follow up appointment should be booked for the results to discuss findings and view images.

CAN YOU ASK PROFESSOR MACKAY IF HE CAN GIVE ME A QUICK CALL?

Professor Mackay will not be able to call. If you email the office we will make sure your query is forwarded to him.

CAN I HAVE A TELEPHONE CONSULTATION?

Professor Mackay does not do telephone consultations. If you email the office we will make sure your query is forwarded and answered.

WHO MAKES MY APPOINTMENTS?

The patient is responsible for arranging their own appointments, both initial consultation and and follow ups offered.

The only appointment the patient is not responsible for arranging is the post-op (10-12 days after procedure). This will be arranged by the ward on discharge.

WHICH HEALTH INSURANCE COMPANIES DO YOU WORK WITH?

Most insurance companies.

ARE THERE ANY INSURANCE COMPANIES WHICH PROFESSOR MACKAY DOES NOT WORK WITH?

AXA PPP, Health-on-Line, and Simply Health.

CAN I DRIVE AFTER A CORTISONE INJECTION?

Yes.

WHAT IS THE PROCEDURE CODE FOR A STEROID INJECTION?

W9040

HOW MUCH DOES A CORTISONE INJECTION COST?

£50 plus the consultation fee (Please be aware that the hospital may also charge a fee for this)

DOES PROFESSOR MACKAY TREAT CHILDREN?

Yes, 14 years and over.

CAN I REFER MYSELF OR DO I NEED TO COME THROUGH A GP?

A GP or physiotherapy referral is always helpful, and if insured it is required. If you are self funding it is not essential.

IF SURGERY IS NOT RECOMMENDED OR I CHOOSE NOT TO TAKE THAT OPTION DO I STILL NEED TO PAY FOR THE INITIAL CONSULATION?

Yes, Clinical assessment and advice at your consultation is still charged if you choose not to have surgery.

WHERE IS THE MACKAY CLINIC BASED?

Professor Mackay holds clinics at:

Ross Hall Hospital in Glasgow.

Kings Park Hospital in Stirling

Space Clinic in Edinburgh

The office of the Mackay Clinic is in Stirling.

Surgery with the Mackay Clinic

Undergoing surgery with the Mackay Clinic

Please note Professor Mackay's office in Stirling cannot book patients for Theatre. Ross Hall Hospital in Glasgow make all theatre bookings.

CAN I CHANGE THE DATE OF MY OPERATION?

Please call Ross Hall Hospital direct theatre line (they handle booking for both hospitals) on 0141 303 1419.

WHEN IS MY OPERATION BOOKED FOR?

BMI Ross Hall Hospital in Glasgow handle all theatre booking so please call them on to check your booking date.

WHERE WILL MY SURGERY TAKE PLACE?

This depends on the procedure you are having (and your location). Theatre bookings will be able to advise. Theatres are held at Ross Hall Hospital in Glasgow and Kings Park Hospital in Stirling.

WILL I NEED TO STAY IN HOSPITAL OVERNIGHT?

This depends on the procedure you are having. Theatre bookings at Ross Hall Hospital will be able to advise.

IS THERE A CANCELLATION FEE IF I NEED TO CANCEL MY OPERATION WITHIN 24 HOURS OF IT?

Answer here???

HOW DO I BOOK MY POST-OP APPOINTMENT?

Your post-op appointment will be given to you on discharge from the hospital (10-12 days after the procedure).

IS A FOLLOW-UP APPOINTMENT INCLUDED IN THE COST OF SURGERY OR BILLED SEPARATELY

Your first follow-up appointment, post surgery, is included. Any further review appointments, if required, will be charged at the follow-up price of £95.

IF I CAN’T MAKE POST OP APPOINTMENT WHAT SHOULD I DO ?

It is very important to have a post op appointment.  The nurse will check your wound and stitches/staples will be removed.  If you cannot make the appointment please contact your GP practice and ask if they will carry out a post op appointment with the practice nurse.

HOW LONG DO THE STITCHES STAY IN ?

