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Knee surgery

Expert orthopaedic care for your knee concerns

When simple tasks like walking, running, and bending down become increasingly problematic, you’ll appreciate the expertise of an orthopaedic specialist to help diagnose your concerns. At BMI Princess Margaret, we prioritise early treatment to help your knee conditions before they get any worse.

Symptoms you may be experiencing can include:

  • Knee pain
  • Hip pain
  • Knee changing shape
  • Swelling
  • Instability (a sensation of your leg ‘giving way’)

If any of these sound familiar, why not book a consultation at your earliest convenience? Patients from Windsor, Slough, Maidenhead, Ascot, and the surrounding areas travel to see our consultants at BMI Princess Margaret for rapid assessment, diagnosis and personalised treatment, delivered without delay.

Your knee is made up of three main compartments; the knee cap joint at the front, the medial inside joint, and the lateral outside joint. These wear out at different rates, often due to the wear and tear of arthritis, and as such one of these areas will be weaker in each patient we see. By identifying which compartment is causing the problem, we can help you rectify things early, preventing further damage and potentially nullifying any need for surgery.

Our consultants have the ethos of trying to keep your knee natural and stronger for longer, looking to treat the cause of the problem rather than just the problem itself. Instead of merely masking your pain with painkillers and injections, our consultants provide a focus on biomechanical alignment and optimisation to encourage your knee to function correctly.

By intervening at an early stage, it can greatly delay potential problems, often eliminating the need for a total knee replacement.

Problems with either a weak inner or outer compartment of the knee may cause you to become either bow-legged or knock-kneed (genu valgum). If this is the case, our consultants can fit you with an Unloader knee brace.

This is a spring-loaded brace which can correct the malalignment by reducing the load on one side of your knee, allowing you to continue to walk on the weaker compartment without the need for surgery. These braces are low profile, easily removable, and approved by insurance companies, making them a great option for isolated knee problems.

With the patellofemoral joint (where your kneecap meets your thigh bone), physiotherapy, muscle strengthening, and conditioning will sometimes be enough help on its own, with various devices able to aid you in your recovery.

Some patients may find success and improvements using the knee brace, but they may not wish to wear it forever. In cases where the pain is very severe and other therapies have been ineffective, surgery can be considered, normally in the form of a joint replacement.

For some patients, an isolated knee replacement can be considered, using our state-of-the-art MAKO® robot for added assistance when inserting the artificial implant.

This involves a small, focused resurfacing inside the knee over the affected compartment, leaving the other two thirds of the knee completely intact. This results in a more natural feel for the patient, as well as a smaller incision site, resulting in less blood loss during surgery and a faster recovery.

Using the MAKO® robot allows for a very precise operation, with your surgeon in full control at all times, and the added flexibility and optimal positioning afforded by the MAKO® robot.

Princess Margaret has excellent success rates with the MAKO robot, and has one of the highest turnover rates in the country for patellofemoral joint replacements, underlining the expertise and efficiency of our team here.

Although often associated with older patients, many fit and young patients have a knee replacement and go on to continue an active, sporty lifestyle, once recovered. Your consultant will take into account your goals for recovery when advising you on the most appropriate options for your treatment.

Your initial consultation will be focused on finding a definitive diagnosis and creating a personalised treatment plan, based on your specific condition.

They may ask you questions such as:

  • What symptoms have you been experiencing?
  • How long have you had these symptoms?
  • If you’re in pain, can you describe this pain? Is it localised or does it spread it?
  • Have you had any injuries or knee issues before?
  • Have you had any other treatment yet? How successful has it been?

This will be followed by a physical examination, where your consultant will manipulate your knee joint to test your reactions and investigate some of the symptoms you’ve mentioned.

Following this, your consultant will usually send you for an x-ray to help diagnose any structural issues with your knee that may be causing you pain, and/or an MRI to investigate any potential signs of arthritis.

From these scans, your consultant will be able to identify which of the three compartments in your knee is causing the problem, and tailor your treatment accordingly.

