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  • New patient referrals and enquiries call : +44 (0)20 8909 5114
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Coronavirus Information

In response to the COVID-19 (coronavirus) outbreak and in line with national guidance, we have suspended our private elective admissions as we support our colleagues in the NHS. 

We are continuing to provide outstanding care for private patients within the Trust’s urgent care pathways and we are also offering selected outpatient consultations via video conference or telephone.

If you are an existing patient and have any questions about your treatment, please contact your consultant or their secretary directly.

For new patients that require urgent treatment or would like to be kept informed of when we can begin to accept elective admissions, please call our enquiry team on 0208 909 5114 or complete the contact form.

We want to thank you for your understanding at this time.

Indications for UKR Surgery

  • Unicompartmental pain / Osteoarthritis (OA)

Indications for PFJ Surgery

  • Patellofemoral joint pain / OA

Indications for TKR Surgery

  • Pain on mobilising
  • Restricted range of movement
  • Tibial and/or femoral OA
  • Functional Restrictions
  • Progression from a UKR

Possible complications of Surgery:

  • Infection
  • Bleeding
  • Nerve damage
  • Deep Vein Thrombosis
  • Pulmonary embolism
  • Persistent/ Recurrent Pain
  • Failure of prosthesis
  • Patello-femoral instability and other complications
  • Peri-prosthetic fractures, especially of the femur (supracondylar)
  • Neurological complications: peroneal nerve palsy / altered sensation post-op

More Information

Surgical Techniques
TKR e.g. PFC, Triathlon, Vanguard, Genus II
• The most common form of total knee replacement is the unconstrained
• The femoral and tibial components are not joined together therefore the stability of the knee comes from patients own ligamentous support
Constrained TKR e.g. SMILES
• These tend to be used in patients with poor ligamentous stability and/or severe joint deformity
• The femoral and tibial components are joined together with a hinge to give stability that would otherwise have been provided by patients own ligaments.
• Due to its constrained nature normally patients will be restricted to achieve knee flexion to 90° with this prosthesis, but not always the case.
• Medial or lateral compartment replaced, therefore one femoral condyle metal component and one tibial metal component, with or without a patella component. This replacement often has a plastic spacer attached to the metal tray of the tibial component which can be replaced if worn.
• Offers normal knee kinematics • Bone stock preserved and much less surgical dissection
• Front of trochlea groove removed and resurfaced with metal component. Posterior surface of patella may also be resurfaced
• Bone stock preserved and much less surgical dissection Will often allow hyperextension

Patients will be referred for follow-up physiotherapy in accordance with treating physiotherapist’s clinical reasoning. Reasons for referral to outpatient physiotherapy could include: difficulty achieving ROM, poor quadriceps function, functional deficit compared to pre-op mobility levels, deterioration of neurovascular status i.e. foot-drop and difficulty with independent HEP.


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