All posts by Adrian Wilson

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. She had a very nasty injury skiing and saw a colleague and underwent an exploration and repair of the lateral/posterolateral corner of her knee but sadly, this didn’t address her issues and she went on to have significant instability with significant abnormal varus which I […]

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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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Medi Meetings Presentation on Complex Osteotomy

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The 15th Medi European Sports Orthopaedic Symposium 2018 was broadcast live from Estepona. This is my talk on osteotomy. Transcript of videoWe’ve learned a lot in the last decade and most of it has come from Germany where osteotomies are common. In our country it is far less common and Andreas [Imhoff] has been a […]

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SAMBA-type biological ACL reconstruction

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Jevgenia has had a fairly spectacular result from her ACL rupture. She is a normally very fit and active lady who works as a wedding photographer. She was skiing on deep snow on the 28th of December 2017 and had a classic twisting injury to her left knee and presented with instability and a torn […]

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ESSKA 2018

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This was another superb meeting from ESSKA organised by my good friend the President, Romain Seil and his team. They had over 3,000 delegates attend the Glasgow meeting. PostersMy team were there in force and I was delighted to see that we had four podium presentations as well as six posters. We were runners up […]

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Arthroscopic arthrolysis for ACL knee stiffness

Lorraine underwent an arthroscopic arthrolysis under my care in mid-March 2018. When I first met Lorraine back on the 12th of February 2017, she had severe anterior pain with loss of extension following a significant skiing injury which had occurred two to three years previously in the French Alps. She had been very active and […]

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