All posts by Adrian Wilson

Another pain-free double level osteotomy

Robert had a double osteotomy – with a correction in the lower femur and the upper tibia done on the same day. Robert is a fit 45 year old gentleman who was referred to me by another specialist knee surgeon because of my interest in realignment surgery.  He came to me with severe bowing of […]

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Minimally-invasive osteotomy procedure with a bone wedge

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Stephen is an extremely fit 63 year old solicitor who had a nasty blow in 1979 when he ruptured his PCL which was treated non-surgically. He has had arthroscopies in the past, and his last procedure was in 2001. Since this time he has had nagging pain which he has felt most days and worse […]

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5th International Joint Preservation Congress – Warsaw Sept 2018

Warsaw Joint Preservation

It was a great privilege to be invited back to Warsaw by Konrad Slynarski, who is a good friend of mine. Konrad has really been at the forefront of joint preservation in Europe and he has significantly influenced my own practice over the years with the innovations he has brought to my attention.  This year […]

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Meniscal healing with modern injectable

Gordon (62) has done brilliantly from a simple steroid and hyaluronic combined injection (C1ngal). Gordon is very fit and active gentleman, and enjoys trekking and sailing. He sustained a tear to the medial meniscus of his right knee which we can see on the MRI scan in the video below. You can see that he […]

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ACL Repair versus Reconstruction

ACL ligament repair and ACL ligament reconstruction should both have a place in the knee surgeon’s armamentarium. RepairIdentification of ligament injury is confirmed following clinical history, examination and MRI imaging.The repair technique involves drilling small tunnels in the femur and tibia. Sutures are then arthroscopically tied to the torn ends of the ACL drawing them together. […]

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MPFL Reconstruction with PRP

Max is a fit 19-year-old chap who plays under 21 for Guernsey and also for Guernsey Rovers AC football team. He has had problems with his knees on and off since 2013. The left initially subluxated just with stretching when playing “keepy uppy” with his brothers and self-relocated.  He has had three episodes on the […]

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Reassured about osteotomy decision

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Charlotte had a right high tibial osteotomy in early 2018. When examining her I found that she was opening a lot on the lateral side from her previous lateral collateral ligament (LCL) injury. The posterolateral corner was actually good in terms of the dial test, and the ACL, MCL and PCL were all good. There […]

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Slope-changing osteotomy for a difficult problem

Susan had a left slope-changing anterior osteotomy with bone graft for a recurvatum injury. Susan is a really interesting case. She came up from the West Country to see me. She had had many opinions over three years as to how to help her with the severe instability of her left knee after an injury, […]

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Pain-free double-level osteotomy

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Ricky has had a left closing wedge distal femoral osteotomy with a Tomofix plate, together with a medial opening wedge high tibial osteotomy,with an allograft bone wedge and Active Motion One plate. This is the long leg weight-bearing X-ray taken at two weeks after the double osteotomy. He had the odd twinge but no pain. You […]

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MPFL reconstruction in rugby player

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George had a patellar dislocation which we managed with an MPFL (medial patellofemoral ligament) reconstruction. George had an injury playing rugby and had subluxation of his patella – not a frank dislocation. As a first-time incident we obviously treated it non-operatively and he initially did very well and I did not see him again for […]

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