This is a surgical procedure performed on a knee joint that has become painful and/or impaired because of disease, injury or wear and tear. In total knee replacement, artificial materials (metal and plastic) are used to replace the following damaged surfaces within the knee joint: the end of the femur (thigh bone) the end of the tibia (shin bone) the back of the kneecap (patella) This operation is a major procedure which requires you to be in hospital for several days and will be followed by a significant period of rehabilitation. For more we reccommend the AAOS total knee replacement website information

The anterior cruciate ligament (ACL) is a strong, stabilising ligament running through the centre of the knee between the femur (thigh bone) and tibia (shin bone). When the ACL is torn, frequently as the result of a sporting injury, arthroscopic surgery known as ACL reconstruction is performed. The procedure involves replacement of the damaged ligament with tissue grafted from elsewhere, usually the patellar or hamstring tendon. The ends of the grafted tendon are attached to the femur at one end and the tibia at the other using screws or staples. For more we reccommend the AAOS ACL reconstruction website information

This procedure is used when osteoarthritic damage to the cartilage on one side of the knee has caused the angle of the knee joint to change so that most of the body's weight is borne by the affected side, adding to the wear on that side. High Tibial Osteotomy involves reshaping and realignment of the bone so that weight becomes more evenly distributed between the inside and outside of the knee, thereby reducing the workload on the damaged side. You will probably have to stay in hospital for several days after surgery followed by up to 6 months rehabilitation. For more we reccommend the AAOS osteotomy website information

Many orthopaedic examinations and treatments of joints are performed using an arthroscope, a narrow tube containing a fibre optic telescope that is inserted into the joint through a small incision. The arthroscope is connected to a video camera and images of the interior of the joint can be seen on a TV monitor. Fine instruments can be introduced through small incisions (portals) to allow surgery to be performed without the need for large cuts. This allows many procedures to be performed as a day stay and allows quicker return to normal function of the joint. Arthroscopic surgery (sometimes known as "keyhole" surgery) is less painful than open surgery and decreases the risk of healing problems. Arthroscopy allows access to parts of the joints which cannot be accessed by other types of surgery. For more we reccommend the AAOS arthroscopy website information

The menisci are two circular strips of cartilage that form a cushioning layer between the ends of the femur (thigh bone) and tibia (shin bone) in the knee joint. Together the medial and lateral menisci, on the inside and outside of the knee respectively, act as shock absorbers and distribute the weight of the body across the knee joint. The menisci can become torn through injury or damaged from age-related wear and tear and may require surgery. The most common meniscal surgery is partial meniscectomy in which the torn portion of the meniscus is cut away so that the cartilage surface is smooth again. In some cases meniscal repair is carried out, in this case the torn edges of the meniscus are sutured together. Both procedures are performed arthroscopically. For more information please click here for meniscal tears and click here for meniscal transplant surgery.

Management of both benign and malignant bone and soft tissue tumours consisting of local and systemic staging, biopsy and definitive surgical management of these conditions in conjunction with limb salvage techniques.