"I had a partial knee replacement on my right at the Hampshire Clinic in Basingstoke, UK, on 22nd February 2017.
"Before the operation I had been in quite significant pain, was struggling to sleep and taking lots of pain killers. In particular, I was only able to take my dog for very short walk – not nearly enough exercise for an energetic Dalmatian!
X-ray before the surgery showing collapse of the medial compartment
X-ray after the partial knee replacement (with skin staples)
"I was very confident in Professor Wilson and his team as they conducted a number of arthroscopies over the last few years – all of which brought temporary relief. I was up and mobile again very quickly and the care I received at the Hampshire Clinic was exceptionally good. I was particularly pleased that I’d take Professor Wilson’s advice and rented an ice machine to use on my knee during the recovery phase – it seemed to make a big difference in controlling pain and swelling and was well worth the investment.
"What was particularly pleasing was that I was able to take my dog out within a few weeks for a short walk around the woods – using just 1 crutch. I was driving and fully mobile without any crutches within 6 weeks and quickly started to build up the time I could spend walking.
Dancing with my sons ...
...and not worrying about my knee!
"I was especially pleased to be able to test out my knee on the dance floor when my daughter got married last July – I had a wonderful time and danced the night away with the other guests, easily out-dancing my teenage sons!
"The only lingering side effect was a numbness around the knee itself which persisted for quite a few months but is now completely back to normal. One year post op I have no pain at all in the right knee and can comfortably walk the dog for at least 2 hours. I know my left knee is heading in the same direction but, when the time is right, I’ll feel very confident of doing the same again."
Mrs Camm is pretty amazing after her uni knee replacement.
You can see from the arthroscopic picture that there was grade IV damage on the top of the shinbone (medial tibial plateau) in the lower half of the photo. You can see the bare bone showing through the very frayed articular cartilage. On the rounded end of the thighbone in the top half of the photo there is not quite bare bone but the articular cartilage is still very worn. The meniscus isn't too bad, but in this picture you cannot see the posterior third which was badly torn.
In this situation surgery keyhole debridement is of no real use here as the patient is only likely to get very short term benefit - perhaps 3-6 months. Occasionally you do get lucky but it is so occasional that we really do not offer keyhole washout arthroscopic surgery any more for this type of problem. It may be appropriate just to assess the knee and see what sort of joint preserving procedure is possible in terms of either osteotomy surgery, meniscal transplantation, joint surface surgery or joint replacement - either partial or total.