Sports Knee Clinic: Knee Injuries, ACL ligament, Patella fractures, Torn Meniscus, Multiligament Injuries.
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    Acute Knee Injuries
  • Locked knee
  • Torn meniscus
  • Anterior cruciate ligament injury
  • Medial collateral ligament injury
  • Lateral ligament injury
  • Patella dislocation

    Knee Pain
  • Worn meniscus
  • Over use injuries
  • Early joint wear
  • Osteoarthritis

    Knee Replacement
  • Alternatives to joint replacement
  • Partial joint replacement
  • Total joint replacement
  • Complex joint replacement

    Revision Knee Surgery
  • Revision ligament reconstruction
  • Revision joint replacement

The knee joint is a marvelous mechanical design, combining stability and flexibility to allow amazing athletic function. As the main joint supporting the leg, the knee joint is prone to accidental injury and in the longer term arthritis due to accumulated wear and tear

You may run into problems with your knee at any age, treating a broad selection of patients is one of the attractions of knee surgery. There are adolescent conditions, sporting injuries, high energy accidents and many patients with "bits worn out" whom we can help in the Knee Clinic.

High quality advice and treatment is the best way to maximise your knee function. We work with a top team of medical, nursing and physiotherapy colleagues to provide comprehensive care for knee injuries.

Painful Knee
Mr Gavin Holt

Mr Gavin M Holt
Consultant in Trauma & Orthopaedics
Qualified Aberdeen, 1988

Specialist Hip and
Knee Surgeon

Private Secretary
Lorraine McNickle
01242 246500
07989 896473

Causes of knee pain and instability

Pain in the knee can arise from mechanical trauma, acute overuse, inflammation or long term degeneration, of any of the tissues that make up the knee joint. The tissues react by swelling up, producing excess joint fluid, and stimulating the pain receptors in the knee.

Instability suggests ligament rupture, loose material (meniscal tear, ossific loose body) or damage to the bearing surfaces. Abnormal movement causes irritation of the soft tissues and often fluid in the joint.

Inflammed Knee Joint

Diagnosis of knee problems

The commonest causes of knee pain can be diagnosed with nothing more than a good interview, physical examination and simple x-rays. Where there is uncertainty about the underlying diagnosis then an MRI scan is useful. Please do not spend your money on an MRI scan before having simple x-rays and a discussion of what these inexpensive tests reveal.

Direct insepction of the inside of the knee, arthroscopy, should be rare these days. With x-rays and scans a good pre-operative diagnosis should be possible. This allows a detailed discussion of the "Risk vs. Benefit" before any operation. Occasionally the pre-operative diagnosis may underestimate the progression of wear in the knee, this possibility should be discussed beforehand.

Treatment of knee problems

Care of patients with knee replacements

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