Stitches are disolveable, but outer stitches/staples will be taken out at post op appointment (no more than 12 days after procedure).

I HAVE BEEN GIVEN AN APPOINTMENT FOR THE NURSE LED CLINIC, WILL I STILL SEE PROFESSOR MACKAY OR ONLY THE NURSE ?

The nurse led clinic is for post-op patients (first appointment after surgery).  Yes, you will see Professor Mackay and the nurse.

I DRIVE AN AUTOMATIC CAR, WILL I BE OKAY TO DRIVE AFTER MY PROCEDURE ON MY KNEE?

If your procedure was on your left knee you can drive an automatic, but if it is your right knee you will not be able to drive immediately after you procedure.  Driving is usually expected somewhere between 7 and 28 days after surgery, depending on the procedure.

SHOULD I HAVE PHYSIO BEFORE MY OPERATION?

The more settled the joint, the better the outcome.   Physiotherapy may help

IS IT OKAY TO HAVE A TATTOO BEFORE SURGERY ?

No, wait until your post op appointment and discuss then

InternalBrace Surgery with the Mackay Clinic

Professor Mackay gives the answers to your questions about the InternalBrace

WHAT EXACTLY IS INTERNALBRACE SURGERY - IS IT A RECONSTRUCTION OR A REPAIR

The InternalBrace is a seatbelt to protect a reconstruction or a direct repair.

WHY IS IT NOT CLASSED AS A 'RECONSTRUCTIVE' SURGERY?

Reconstruction is traditionally carried out when the tissues are unable to heal. The tissues that are injured are removed and replaced with donor tissue either harvested locally (usually from the hamstring) or from another patient in the form of an allograft

WHAT ARE THE MAIN ADVANTAGES OF INTERNAL BRACE SURGERY COMPARED TO CONVENTIONAL SURGERY?

Patient friendly, allows rapid return to normal life such as driving and work. Respects biology, conserving natural tissue including bone stock, nerves and vessels. Recovery time is generally reduced by half, it is hoped that this will reduce the risk of osteoarthritis.

ARE THERE STILL CASES WHERE CONVENTIONAL SURGERY ARE A BETTER OPTION

IB technology can help to reduce the recovery time and minimise surgical trauma when combined with conventional techniques.

IS THERE AN IDEAL TIME FRAME FOR AN ACL REPAIR?

Yes, ideally you would want to be seen within 5-6 weeks, however each case varies and it is often possible for a succesful outcome beyond this time frame. This would be discussed when clinically assessed. 

WHAT EXACTLY IS THE INTERNAL BRACE COMPOSED OF

The Internal Brace is a surgical suture tape which is placed within the repaired or reconstructed ligament and is positioned like a seatbelt to protect it.

DOES THE INTERNAL BRACE DISSOLVE OVER TIME OR IS IT A PERMANENT STRUCTURE?

The InternalBrace can be removed but it does afford a degree of protection from further injury and is usually left. It is safe in the body, but is removed in the growing child to avoid restriction of growth.

DOES THE INJURED LIGAMENT GROW BACK THROUGH THE INTERNAL BRACE OR DOES THE INTERNAL BRACE REPLACE THE JOB OF THE LIGAMENT?

The InternalBrace allows the healing ligament to grow through it. It is not a synthetic ligament and only protects the ligament repair.

DOES THE INTERNALBRACE TAKE OVER THE JOB OF MY DAMAGED LIGAMENT FOREVER?

No, the InternalBrace is not designed to be a synthetic ligament. It is not strong enough and only provides support during the early phase of recovery while the ligament repair or graft is healing and remodelling. This facilitates and protects the ligament during early mobilisation.

CAN THE INTERNALBRACE SNAP OR FAIL?

Unfortunately the InternalBrace is not indestructible and only provides protection for the natural ligament.

WHAT IS THE FAILURE RATE OF INTERNAL BRACE SURGERY COMPARED TO TRADITIONAL RECONSTRUCTION SURGERY?

The InternalBrace is not indestructable and re-injury can occur. It doesn't prevent reconstruction in the future, if required.

