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Knee Replacement Lancster |      Email privatepractice@hipkneesurgeon.org.uk 0152462345 (Lancaster) 01253923034 (Spire Fylde Coast Hospital) BMI The Lancaster Hospital Spire Fylde Coast Hospital Home Meet Mr Patel About The Doctor National Joint Registry Profile BMI Lancaster Hospital Profile Spire Fylde Coast Hospital Profile BUPA Profile Doctify Profile Private Healthcare UK Profile Presentations Publications Our Specialties Total Hip Replacement Total Knee Replacement Knee Arthroscopy ACL Reconstruction Partial Knee Replacement Revision Hip Arthoplasty Revision Knee Arthoplasty Foot and Ankle Appointments Patient Information Preparing For Your Consultation Preparation For Surgery Surgery Videos Hip Replacement Knee Replacement Knee Arthroscopy ACL Reconstruction Patient Testimonials Information Leaflets FAQs Contact us
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(Published: Tue, 01 Oct 2019 23:44:03 -0700)

Mr Kuntal Patel Orthopaedic Surgeon |  PRESENTATIONS
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(Published: Sat, 09 Nov 2019 03:41:53 -0800)

Hip Surgeon Cumbria |  KNEE ARTHROSCOPY Knee arthroscopic surgery (key hole surgery) has evolved significantly over the past few years. With the advent of highly specialised camera systems, precision tools and radiofrequency probes, knee arthroscopic procedure is now widely considered as a gold standard for treating a wide range of knee disorders. Knee arthroscopy is commonly performed for meniscal tears (cartilage tears). Meniscal tears are generally seen in patients after sporting injuries, sudden twisting injuries and often can happen without any injury. As patients get older, the meniscus becomes a bit stiff and can tear with repetitive twisting and turning during day-to-day activities. Once a meniscus is torn, unfortunately, it is unlikely to heal by itself. Symptoms often experience by patients include pain along the joint line, clicking in the joint, discomfort in certain activities, episodic swelling of the knee joint and occasional locking sensation. Symptoms can often wax and wane, but very rarely settle down completely without definitive management. Arthroscopic surgery for meniscal tear can involve repairing the meniscus or trimming/resecting the torn fragment of the meniscus. Delayed diagnosis can make a difference as to whether or not the tear is repairable. Early specialist assessment is recommended for a successful long-term outcome. Knee arthroscopy is also commonly performed for treating ligamentous injuries. One of most commonly injured ligament in the knee joint is Anterior Cruciate Ligament (ACL). Initial diagnosis is confirmed by clinical assessment and MRI scans. Patients generally have ACL rupture following a sporting injury or a pivoting injury to the knee joint. Knee joint often swells up soon after the injury and may take a few days for the swelling to go down. Most patients develop instability related symptoms from the knee joint during day-to-day activities or during sporting activities. Knee arthroscopic surgery can be performed to assess and reconstruct the ACL using your own tendons (hamstrings) using minimally invasive technique. Knee arthroscopy is also useful in treating conditions like loose body within the joint, problems with the lining of the joint, instability of the patello-femoral joint (knee cap moving in and out of the joint) and to assess the degree of wear and tear in the joint. Risks and Benefits Overall, knee arthroscopy is a very successful operation. It can successfully tackle problems with meniscus (cartilage), ligaments or the lining of the joint. Risks of knee arthroscopy include infection (<1%), bleeding, DVT (clots in your leg), PE (clots in your lung), medical and anaesthetic complications. Rehabilitation and recovery You are generally admitted to the hospital on the day of surgery. Knee arthroscopy is performed as a day case procedure. During the hospital stay, a multi-disciplinary team including orthopaedic team, ward doctor, nursing staff and physiotherapist treats you. Once you and the team are happy with the progress, you are discharged from the hospital. Post-operative mobilization includes use of walking aids like crutches to begin with. You can subsequently commence independent mobilization as soon as your pain allows. You will generally have two small cuts on the skin around the joint. I normally use steri-strips (tapes) on these wounds, which gives a nice scar and avoids the need for the sutures to be removed. Full recovery following knee arthroscopy can be expected within a maximum of 4 to 6 weeks in vast majority of patients. Knee Arthroscopy Meniscal Injuries OUR SPECIALITIES Total Hip Replacement Total Knee Replacement Knee Arthroscopy ACL Reconstruction Partial Knee Replacement Revision Hip Arthoplasty Revision Knee Arthroplasty Foot And Ankle
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(Published: Mon, 30 Mar 2020 03:10:43 -0700)

