Mr Oliver Pearce
FRCS Trauma and Orthopaedics
Consultant Orthopaedic Surgeon.
Specialising in hip and knee surgery.
Professor, University of Bedford.
Hip and Knee Replacement operations for osteoarthritis have been the success story of the last 30 years. They rank amongst the highest satisfaction rates for surgical outcome of any operations. In combination with the Enhanced Recovery Programme focusing on pain relief at the time of the surgery, when a replacement joint is needed, it now needn't be a painful experience.
Not all knee conditions require replacement; keyhole surgery (arthroscopy) can treat many conditions of the knee. The most common examples of which are cartilage (meniscal) tears, defects in the cartilage surface of the bones and many others.
With the increasing numbers of people having had hip or knee replacements these last 20-30 years, there is the eventual need for 'revision' surgery. This is technically more demanding than the primary replacement operation, and this type of surgery requires extensive training and experience. There are now technological solutions to the bone loss that can occur with loosening of these implants. This improves the outcome of even the more complicated operations.