IS THERE ANY METAL IN THE INTERNALBRACE ?

There is a small metal button on either side.

IS IT OKAY TO HAVE AN MRI SCAN AFTER SURGERY WITH THE INTERNALBRACE ?

Yes.

IS IT MORE EXPENSIVE THAN CONVENTIONAL SURGERY

No, the cost is the same

ON AVERAGE WILL I BE ABLE TO RETURN TO WORK MORE QUICKLY FOLLOWING IB SURGERY

Yes, recovery is far quicker, but can vary from patient to patient

WHEN WILL I BE ALLOWED TO DRIVE FOLLOWING IB SURGERY

See specific joint Q&A below

ARE ALL THE LIGAMENT INJURIES ABLE TO BE REPAIRED WITH THE INTERNAL BRACE?

All ligament repairs can be protected with the InternalBrace to accelerate mobilisation and recovery. It currently has 18 applications, including ligaments relating to the ankle, shoulder, knee, wrist and hand.

InternalBrace Knee Surgery

InternalBrace Knee Surgery

HOW SOON WILL I BE ABLE TO RETURN TO ACTIVITY FOLLOWING IB KNEE SURGERY

For a desk job 2-4 weeks, for a more physical job 6-8 weeks with modified duties.

ON AVERAGE HOW SOON WILL I BE ABLE TO DRIVE FOLLOWING IB KNEE SURGERY?

Two to four weeks – as long as you are comfortable and confident carrying out an emergency stop.

CAN I HAVE MORE THAN ONE LIGAMENT AT A TIME INTERNALLY BRACED?

Yes

InternalBrace Ankle Surgery

InternalBrace Ankle surgery

HOW SOON WILL I BE ABLE TO RETURN TO ACTIVITY FOLLOWING IB ANKLE SURGERY?

For Ligament surgery a boot will have to be worn for 2 weeks, for Achillies repair the boot will have to be worn for 6 weeks.

ON AVERAGE HOW SOON WILL I BE ABLE TO RETURN TO WORK FOLLOWING IB ANKLE SURGERY?

For a desk job 2-4 weeks, for a more physical job 6-8 weeks with modified duties

ON AVERAGE HOW SOON WILL I BE ABLE TO DRIVE FOLLOWING IB ANKLE SURGERY?

2-4 weeks – as long as you are comfortable and confident carrying out an emergency stop.

CAN I HAVE MORE THAN ONE LIGAMENT AT A TIME INTERNALLY BRACED?

Yes

InternalBrace Shoulder Surgery

InternalBrace Shoulder Surgery

HOW SOON WILL I BE ABLE TO RETURN TO ACTIVITY FOLLOWING IB SHOULDER SURGERY?

You will be in a sling for a couple of days

ON AVERAGE HOW SOON WILL I BE ABLE TO RETURN TO WORK FOLLOWING IB SHOULDER SURGERY?

For a desk job 2-4 weeks, for a more physical job 6-8 weeks with modified duties

ON AVERAGE HOW SOON WILL I BE ABLE TO DRIVE FOLLOWING IB SHOULDER SURGERY?

2-4 weeks – as long as you are comfortable and confident carrying out an emergency stop

Paying for my Treatments and Surgery

Treatment Payment questions

HOW DO I PAY FOR MY TREATMENT IF I AM A SELF FUNDED PATIENT?

Consultation fees will be invoiced to you from The Mackay Clinic.

BMI Healthcare offer a fixed priced funding package for self funding patients. (Click here to see). This must be settled prior to surgery.

 

ARE ANY FOLLOW UP APPOINTMENTS INCLUDED FOLLOWING MY SURGERY OR ARE THESE BILLED SEPARATELY?

Your first follow-up appointment, post surgery, is included. Any further review appointments, if required, will be charged at the follow-up price of £95.

WHEN WILL I BE BILLED FOLLOWING MY SURGERY?

Payment has to be made before surgery.

 

If you still have questions?

If you have had a look and can't find the answer to your question here then please feel free to send get in touch and we will do our best to help

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