Droitwich Knee Clinic has access to all manner of conservative management options including specialist physiotherapy, podiatry, sports medicine and sports injury services.
These combined can quite often successfully manage to delay surgery. As a result Droitwich Knee Clinic surgeons operate on less than 50% of patients that are referred. We as a clinic are very proud of this fact.
Our area of expertise:
We regard the detailed history and examination of the patient as the first and most important step towards the diagnosis of any injury or joint condition. This helps to obtain a clear indication of the usual level of sporting activity of the patient, the onset, the nature and the severity of symptoms and the past history, if any. We take pride in being able to offer a quick and accurate diagnosis, helping patients get back to the activities they enjoy. The focus is on giving the patient the time needed to analyse the condition, listening carefully to their story. This may take 30 to 60 minutes in more complex cases or second opinions. Appropriate investigations are then ordered. With the availability of our physiotherapy department and imaging facilities at our disposal we are able to provide a quick and accurate diagnosis.
Conservative (non-operative) management of minor injuries of the upper or lower limbs.
With accurate diagnostic facilities our physiotherapists are confident in applying up-to-date bracing, taping and conservative procedures for dealing appropriately with minor to moderate injuries of the upper and lower limbs and rapid return of patients back to their sports / everyday activities.
Arthroscopic surgery of ligament and soft tissue injuries.
Cruciate ligament Injuries:
Anterior and posterior cruciate ligament injuries are accurately diagnosed by MRI scans and treated by arthroscopic surgery where indicated using autogenous or allograft reconstruction.
Reconstruction of the ligaments in the knee
- ACL injuries: Early treatment
- ACL injuries: Rehabilitation
We recognise the dangers of removing injured menisci and we are confident in providing a prompt and accurate diagnosis and successful arthroscopic repair of major meniscal injuries. We give the patient in-depth counselling with regard to the proposed treatment, the likely time in hospital and the expected time to full rehabilitation to engage in sporting / everyday activities at their previous level. The patient is given a bespoke regime of rehabilitation designed to return him to his previous level of activity at his previous sport wherever possible.
Joint surface damage:
Our surgeons are trained in several methods of repair and reconstruction of traumatic joint surface defects including cartilage cell implantation, microfracture and osteoarticular transplantation (OATS procedure). Most of these procedures are accomplished entirely arthroscopically depending on the severity of the joint surface damage and the method chosen.
- Cartilage Repair Procedures
- Joint surface damage
- Cartilage Damage
We have a special interest in treating PL. The successful treatment of patellofemoral dislocation is diagnosed accurately and treated appropriately without the use of prolonged immobilisation which can cause chronic stiffness or loss of range of motion. We pride ourselves in assessing the patellofemoral joint to accurately diagnose and treat individual cases of instability on their own merits. We are thus able to apply appropriate treatment with or without surgery.
Anterior Knee Pain:
We have pioneered the diagnosis of many causes of anterior knee pain. We diagnose and successfully treat synovial conditions such as pathological synovial plicae arthroscopically. Patellar tendinopathy is another disabling condition which we regularly treat and cure.
Arthroscopic surgery in the older sports men and women:
Our experience has shown us that a comprehensive arthroscopic debridement and arthroscopic microfracture or abrasion arthroplasy, together with appropriate reduction of weight and/or weight relief using crutches for a variable time can delay major surgery in carefully selected patients for an average of 4 years in over 80% of cases. (an ongoing prospective study at the Droitwich Knee Clinic).
Arthroscopic debridement in cases of knee malalignment:
Our experience has also shown that the above, in cases of moderate to severe malalignment, combined with surgical realignment of the knee joint, and gentle ambulation supervised by knowledgeable physiotherapists can achieve long term function of malaligned limbs.
In the wake of our arthroscopic expertise of the knee, two of our surgeons have become specialised in shoulder arthroscopy and arthroscopic procedures. They deal with subacromial impingement, tears of the glenoid labrum, acute and chronic dislocation of the shoulder, repair of the coraco-clavicular ligament and joint surface defects.
Looking after your shoulders
Acute and Chronic Dislocation of the patella
2.3% reaction rate
Minimally invasive procedures to delay knee replacement:
This is an established line of treatment adopted and developed by our surgeons allowing the knee joint to be preserved rather than replaced. It is based on the principle of transferring load to the unaffected compartment of the knee in order to relieve symptoms and slow disease progression. The De Bastiani technique at it is known uses an external fixator with a very minimally invasive approach leaving no metal behind.
Lower limb reconstruction:
Correction of deformity using modern minimally invasive techniques harnessing the body’s own biological capacity by callus distraction, treatment of nonunited and malunited fractures, post trauma reconstruction, bone and joint infections and limb lengthening.
- Limb reconstruction
- Case Study
- Leg Re-alignment
Osteotomies and limb realignment:
Using the Sheffield modification of the Ilizarov external frame, for those with serious non-unions, malunions and congenital deformities of the lower limb
Primary / revision unicompartmental and total knee replacement.
- Unicompartmental osteoarthritis
- What is a joint replacement?
- Case study
- Making the best of your new knee
A brand new pre-operative scanning technology which enables surgeons to utilise basic CT or MRI technology to plan precise implant placement and alignment prior to knee replacement surgery.
We have all the modern technology needed to access and treat your specific needs: Kincom Isokinetic muscle strength and endurance testing, KT2000 arthrometer for cruciate ligament assessment, ultrasound therapy.