The Meniscal Consensus Project
This document from ESSKA (European Society of Sports Traumatology, Knee Surgery & Arthroscopy) outlines the common problem of meniscal tears in middle aged people and gives the guidance for how we should be managing them. Read the document
Is total knee replacement always the best solution for knee arthritis?
Bone Joint J 2014;96-B(11 Suppl A):96–100.
A national study has quantified the degree of patient satisfaction and residual symptoms in patients following total knee replacement (TKR). In summary:
A total of 90% of patients reported satisfaction with the overall functioning of their knee
66% felt their new knee to be ‘normal’
The reported incidence of residual symptoms and functional problems ranged from 33% to 54%
Use of a Custom Cutting Guide to perform a so-called kinematically aligned TKR showed a trend towards more patients reporting their knee to feel ‘normal’ when compared with a so called mechanically aligned TKR
This data shows a degree of dissatisfaction and residual symptoms following TKR, and that several recent modifications in implant design and surgical technique have not improved the current situation.
Reading Knee Unit Sponsors Kidmore End Primary School Treasure Hunt
Reading Knee Unit sponsored Kidmore End Pre School Treasure Hunt on Saturday 27th June from 11am to 3pm at Kidmore End Primary School. We hope you came along and joined the fun!
All Sports Medicine and Reading Knee Unit publish a leaflet on Tendinopathy
The National Ligament Registry publishes its first annual report
Published: Thursday, 16 April 2015
Mr Sean O'Leary is the founder and chairman of The National Ligament Registry. The NLR was launched in 2003 and is a registry/database of all outcomes of ACL (knee ligament) reconstruction in the UK. View a copy of its first annual report here.
New RKU ACL rehabilitation protocol finalised to ensure a safe return to sport
Published: Tuesday, 17 February 2015
“Together with the physiotherapists at Circle Reading we have developed a new and improved rehabilitation pathway to ensure all athletes make a safe and controlled return to sport following their ACL surgery. This will not only ensure a safe return to sport but also reduce the risk of future injury to both the operated and non-operated knee. It incorporates an advanced strength assessment (Biodex) which ensures adequate symmetrical restoration of core and lower limb strength”
New advanced BIODEX machine at Circle Reading
Published: Tuesday, 17 February 2015
The first machine of its kind in the Reading area is installed at Circle Reading. It will allow advanced strength assessments following injury or surgery to ensure a safe and speedy return to play following injury.
UK NLR Poster
Published: Tuesday, 30 September 2014 13:05
Our new UK NLR poster, titled 'The UK National Ligament Registry: A paperless model for the future?' was presented at the 2014 ESSKA meeting in Amsterdam. Download it here.
Publication of Surgeon Specific Outcome Data
Published: Tuesday, 30 September 2014 10:20
Surgical outcome/performance data is becoming increasingly available in the 'public domain' and is often reported (in eye catching ways) in the popular press.
The amount of validated data will be limited at present but will increase with time. Any surgical outcome data should related to the particular 'case complexity' and that data is often not available, which makes interpretation difficult.
What is not unreasonable is to expect that each surgeon records the numbers of each procedure that he/she performs annually and registers with any appropriate databases/registries - where not already mandated - which have been established to record the outcomes of these procedures.
For knee surgery all joint replacements are recorded (by mandate) on the National Joint Registry (www.njrcental.org.uk). ACL reconstruction is recorded on the National Ligament Registry (www.uknlr.co.uk) and osteotomy is on the UK Knee Osteotomy register (www.ukkor.co.uk).