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Information on all things hips and knees

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The two main types of knee surgery are:

An arthroscope (a tube with a small camera on the end), is inserted into a small incision made in the knee. The images from the camera are displayed on a monitor for your surgeon to see, and the procedure is carried out via another small incision in the knee.

Total or partial knee replacements are commonly performed on knee joints. During a knee replacement the worn out joint is removed and is totally or partially replaced with an artificial joint.

Mako robotic assisted surgery allows your knee surgeon to create a 3D model of your knee and to create a personalised surgical plan. Pre-defined plans with real-time tracking feedback allows your surgeon to operate to extreme accuracy. Robotic knee surgery is more accurate than manual techniques and helps to preserve healthy bone and tissue, which results in a faster recovery and less post-operative pain.

The most frequently performed knee operations are:

  • Meniscus surgery

The meniscus is cartilage that acts as a shock absorber between the shinbone and thighbone. If you are experiencing knee pain, swelling, and difficulty extending or bending the knee then you may have damaged or torn your meniscus.

Arthroscopic knee surgery is used to repair the damaged meniscus. This can be performed as a partial meniscectomy or meniscal repair to remove or repair the damaged tissue. Meniscus transplant surgery can be performed to replaced the whole meniscus and replace with donor tissue.

  • Anterior cruciate ligament reconstruction (ACL)

The anterior cruciate ligament (ACL) connects the thighbone to the shinbone and stabilises the knee joint and is one of the most common sporting injuries. If you are struggling to bare weight, have swelling, severe pain and ‘popping’ in the knee, then you may have a ruptured ACL.

ACL reconstruction is carried our via a knee arthroscopy. It consists of taking tissue from elsewhere in your body to replace the ligament. It is also possible to use donor tissue or an artificial graft.

  • Patellar tendon repair

The patella tendon connects the bottom of the knee cap to the shinbone. If you have pain and tenderness in your kneecap, swelling and difficulty bending and straightening the leg then you may have damaged your patella tendon.

The damaged parts of the tendon are removed and then stitched back together. If your patellar tendon is badly ruptured you may have the tendon replaced with tissue from elsewhere in the body or with donor tissue.

  • Investigation of the knee joint

Knee arthroscopies are often performed to take a look inside the knee joint to investigate any abnormalities inside the joint.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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The Anterior cruciate ligament (ACL) joins the thigh bone to the shin bone at the knee joint, and provides stability to the joint.

Causes of an ACL tear

An ACL tear and other knee ligament injuries are often caused by playing sports such as football, netball and rugby due to the nature of sudden twists, turns and overextending the leg.

Symptoms

If you have a ACL tear you will probably be experiencing pain and your knee giving way, as well as have limited mobility to your leg.

ACL reconstructive surgery

Surgery can consist of repairing the torn ligament by stitching it back together, or using a graft of tissue from elsewhere in your body or a donor. The joint surface or cartilage may also be repaired if it is damaged. You will then have physiotherapy rehabilitation to help build your strength back up again and get back you on your feet and active again.

Surgery can be performed using a minimally invasive approach (key hole surgery) to reduce your stay in hospital and speed up your recovery time.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Sports enthusiast Neil experienced sudden knee pain which was so severe it inhibited his mobility and left him unable to climb the stairs and enjoy his daily life.

After consultation with Mr Makrides from Midland Hip and Knee Clinic, he had a partial knee replacement and was back at the gym squatting just 3 months after his operation, and has recently, 4 months after his knee surgery, posted the fastest rowing times recorded by Concept 2’s contributors (ages 60-69) around the world so far this season at 1000 and 2000 metres.

Neil, experienced popping and clicking in his right knee for a few years until he suffered a severe sharp pain which left him in excruciating pain and unable to bear weight on his joint, making his job as a Gym Manager untenable, and no longer able to pursue his love of exercise and physical challenges.

After visiting his GP and being given a course of anti-inflammatories for arthritic wear and tear of the knee joint, he had a short period of improved mobility but decided to pursue surgery to enable him to get back to his active lifestyle.

Neil was treated by Consultant Orthopaedic Surgeon, Mr Panos Makrides at Spire Parkway Hospital in Solihull. His main desire from the outcome of surgery was to get into the top ten UK times for 2000 metres in his age group on Concept 2’s indoor rowing ranking, after not being able to progress rowing over the past 2 years due to his knee pain.

Neil says, ‘Mr Makrides, while managing my expectations, reassured me that normal function and my rowing were achievable.’

Following surgery, Neil was able to work through the post operative rehabilitation exercises well enough to be discharged within 24 hours, and continue follow up physiotherapy appointments to aid his recovery further. 

Just a few months after his partial knee replacement surgery, he was back on the rowing machine and posted the fastest time recorded by Concept 2’s contributors (ages 60-69) around the world so far this season at 1000 and 2000 metres.

Neil says, ‘I’ve been shocked how quickly I have been able to perform at an excellent level. I am delighted to think that within 10 months of a partial knee replacement I have every chance of setting a new GBR 1000m record, aiming to challenge for the 2000m record and maybe have a chance of qualifying to compete at C2’s World Championships in Toronto in Feb 2023’.

How do I book a consultation?

You can book either a face to face or virtual consultation with Mr Makrides by contacting his secretary. You can find her details here.

Appointments are available via private medical insurance or paying for yourself. Click here for the most up to date self funding fees, and here for private medical insurance information.


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Welcome to the Midland Hip and Knee Clinic based at Spire Parkway in Solihull and Spire Little Aston in Sutton Coldfield. We offer Self-funding and Private Insurance payment options.

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