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KNEE INJURIES

Knee injuries and treatments

KNEE INJURIES

Knee injuries and treatments

Knee injuries are common in sport and physical activity, particularly in activities involving twisting, jumping or sudden changes in direction. At the Mackay Clinic we specialise in diagnosing and treating complex knee injuries, including ligament tears, cartilage damage and patellar instability. Many ligament injuries, including ACL tears, can be treated using modern surgical techniques such as InternalBrace ligament repair, developed by Professor Gordon Mackay.

Knee injuries we diagnose and treat includes

Cartillage/meniscal tears

Chondral/surface injuries

Osteo-chondral injuries (bone defects)

Loose bodies

Ligament injuries resulting in instability - both acute and long-standing injuries

Medial Ligament repair

Lateral Ligament repair

Postero-lateral corner disruption

Anterior Cruciate Ligament (ACL) injuries

Posterior Cruciate Ligament (PCL) injuries

Revision ACL

Multi Ligament repair

Patellar Stabilisation

Knee injuries we diagnose and treat includes

Cartillage/meniscal tears

Chondral/surface injuries

Osteo-chondral injuries (bone defects)

Loose bodies

Ligament injuries resulting in instability - both acute and long-standing injuries

Medial Ligament repair

Lateral Ligament repair

Postero-lateral corner disruption

Anterior Cruciate Ligament (ACL) injuries

Posterior Cruciate Ligament (PCL) injuries

Revision ACL

Multi Ligament repair

Patellar Stabilisation

HOW WE TREAT KNEE INJURIES

Surgical Treatment for Knee Injuries

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CARTILAGE REPAIRS - MENISCAL REPAIR AND REPLACEMENT

The knee is frequently injured in sport, often resulting in pain, swelling and loss of function. Cartilage injuries, including meniscal tears, can often be treated using minimally invasive keyhole surgery. Early treatment can help minimise muscle wasting and support an optimal recovery.

Early diagnosis by an experienced physiotherapist can ensure the best platform for rehabilitation and may help reduce the risk of long-term knee problems.

Where possible, the cartilage is repaired using modern surgical techniques designed to protect the joint and minimise the future risk of arthritis. Cartilage repair can sometimes slow early recovery because healing of the repaired tissue is required, although biologic injections may help support this process.

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ACL SURGERY - INTERNALBRACE TECHNIQUE

Some forty years since the importance of the ACL was recognised in terms of knee stability, surgeons have sought a way to restore knee stability and, ultimately, normal function after injury.

Initial attempts to repair the damaged cruciate ligament directly end-to-end were very disappointing with only a third restoring satisfactory function. Although at this time material technology was poor and a prolonged period of immobilisation was required to protect the repair which often... go to our in depth InternalBrace for the knee page to find out more....

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MEDIAL LIGAMENT SURGERY - INTERNALBRACE TECHNIQUE

The InternalBrace offers a simple percutaneous way of restoring temporary stability as the medial ligament heals. This not only ensures anatomical length, preventing attenuation during early phase recovery, but can facilitate early mobilisation which prevents secondary detrimental changes to the joint,

which also improves soft tissue strength and accelerates healing. We have more in depth information on our InternalBrace for the knee page

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PATELLAR TENDON RUPTURE REPAIR

Patellar tendon rupture is often a high-energy injury involving extensive open procedure, an extended period of immobilisation and protection to allow re-modelling. With InternalBracing modification early mobilisation would be undertaken

and this ensures excellent function and much improved recovery. Patients can often walk without crutches or an external brace, after a few weeks. A return to more demanding sport takes within a three-month (as opposed to a .....

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InternalBrace Knee Surgery - In Depth
ACL InternalBrace surgery video
InternalBrace Knee Surgery - In Depth
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PATELLAR DISLOCATION AND INSTABILITY

Patellar dislocation is a frequent problem, but 70% can be corrected by proximal soft tissue realignment. If the tissues are not considered adequate, then hamstrings are often harvested for ligament reconstruction.

This causes donor site morbidity and also places dead tissue over the patellofemoral ligament which has to be protected during its period of remodelling and revascularisation. This can result in irritation, muscle wasting and wound complications.

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POSTEROLATERAL CORNER KNEE INJURIES

Posterolateral corner reconstruction is a very complex procedure involving multiple drill tunnels, harvesting of extensive tissue and reconstruction using multiple anchors, screws and pieces of tendon.

Alternatively, since the injured tissues were still present but have been stretched to failure, restoring posterolateral corner stability with an InternalBrace mimicking the lateral collateral ligament and the soft tissues

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ANTEROLATERAL LIGAMENT

While the widespread adoption of InternalBrace technology is revolutionising the treatment of ligament injuries, it is by no means the only major clinical advance in this area.

However, one technique in particular is working particularly well when used in conjunction with the InternalBrace. After studying 48 knee joints from human cadavers over three years, Belgian knee surgeons Dr Steven Claes and Professor Johann Bellemans

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A complete disruption and dislocation of the patellar, before and after InternalBrace surgery

Before surgery After surgery

“Professor Mackay has been inspirational to me and I’m extremely grateful for him and his expertise in repairing my injury that has been plaguing me since I was in my mid teens and throughout my military career.

Owen Tullan

“I will be forever grateful to Professor Mackay for getting me fit and able to qualify for London 2012 - without him I feel sure that I wouldn't have been part of Team GB.”

Susan Egelstaff
Team GB Badminton player

“It's now 5 months since my operation and having just spent four days playing strenous golf my knee has never felt better. My golf has improved so much that my friends want to know when they can have theirs done. ”

Rita Hallam
PODCAST

Watch some of our patient videos

These videos feature a mixture of patient  knee injuries that were treated with InternalBrace surgery - here are their stories....
Watch more patient videos
PODCAST
IF YOU THINK KNEE SURGERY COULD HELP YOU

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