Important educational information for Mr Hardy's Patients on Sports Injury, Orthopaedics and Trauma.
The following topics are about knee conditions...
Hoffa's Fat Pad Syndrome
Below is a clip posted on YouTube
by one of John Hardy's patients. It is a great example of a combined
injury of meniscal tear and Hoffa's posterior fat pad syndrome. Impingement
of the fat pad causes the fibrous synovial tag to develop. If missed by an
inexperienced knee surgeon during arthroscopy these tags explain
persistent pain and arthritis after ACL
rupture or partial menesectomy in some patients.
Please click on the images of pages below to learn more.....
Knee Arthroscopy
Arthroscopy
of the knee is an operation on a joint which is done by a "keyhole"
technique. A narrow lens, on the back of which is a video camera, is
inserted into the joint to allow examination of the inside. By using
specially designed probes and instruments, the surgeon can also do some
treatments to the inside of the knee joint.
Why should it be done?
It would only be done if you have persistent symptoms from your knee such as pain, locking, swelling or giving way. Arthroscopy of the
knee is usually done after an injury which is failing to settle at 6
weeks and where
there is evidence of damage to the ligaments, lining or surfaces of the
knee joint. If it is done for an injury, a MRI scan of the knee may be
done first to alert the surgeon to what may be found inside the joint.......
ACL Reconstruction
Knee
ACL reconstruction is highly successful these days however, about
50% of all athletes that rupture their ACL do not require surgery but
rehabilitation in the patient not requiring surgery is as important if
not more so than the athlete who does want surgery to stabilise their
knee. Anterior Cruciate ligament surgery and rehabilitation have
undergone dramatic changes recently.This is due to scientific research, improved surgical
technique, extensive clinical experience and better understanding of
the consequences of rehabilitation.....
Knee Arthritis
Arthritis
of the knee is a degenerative condition of the cartilage on the surface of a
joint.The cartilage provides a low friction, impact resistant,
bearing that contributes to efficient pain free stability in posture
and locomotion. Cartilage
like any other tissue or material can be damaged by high pressure or
repetitive loading.Normal cartilage is arranged in three layers on the supporting
bone....
Knee Replacement
Although
other measures like medications and kneearthroscopy
may be helpful with symptoms, the bestcure
may be knee replacement of the affected knee withan
artificial joint (prosthesis). An artificial knee joint or knee
arthroplasty can
help you return to many of your routineactivities....Many
patients offered knee replacement surgery might not need it or do not
want a knee replacement. Fill in an Oxford Score Sheet (click on the
image above left) and bring it to your consultation to help you decide
if this is the correct option for you....
Gout
Gout
is an inflammation of soft tissue caused by the deposition of monosodium
urate crystals in joints and soft tissues.
There are four phases of gout including: asymptomatic hyperuricemia,
acute gouty arthritis, intercritical gout and chronic tophaceous gout...
Aspiration & Injection
This
is a patient information sheet for patients who are going to receive an
aspiration and injection and for doctors who are going to give them. If
rest after injection is indicated do not forget a post
operative knee
brace......
