Partial Knee Resurfacing vs. Total Knee Replacement?

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What’s the difference between a partial knee resurfacing or replacement and a total knee replacement? Well, they are both designed to improve the pain and function of patients with arthritis that had damage the surface articular cartilage of their knees. The partial resurfacing or replacement only replaces the one specific area of the knee affected by the damage to the the articular cartilage. We divide the knee in to 3 main zones or areas that can be affected by arthritis. The patello-femoral joint or the joint involving the back of the patella or knee cap and the groove the knee cap normally runs in. This becomes worn in isolation often in patients who have had patellar instability that has not previously been treated or where they have had trauma involving this joint such as a fracture. By resurfacing the worn out joint surface with highly engineered and polished cobalt chrome on the groove and cross linked polyethylene on the back of the knee cap the knee then glides as it was intended and pain improves. The rest of the joint remains untouched as do the ligaments around and in the knee, and as a result recovery tends to be quicker […]

MPFL and Patellar Stabilisation Surgery

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Unstable knee caps or patellae is a very debilitating condition. There are many reasons this can happen. Some patients have normal knees and anatomy and have an injury that causes their patella to become dislocated. This can damage the medial patello-femoral ligament or MPFL. This can be thought of like a safety rope that protects your knee cap and prevents it from coming out of the trochlear groove where it should run. Once this structure is damaged the knee cap or patella can become chronically unstable and dislocate or sublux. This patellar instability can cause pain and can also cause damage to the articular cartilage. If cartilage is damaged and floats in the knee joint sometimes this can present as locking of the knee. This is an important symptom and something that needs dealt with quickly and may require surgery to reattach the damage cartilage to prevent osteoarthritis developing in the future. Some patients however are born with abnormal anatomy of their knees and this can develop and cause patellar instability. There are multiple reasons. The trochlea or patellar groove can be too shallow and not capture the knee cap when bending and flexing the knee. The patella or kneecap […]

ACL Repair = Faster Recovery!

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Mr Frame asked for advice about Premiership footballers ACL injuries and how they recover faster from the biggest Football Publication in the country FourFourTwo. FourFourTwo – Zlatan Ibrahimovic ACL Injury How did Zlatan recover from an ACL injury in seven months? A new surgical technique could have helped Zlatan Ibrahimovic to recover from an ACL injury in just seven months Alec Fenn When Zlatan Ibrahimovic made his return from an ACL injury last weekend, he declared that ‘lions don’t recover like humans’. But a new surgical technique could be behind the striker’s miraculous seven-month recovery and is set to accelerate the rehabilitation of a host of other Premier League stars. An ACL injury typically sidelines a player for nine months – but can take even longer depending on the severity of the injury. “The traditional way to repair the damaged knee involves removing part of a player’s hamstring and using that to create a new ACL,” says consultant orthopedic surgeon, Mark Frame. “It takes a long time for it to fuse to the bone and to restore strength in the hamstrings and quadriceps, because they’re inactive for so long during this process.” However, knee surgeons are now able to use […]

BBC Radio Solent….Ask the expert.

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Iplayer Radio link to Mr Frame on Ask the Experts We had a great morning at BBC Radio Solent answering questions to all of the great listeners. Answering questions about partial and total Knee resurfacing, ACL repair surgery with the internal brace, patella instability and patellar stabilisation surgery including trochleoplasty, tibial tubercle osteotomy, MPFL reconstruction and durolane injections for Knee pin and osteoarthritis. Listen now for all the info.

BBC Radio Solent Interview – Ask the Experts!

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  Mr Frame will be taking questions over the phone live on air tomorrow from 12.15pm.  It is an honour to be invited to be on Sasha Twining’s show where she has on the brightest and best experts in the UK and England on her ask the experts show segment. All topics welcome from partial knee resurfacing vs total knee replacement, ACL reconstruction vs the revolutionary ACL repair with the internal brace. We might also discuss trochleoplasty and patellar realignment and stabilisation surgery and what an MPFL reconstruction is and what the recovery is like. We will also discuss the epidemic of ACL injury in football today. Get listening and call if you have any burning questions!