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  • New patient referrals and enquiries call : +44 (0)20 8909 5114
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To protect you, your family and the staff of RNOH Private Care, we now have the facilities to offer video consultations. Your consultant will tell you if your appointment is to be carried out in this way and their practice secretary will provide you with all of the information you need to do this.

If you are asked to attend RNOH Private Care outpatient centre for your appointment, please ensure that you read the information below and follow any social distancing instructions when you arrive at the hospital:

CORONAVIRUS INFORMATION

If you have symptoms of coronavirus infection (COVID-19), however mild, do not leave your home for 7 days from when your symptoms started. The symptoms are:

  • new continuous cough and/or
  • high temperature

You do not need to call NHS 111 to go into self-isolation. If your symptoms worsen during home isolation or are no better after 7 days, contact NHS 111 online. If you have no internet access, call NHS 111. For a medical emergency dial 999. You can find the latest information and advice at www.gov.uk/coronavirus.

Do: 

  • wash your hands with soap and water often – alcohol gel is effective against respiratory viruses
  • cover your mouth and nose with a tissue or your sleeve (not your hands) when you cough or sneeze
  • put used tissues in the bin immediately
  • try to avoid close contact with people who are unwell

Don't

  • touch your eyes, nose or mouth if your hands are not clean

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.
 
UKR
• 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
 
PFJR
• 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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