Information & Booklets
Anaesthesia for Knee Surgery
General anaesthesia (GA) is currently the most widely used technique for all types of knee surgery in Reading as it is in the rest of the UK. General anaesthesia is often used in combination with local anaesthetics either injected around the area of surgery or in the form of a nerve block with the aim of enhancing post operative pain relief for a period of time after the operation is finished.
Spinal anaesthesia, which is similar to an epidural, uses an injection around the nerves in the lower part of the back to produce loss of sensation below the waist and is an alternative to general anaesthesia. It may be combined with either sedation or general anaesthesia and has advantages for some people but is less widely used mostly because it is more technically demanding and less acceptable to many patients.
Anaesthesia is now seen as being very safe not only because of developments in technique and equipment but also because of the careful preparation of patients pre-operatively, and the experience of the theatre team in caring for people having knee surgery.
A knee arthroscopy is an operation where an orthopaedic surgeon uses a ‘keyhole technique‘ to look inside the knee joint with a specialised camera. It is usually performed through 2 or 3 small incisions (cuts) either side of your kneecap. It is a very useful and commonly used procedure, as it allows the surgeon to both diagnose and treat certain ‘mechanical’ knee problems. The first knee arthroscopies were performed in the late 1960s and with subsequent improvements in the equipment and higher resolution cameras, the procedure has become highly effective. Today arthroscopy is one of the most commonly performed orthopaedic operations.
Anterior Cruciate Ligament Reconstruction
The Anterior Cruciate Ligament (ACL) is most commonly injured playing sport. With sports becoming an increasingly important part of daily life, the number of ACL injuries has steadily increased over the past few decades. This particular injury has received a great deal of attention from the orthopedic community over the past 15 years and operations to reconstruct a deficient anterior cruciate ligament have been refined over this time.
Total Knee Replacement
A total knee replacement is an operation that involves replacing the surfaces of the damaged knee joint with a specialised metal and plastic implant. The knee joint is made up of three bones – the tibia, the femur and the patella.
Unicompartmental (Partial) Knee Replacement
A Unicompartmental (Partial) Knee Replacement is an operation which resurfaces one compartment - usually the medial (inner) half - of the knee joint.
Patellofemoral (Knee Cap) Stabilisation
Tibial Tuberosity Transfer (TTT)
Structure Of The Knee
Hip Replacement Surgery Patient Information
This information booklet about hip replacement has been produced to help you gain the maximum understanding and benefit from your operation.
Posterior Cruciate Ligament (PCL) Reconstruction and Rehabilitation
The Posterior Cruciate Ligament (PCL) is the largest ligament in the knee. It is most frequently injured during athletic activity or as part of more significant episode of knee trauma such as a dislocation. With sports becoming an increasingly important part of day to day life and MRI scanning more commonly used in assessing knee injuries the number of PCL injuries being diagnosed has steadily increased. A PCL tear (‘rupture’) is far less common (20x) than an ACL injury and typically occurs as a result of a different type of knee trauma. The PCL has the ability to heal / tighten over the first few weeks following injury and therefore an initial period of ‘non-operative’ therapy is always recommended. Seeking a specialist opinion and making an early (first couple of weeks) diagnosis is very important to allow the appropriate splint/brace to be applied.