Often, a conservative approach is enough to successfully reduce your symptoms, and your consultant can signpost you towards our dedicated physiotherapy department, or administer steroid injections directly into your knee for pain relief.

If you’ve tried these methods and haven’t found adequate relief, surgery may be your best option. The MAKO robot can be used for greater analysis, forming a 3D scan of your knee to allow your consultant to create a bespoke plan for surgery.

Choosing to have your knee surgery at Princess Margaret comes with a host of benefits, such as:

Assessments ASAP – If you’ve been experiencing any of the associated symptoms of arthritis or other knee conditions, you won’t want to wait to be seen. Our consultants can see you for an assessment without delay, getting you an accurate diagnosis rapidly, starting you on the necessary treatment before your symptoms progress any further.

Patient Satisfaction – 97.9% of patients in 2020 said they would happily recommend Princess Margaret Hospital to friends and family in an independent report, and we’re confident that you’ll agree. 98% also said that the quality of care here at Princess Margaret Hospital was either ‘very good’ or ‘excellent’. We aim to make your stay with us as comfortable as possible, and these results highlight our continued efforts to ensure this is achieved.

Robotics-assisted Surgery – Allowing even greater accuracy, our theatres are equipped with robotics-enabled MAKO® guiding systems to assist your surgeon in a variety of complex surgeries. This cutting-edge technology increases the likelihood of a successful surgery and is favoured by surgeons and patients alike.

One-Stop Shop – Some minor procedures can be done on the same day as your initial consultation, making Princess Margaret a ‘one-stop shop’ for certain treatments, such as steroid injections to relieve symptoms and ease your pain. With minimally-invasive procedures available under local anaesthetic, you’ll be able to recover quickly and get back to your normal routine as soon as possible.

Personalised care – We believe in a bespoke approach to treatment, tailoring each experience to our patients’ needs and whatever may be best for you. This is regularly reviewed, ensuring you get the necessary treatment at every stage of your patient journey.

A Multidisciplinary Approach – Our teams at Princess Margaret work in tandem with each other to provide you with the best possible care from start to finish. Working closely with a dedicated physiotherapy team, alongside specialist musculoskeletal radiographers, anaesthetists, and nurses, you have support from medical professionals every step of the way during your treatment.

Convenient appointments – With flexible appointments available at dedicated clinics throughout the week, you are sure to find an appointment slot that suits your needs and availability.

If pain in your knee has been concerning you, or you’ve had difficulty walking, why not book a consultation with one of our orthopaedic specialists today? Our consultants can outline all treatment options for you promptly, arranging any necessary diagnostic scans, treatment and surgery if required.

For peace of mind and expert care, please contact Princess Margaret to book an appointment now.

Specialists offering Knee surgery

Mr Rishi Chana

Consultant Hip and Knee Orthopaedic Surgeon

MBBS, BSc (Hons), MRCS Ed, MSc (Dist), PG Med Ed, FRCS Tr&Orth Ed

BMI The Chiltern Hospital 2 more BMI The Princess Margaret Hospital BMI The Runnymede Hospital

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Mr Vikas Vedi

Consultant Orthopaedic Surgeon

BSc Hons, MBBS, FRCS, FRCS(Tr & Orth)

BMI Bishops Wood Hospital 3 more BMI Syon Clinic BMI The Clementine Churchill Hospital BMI The Princess Margaret Hospital

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Mr Jonathan Peter Monk

Consultant Orthopaedic & Trauma Surgeon

FRCS Ed (TR&Orth), MSc Orthopaedic Engineering

BMI The Princess Margaret Hospital 1 more BMI The Runnymede Hospital

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Mr Henry E Bourke

Consultant Orthopaedic Surgeon

BSc(Hons), MBBS, FRCS(Tr&Orth)

BMI The Princess Margaret Hospital

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Mr Martin Charles Logan

Consultant Orthopaedic Surgeon

BSc(Hons), MBChB, MRCS (Eng,Glasg), MD (Lond.), FRCS Eng. (Tr&Orth)

BMI The Princess Margaret Hospital

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