Knee Replacement, Blackpool |  TOTAL KNEE REPLACEMENT Knee replacement surgery is generally carried out for osteoarthritis of the knee. There are some other indications for this surgery including other types of arthritis, previous fracture, previous sporting injury, etc. Knee replacement surgery involves removing the damaged joint surfaces from both sides of the joint (from femur and tibia) and preparing the joint surfaces in order to accommodate an artificial joint. The artificial joint is matched to the patient’s size using specialized instruments and trial components. Types of Knee Replacement Knee replacement generally consists of a metal femoral component (made out of cobalt and chromium alloy), metal tibial component (made out of either titanium or cobalt and chromium alloy) and a plastic (highly cross-linked polyethylene) in the middle. The bearing surface therefore is metal on plastic. Based on how the bearing surface is fixed on to the components, knee replacement can be mobile bearing or fixed bearing. However, studies have not shown any significant difference in clinical outcome between the two types of knee replacement. In my practice, I use fixed bearing total knee replacement. Based on the number of ligaments preserved during the surgery, knee replacement can be classified into cruciate retaining (preserving posterior cruciate ligament) and cruciate sacrificing (removing posterior cruciate ligament). Although, this largely depends on the surgeon’s preference, studies have not shown any significant different between these two types of knee replacement. In my practice, I generally use cruciate retaining knee replacement for most cases. Risks and Benefits Overall, total knee replacement is a very successful operation in modern day surgery. In my practice, success rate of a total knee replacement is 90% or higher. Pain relief and improvement in the quality of life is substantial in vast majority of patients. It improves mobility and alleviates pain during day-to-day activities. It also helps patients maintain an independent life with little/no dependence on carers/family. Risks of total knee replacement include infection (around 1%), bleeding, DVT (clots in your leg), PE (clots in your lung), stiffness, loosening, wear, persistent pain (around 1%), medical and anaesthetic complications. Precautions are taken in order to minimize all the above risks e.g. use of antibiotic prophylaxis and specialized laminar air flow theatres to minimize the risk of infection, use of blood thinning medications and mechanical methods to reduce the risk of clots, etc. Post-operative exercises are extremely important to decrease the risk of post-operative stiffness. Rehabilitation and recovery You are generally admitted to the hospital on the day of surgery. Average length of stay in the hospital is 3-4 days. During the hospital stay, a multi-disciplinary team including orthopaedic team, ward doctor, nursing staff, physiotherapist and occupational therapist, treats you. Once you and the team are happy with the progress, you are discharged from the hospital. Post-operative mobilization includes use of walking aids like walker or crutches to begin with. You can subsequently use walking stick/s until independent mobility can be achieved. You can expect some swelling and redness around the wound and of the lower leg for few weeks. Generally by 6 to 12 weeks, functional recovery can be expected in most patients. Most patients can expect to drive around 6 weeks mark. Implants of my choice I choose the implants for knee replacement very carefully for each patient. The type of knee replacement used in my clinical practice has a very long track record (>20 years) with excellent long-term survival. Currently, my preferred implants are PFC Sigma (manufactured by Depuy Synthes) and Nexgen (manufactured by Zimmer). Artificial Joint Replacement of the Knee Osteoarthritis of the Knee Viscosupplementation for Osteoarthritis of the Knee OUR SPECIALITIES Total Hip Replacement Total Knee Replacement Knee Arthroscopy ACL Reconstruction Partial Knee Replacement Revision Hip Arthoplasty Revision Knee Arthroplasty Foot And Ankle
:: Read More
(Published: Mon, 13 Apr 2020 02:24:24 -0700)

Steve Hastings Drain Services Blackpool |  Top 1% of Doners for April
At Steve Hastings Drainage we like to give back to Charities. Good to know we are in the top 1% of 703,220 doners in April in JustGiving. Thank you to all those who have helped with your donations. Many Thanks.
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(Published: Fri, 04 May 2018 09:22:23 +0000)



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