Mr Dirk van Bavel, Consultant Orthopaedic Surgeon
Procedures
Hip
Knee
Trauma
 
Multimedia Patient Education
 
 

Knee

Knee Anatomy :: Knee Arthroscopy
ACL Reconstruction :: Total Knee Replacement
Uniknee Replacement :: Revision Knee Replacement

Knee Injuries

Many of you will be well into pre season training by now, for others that pain is still to come. Football injuries and Netball injuries are common both in training as well as in competition.

With any injury, first aid treatment involves - Rest Ice Compression and Elevation (RICE). An early assessment by a physiotherapist or sports physician can be very helpful in diagnosing and treating your injury. The ultimate aim to get you back on the field as soon as possible.

Common injuries such as sprains and strains, and joint inflammation can all be treated without operation. Injuries to the cartilage, meniscus or ligaments may need surgery and should be assessed early. An MRI scan is often helpful in making a diagnosis and planning further treatment.

If your knee swells after an injury, if you hear a pop or snap, or if you have ongoing pain that doesn't quickly settle, it may be worthwhile getting your knee seen to !


Normal Anatomy of the Knee Joint

How does the Knee joint work?
Find out more in this web based movie.

Knee Anatomy


Arthroscopy of the Knee Joint

Arthroscopy is a surgical procedure in which an arthroscope is inserted into a joint. Arthroscopy is a term that comes from two Greek words, arthro-, meaning joint, and -skopein, meaning to examine.

The benefits of arthroscopy involve smaller incisions, faster healing, a more rapid recovery, and less scarring. Arthroscopic surgical procedures are often performed on an outpatient basis and the patient is able to return home on the same day.

Find out more about Knee Arthroscopy from the following links.

Knee Joint
Interactive Movie
Knee Arthroscopy
Text version
Knee Surgery Videos
Handout

Total Knee Replacement (TKR)

A total knee replacement (TKR) or total knee arthroplasty is a surgery that resurfaces an arthritic knee joint with an artificial metal or plastic replacement parts called the ‘prostheses'.

Find out more about Total Knee Replacement with the following links.

Knee Arthroplasty
Interactive Movie
Total Knee Replacement
Text version
Arthritic Knee
Handout


Anterior Cruciate Ligament ACL Reconstruction

The anterior cruciate ligament is one of the major stabilizing ligaments in the knee. It is a strong rope like structure located in the centre of the knee running from the femur to the tibia. When this ligament tears unfortunately it doesn't heal and often leads to the feeling of instability in the knee.

ACL reconstruction is a commonly performed surgical procedure and with recent advances in arthroscopic surgery can now be performed with minimal incisions and low complication rates.

ACL Reconstruction Hamstring Tendon

Hamstring Tendon
Interactive Movie
ACL Reconstruction
Text version
Ligament Tears
Handout

ACL Reconstruction Patellar Tendon

Patellar Tendon
Interactive Movie
ACL Injury
Text version
Ligament Reconstruction
Handout

ACL Rehabilitation Protocol

ACL Rehabilitation Protocol
Text version

Uni Condylar Knee Replacement

This simply means that only a part of the knee joint is replaced through a smaller incision than would normally be used for a total knee replacement. The knee joint is made up of 3 compartments, the patellofemoral and medial and lateral compartments between the femur and tibia (i.e. the long bones of the leg). Often only one of these compartments wears out, usually the medial one. If you have symptoms and X-ray findings suggestive of this then you may be suitable for this procedure.

Find out more about Unicondylar Knee Replacement with the following links.

Uni Knee
Interactive Movie
Unicondylar Knee Replacement
Text version
Partial Knee Arthroplasty
Handout

Revision Knee Replacement

This means that part or all of your previous knee replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone and hence is difficult to describe in full.

Find out more about Revision Knee Replacement with the following links.

Revision Knee
Interactive Movie
Revision Knee Arthroplasty
Text version
Knee Injuries
Handout

Please use the links below to get more information from the American Academy of Orthopaedic Surgeons:

Broken Bones and Injury

Common Knee Injuries
Hamstring Muscle Strain
Muscle Strains in the Thigh

Fractures

Femur (Thighbone) Fractures in Adults
Femur (Thighbone) Fractures in Children
Growth Plate Fractures
Proximal Tibia Fractures
Shinbone (Tibia) Fractures
Stress Fractures

Tears and Instability

Kneecap, Unstable
Ligament Injuries of the Knee
Meniscus, Tears of
Posterior Cruciate Ligament, Tears of

Pain Syndromes

Osgood-Schlatter Disease (Knee Pain)
Runner's Knee (Patellofemoral Pain)
Shin Splints

Diseases and Syndromes

Bowed Legs
Bursitis of the Knee: Goosefoot (Pes Anserine)
Bursitis of the Knee: Kneecap (Prepatellar)
Limb Length Discrepency
Osteonecrosis of the Knee

Arthritis

Arthritis of the Knee
Osteoarthritis of Knee -- Social Impact
Osteoarthritis of the Knee - Frequently Asked Questions

Pain Syndromes

Burning Thigh Pain (Meralgia paresthetica)
Compartment Syndrome
Knee Pain, Adolescent Anterior
Osgood-Schlatter Disease (Knee Pain)
Runner's Knee (Patellofemoral Pain)

Treatment and Rehabilitation

Osteoarthritis: Surgical Treatment

Joint Replacement

Anesthesia for Hip and Knee Replacement Surgery
Knee Replacement and Implants
Knee Replacement, Cemented and Cementless
Knee Replacement, Minimally Invasive
Knee Replacement, Osteotomy and Unicompartmental Replacement (Arthroplasty)
Total Knee Replacement

Nonsurgical Treatment

Care of Casts and Splints
How to use Crutches, Canes, and Walkers
Viscosupplementation in Osteoarthritis of the Knee

Arthroscopy and Reconstruction

Anterior Cruciate Ligament Injury, Surgical Considerations in
Knee Arthroscopy
Meniscal Transplants

Considerations

Deep Vein Thrombosis

Postoperative Care

Knee Arthroscopy, Exercise Guide
Knee Replacement - Exercise Guide
Knee Replacement, Activities After

 
 
© Mr Dirk van Bavel consultant Orthopaedic Surgeon, specialist in Hip and Knee surgery Melbourne Australia
 
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