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Knee Treatments

The Orthopaedic Department at London Bridge Hospital provides a highly specialised service for the rapid diagnosis and treatment of knee pain, knee injuries, and other knee problems. Examinations, such as MRI and X-rays, can usually be arranged on the same day as the consultation. Treatment, including surgery, if necessary, can also be arranged with minimum delay.

Treatments we provide include physiotherapy, knee injections and knee surgery, such as day-case arthroscopic surgery, as well as cartilage cell implantation, total and partial knee replacements.

London Bridge Hospital undertakes a large number of different types of knee procedures, including:

Arthroscopic trimming or repair of a torn meniscus

Torn cartilage is a common knee injury. Where at all possible, the cartilage tear is repaired by inserting sutures using keyhole surgery. When a successful repair cannot be achieved, we remove the minimum amount of cartilage necessary to alleviate pain and clicking. In some cases, our expert Consultants can carry out a meniscal transplant to replace badly damaged meniscus.

Arthroscopic removal of plicae and loose bodies

The knee joint has a lining known as the synovium. This secretes a lubricating and nutrient fluid into the joint. A fold of the synovium, known as a plica, can get trapped in the joint. This causes pain, swelling and clicking. Plicae can be removed using keyhole surgery. Our Orthopaedic Surgeons can use the same technique to remove loose fragments from within the joint.

Removal of bony spurs

Bony spurs, known as osteophytes, can form near the knee joint, causing pain and limiting movement. These can be shaved arthroscopically and can be removed in day-case surgery. The procedure can improve pain and joint function.

Arthroscopic anterior cruciate ligament reconstruction

Reconstruction of the cruciate ligament is usually necessary following serious sporting injuries. The repair is performed through small incisions using keyhole surgery. Two tendons from the hamstring are removed through the incisions and are used to replace the cruciate ligament. We also provide posterior cruciate reconstruction surgery, should it be required.

Autologous cartilage-cell implantation

Where there has been loss of articular cartilage, the orthopaedic consultants are sometimes able to sample normal cartilage cells from the knee joint. Patients can also have a sheet of new cartilage, which is grown in a laboratory, implanted to resurface damaged areas of cartilage within the knee joint.

Primary total knee replacement

In cases of advanced damage to the knee joint, we can perform a total knee replacement. This is carried out using a minimal blood loss technique, which eliminates the need for blood transfusion or a tourniquet. In most cases this procedure results in an excellent range of movement and return of knee function, while also relieving pain. 

Primary unicondylar knee replacement

Half of knee replacement cases require only a portion of the knee joint to be replaced. Most commonly this is the inner or medial compartment. Less commonly it is the outer or lateral compartment. In most cases this restores normal function, with many patients regaining a high level of mobility.

Revision knee replacement surgery

When a previous knee replacement has failed, or joint function hasn’t returned as expected, we carry out revision knee replacement. This is done to rectify problems and restore function. These are complex cases requiring significant surgical expertise and careful post-operative rehabilitation. These cases are frequently carried out without a tourniquet and, in many cases, without a need for transfusion.

Outpatient injections

Injections into the knee are commonly provided on an outpatient basis for pain relief for arthritis of the knee, using a material known as hyaluronan. The material is a chain of 10,000 or more pairs of sugar molecules, one of which is a form of glucosamine. This functions as a lubricant and has many other important physiological and nutritional effects on the joint.

Physiotherapy

Inpatient and outpatient physiotherapy is available to cater for patient requirements, either as the predominant form of treatment and before and after surgery. At London Bridge Hospital Outpatients, we have links with numerous independent physiotherapists specialising in the treatment of knee problems in many areas of the UK. In London we have close links with ES (electrical stimulation) physical therapy at Harley Street for isokinetic assessment and treatment.

If patients have their own physiotherapist our Consultants are happy to refer and liaise with them. This includes providing details of patient diagnosis, clinical assessment, operation details, and post-operative care.

To find out more about the physiotherapy services we offer at London Bridge Hospital Outpatients, please visit our physiotherapy page.

Why use the knee specialists at London Bridge Hospital Outpatients

  • We aim to provide our patients with same and next day appointments. We also strive to deliver quick and effective treatment, which starts by achieving a quick diagnosis. With access to on-site diagnostics, we can reduce waiting times and begin treatment quickly.
  • At London Bridge Hospital Outpatients we have access to the top orthopaedic consultants from London’s leading teaching hospitals.
  • We make use of the latest advances in diagnostics and treatments, improving the effectiveness of the services we offer to patients.
  • The high-quality care we provide to patients is tailored to their individual needs, from their requirements during treatment through to their rehabilitation.
  • Through leading consultants, technology, and access to treatment we strive to deliver the best possible outcome in terms of successful treatments and patients returning to their regular activities.

To learn more about the Knee services at London Bridge Hospital Outpatients or our other Orthopaedic services, please call 02035 532 749 or email info.lbh@hcahealthcare.com. If you would like to book an appointment with one of our consultants, call 020 7234 2009.