Anatomy / Ailment Detail
The knee comprises the joint between the femur and the tibia but also the joint between the
patella and the front of the femur. Either or all of these parts of the knee may be affected
by arthritis to various degrees. The procedure of joint replacement includes removing the
affected joint surfaces and replacing them with metal components with a high-density
polyethylene-bearing surface between the metal components. The metal components are usually
(but not always in special circumstances) cemented to the bone. If the patella is arthritic
and a patient complains of pain in the front of the knee or pain whilst walking on hills and
stairs uni-compartmental knee replacement is not usually appropriate and a total knee
replacement may be more suitable. Using newly developed techniques joint replacement may be
undertaken using minimal access surgery utilising much smaller incisions than previously
utilised. This assists with rapid recovery and return of function.
Who Needs it / Who Doesn't
The symptomatic arthritic patients with pain deformity or a restricted function are those,
which should consider knee replacement. The symptoms include knee pain, restricted function
and walking ability and increasing stiffness or deformity of the knee. Sometimes pain from
an arthritic knee may be felt in the thigh or hip area. Alternately in some patients the
pain may only be moderate and knee stiffness, deformity, instability may be the principal
complaint. Function may be limited in that walking may be restricted or activities such as
golf or bowling may be difficult. These problems may also promote patients to consider knee
replacement.
How to arrange an appointment with Mr. Johnson
Your first appointment is usually arranged with Mr Johnson at the
Bristol Nuffield Hospital at St Mary's. It is a modern well-equipped hospital with 36
private bedrooms and two operating theatres, and offers a full range of services.
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