Knee symptoms can be varied. Sometimes people experience sudden giving way or instability which may or may not be associated with pain. You may get swelling around or within the knee due to fluid accumulation, also known as an effusion.
There can be damage to the cartilage cushioning the knee (meniscus) or wear and tear of the cartilage covering the joint surfaces which can result in arthritis. Fluid accumulating within the joint can be the result of injury or irritation indicating an underlying abnormality.
At consultation, examination of the knee provides valuable information that guides further investigations, usually with X-ray, though MR scan may also be required.
If meniscus cartilage is damaged keyhole surgery can be done to repair or remove damaged cartilage.
In patients with an arthritic knee, a steroid injection can relieve pain in the medium term. Keyhole surgery can also be useful in arthritic knees. If pain killers are ineffective, a knee replacement may be a reasonable option to relieve symptoms.
I use the PFC Knee Replacement, which has been available for more than 30 years and is one of the most widely used implants in the world.
Following surgery, the enhanced recovery programme is especially useful in helping early mobilisation and preventing stiffness. There are no specific restrictions following surgery. I will see you in clinic about 2 months after surgery and then again at the 12 months stage to make sure that you are doing well.