Conditions Treated

At Wessex Knee we treat all adult and paediatric knee problems including trauma and fractures. 

We do everything we can to give you the simplest and most effective solution for your problem. This involves taking a detailed history and listening to you and investigations such as X-Rays and MRI scans if required. Many injuries can be managed conservatively with simple advice, rest and physiotherapy. For those that do require more, we progress up a treatment ladder and only if necessary do we move on to surgery. All options will be presented to you so you can make as informed a decision as possible. 

The conditions we are specialists in and deal with are:

Below are some surgeries in more detail....

Anterior Cruciate Ligament (ACL) Reconstruction

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Anatomical customised surgery – Mr Frame uses the latest in ACL surgical technology to get you back to sport as fast as possible. The Arthrex All Inside system allows us to reconstruct your ACL using only one of your hamstring tendons rather than the traditional method of taking them both. This reduces the pain after surgery and retains as much of the power in your hamstrings as possible. It also allows us to place the new graft in exactly the position the old one was, giving you the best possible chance for a full recovery back to your sport. We often reinforce your graft using the innovative internal brace for those who demand the most from their knees. It uses small sockets rather than large bone tunnels and doesn't require the use of screws to secure your new graft. 

Anterior Cruciate Ligament (ACL) Repair 

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ACL pull off injuries are common in children and with skiing. It can be pulled off the tibia or the femur. In some situations it is possible to repair rather than replace but it needs to be identified early with an urgent MRI scan and surgery within 3 weeks. We use the Fibertape Internal Brace – This incredible technique developed by Arthrex allows us to repair rather than replace your ACL. By adding the internal brace we can protect your ACL as it heals. This technique is quick and doesn’t require us to use your valuable hamstring tendons to create a replacement graft.  This means we can get you back to sport faster with less pain and  a less invasive operation done as a day surgery.

Meniscal (Cartilage) Repair

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Damage to your meniscus can happen with sports and twisting type injuries. It can also be part of an ACL injury. A significant tear to your meniscus is an emergency and identifying it with an urgent MRI is vital. If you have a tear, trying everything to save it from being removed is so important. We know that damage and resection of significant portions of your meniscus can lead to early arthritis. We use special techniques to repair and save your meniscus in a keyhole operation. Check out the patient information video showing us repairing a meniscus and explaining the device we use.

Medial Patellofemoral Ligament (MPFL) Reconstruction

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Mr Frame has received international fellowship training from the world pioneer in instability surgery,  Dr. David Dejour in Lyon, France. Patellar instability is a highly complex problem and one that needs careful diagnosis, surgical planning and skill. Mr Frame  recreates the ligaments required to stop the patella dislocating. This is called the MPFL. This often also requires an osteotomy to change how the patella moves in its groove or even the alignment of your whole leg. We create 3D printed models of your knee to help plan and carry out the surgery to get you back on track as quickly as possible.

Trochleoplasty - Patellar Instability

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Dislocating knee caps/anterior knee pain :

If you have patellar instability and the groove the patella should move in is poorly developed, as well as addressing your ligaments we may need to recreate the groove. We detail the problems in your knee with an MRI and often a CT scan. This is complex surgery and we use our skills and knowledge in 3D printing to create models of your knee and carry out the surgery on the models to confirm our plan before ever touching you. This allows us to give you the best possible outcome. 

Partial Knee Resurfacing/Replacement

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 Mr Frame is passionate about giving patients the best possible outcomes. Data now shows that nearly 50% of patients currently treated with total knee replacements would actually be suitable for a partial knee resurfacing procedure. These procedures are less invasive, with a quicker recovery and lower risk to your life (mortality). They allow us to preserve your valuable ligaments, giving you a knee that functions more like your original knee allowing you to do more. Mr Frame's National Joint Registry Data shows his outcomes to be significantly better with regards to revision than the national UK average, with nearly 40% of the over 100 joint replacements he does a year being partial resurfacings. He uses the best performing implant in the UK, the Lima ZUK.

Total Knee Resurfacing/Replacement

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Mr Frame only carries out ODEP (Orthopaedic Data Evaluation Panel)  10A* rated primary knee replacement surgery. This is the highest rating any implant can have for safety. The implants we use are some of the highest performing in the UK National Joint Registry. Our primary concern is your outcome, your safety and keeping you moving for as long as possible. The implant he uses is the Zimmer Nexgen.

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