Consultant Orthopaedic & Specialist Knee Surgeon
Professor Adrian Wilson is a world renowned knee and sports injury specialist with a global reputation for knee realignment surgery (osteotomy). One of Europe’s foremost authorities in the field of ACL/ligament repair, he has developed revolutionary techniques for treating sports injuries. He is an expert in treating children’s knee problems and is also Visiting Professor to the department of Sport & Exercise at the University of Winchester.
Professor Wilson’s primary objective is always to restore function to the knee using proven, minimally invasive techniques, many of which have been refined by him over his distinguished career. His focus is on repairing and preserving knee function so patients can return to the activities they enjoy as quickly and safely as possible.
He has pioneered ground-breaking techniques for ACL repair and anterolateral ligament (ALL) repair, as an alternative to reconstruction for damaged cruciate ligaments, and many of his innovative procedures for treating sports injuries are now routinely used worldwide.
Professor Wilson was one of the surgeons at the forefront of developing the new ALL-Inside reconstruction technique for ACL reconstruction surgery and thanks to his research and presentations over the last ten years, this has become the preferred method of carrying out ACL surgery in Europe, USA and Asia.
He has unparalleled experience when it comes to ACL repair using the internal brace technique in children and has set up the Children’s Knee Clinic at The Portland Hospital in London.
Patients, both adults and children, frequently travel from outside the UK to be treated by Professor Wilson, and he regularly speaks and demonstrates his innovations to expert international audiences.
Co-founder of the first national database for osteotomy surgery, he is particularly acclaimed for his work in this field, an alternative to knee replacement surgery, especially in younger, active patients. He continues to innovate to further improve this joint preserving procedure and established the dedicated London Knee Osteotomy Centre at The Wellington Hospital in London.
He was the first to bring adipose tissue therapy to the UK, a treatment which harnesses the body’s own natural repair cells to ease arthritic pain, and recently set up The Regenerative Clinic, also in London, which offers non-surgical treatments such as Lipogems®.
Professor Wilson is considered to be a global leader in the field of knee realignment (osteotomy) surgery has established The London Knee Osteotomy Centre, a leading hub for osteotomy surgery at The Wellington Hospital in London. Here he is joined by colleagues from the UK and Europe, providing a dedicated service for this particular operation.
“Helping people get back to activities they enjoy – with minimal intervention – is my greatest pleasure. I have developed a number of surgical techniques for knee realignment (osteotomy), which are increasingly being performed by other surgeons worldwide.”
Professor Wilson has pioneered a new method of osteotomy surgery that is minimally invasive and computer aided, enabling him to precisely plan and carry out corrective surgery to any abnormalities in the knee.
As well as being one of the first surgeons to offer this new procedure, Professor Wilson has designed and manufactured his own range of surgical instruments; these ensure that the accurate measurements taken when he plans a procedure are translated into precise surgical techniques. The metal plates and pins that he uses hold the bone in place so rigidly that patients can support their full weight on the knee joint within 24 hours of surgery.
Professor Wilson regularly trains other surgeons in the techniques he has developed. He is one of the founding members of the UK Knee Osteotomy Registry, the first national database for knee realignment surgery and the world’s largest database of osteotomy patients worldwide. He also runs an annual Knee Osteotomy Masterclass for surgeons, who travel from across the globe to attend.
“I am very pleased with the treatment and care Professor Wilson has provided and the results I have achieved, I was particularly impressed with his personal availability to me had I experienced any concerns post operation. In the event that I need further treatment for my knees in the future I would have no hesitation in consulting Professor Wilson and I certainly have no hesitation in recommending him to others.”
Kevin, October 2018
Complex knee ligament surgery
Professor Wilson is one of the most experienced sports injury surgeons in Europe and has developed a number of innovative treatments for treating anterior cruciate ligament (ACL) injuries which produce excellent long-term results and reduced recovery times.
“I have developed a number of new treatments for sports injuries including innovative techniques for anterior cruciate ligament (ACL) repair in adults and children. My techniques have become routine practice globally for many leading knee surgeons.”
He has helped to pioneer and designed surgical instruments for ACL repair. This means it is now possible to repair the ACL by stitching the torn ends of the ligaments together and creating an ‘internal brace’ of fibre tape that holds the joint in the correct position. The fibre tape is passed through tiny tunnels drilled into the bones to fix the ligament securely and is so strong that patients are able to walk normally and carry out their daily activities only a few days after surgery.
He has also helped to develop and introduce the new anterolateral ligament (ALL) reconstruction technique which dramatically improves the outcome of ACL reconstruction surgery. His methods have become routine practice globally for many leading knee surgeons and have revolutionised ACL treatment for children and adults.
The advantage of the All-Inside technique is that it involves taking just one hamstring tendon as opposed to two, so it preserves soft tissue. And, rather than drilling complete tunnels, Adrian creates sockets in the joint, preserving more of the bone. Professor Wilson is one of the most experienced surgeons in the world performing at performing this All-Inside ACL technique, and is frequently asked to perform live surgery to demonstrate this procedure.
“I can’t begin to tell you how brilliant my knee was – a true testament to the skill of Professor Wilson. My early return to skiing and the fact that I now have a fully functioning knee are down to Professor Wilson’s pioneering approach to surgery and the skill he so clearly demonstrates in the operating theatre. On a more personal level, I was impressed by his commitment to his patients. I will always be grateful for the fact that Professor Wilson never once questioned my wish to get back to skiing and had a thoroughly positive attitude to surgery throughout.”
Freda, May 2019
Children’s knee surgery
Seeing his own daughter suffer a potentially devastating knee injury whilst skiing led Professor Wilson to focus on applying the new ligament repair techniques he had to developed to children.
“I am very proud of pioneering the new ACL procedure in children, it’s been the best experience in terms of results. Children are often referred to me by my fellow knee surgeons because of this new ACL procedure has proved so successful.”
Professor Wilson is widely respected around the world for being the first surgeon to carry out anterior cruciate ligament (ACL) internal brace repair for sports injuries in children. He has the largest global experience in ACL repair with the internal brace technique in children and speaks frequently at conferences and courses about his results and experience. This new minimally invasive surgery is especially successful in enabling children to rapidly return to their normal activities. Recovery is significantly quicker than with traditional ACL surgery, something that is revolutionising the treatment of this common injury.
Most recently, Professor Wilson has founded The Children’s Knee Clinic at The Portland Hospital for Women and Children in London. It includes an innovative programme to prevent ACL damage in children.
“Professor Wilson is a hero to our son, and someone who is held in the highest regards within our family. Our 13-year-old son had received a lot of bad news due to a failed meniscus tear repair and had a rupture to his ACL, along with symmetry of the knee. Not only did Adrian fix his knee, the empathy he’s shown throughout, and the confidence he has re-installed into our son is nothing short of a miracle, and that is no exaggeration. Our only regret, as parents, is that we didn’t seek Adrian’s advice and expertise earlier.”
Dylan’s dad, February 2019
Professor Wilson practices privately at clinics in London and Berkshire. You can be treated at:
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Consultant Orthopaedic & Specialist Knee Surgeon
Professor Wilson holds professional memberships with the following organisations:
- British Association for Surgery of the Knee
- International Affiliate Member of American Academy of Orthopaedic Surgeons
- British Orthopaedic Association
- Fellow of the Royal College of Surgeons of England
- European Society of Sports Traumatology, Knee Surgery and Arthroscopy
- European Society of Sports Traumatology, Knee Surgery Arthroscopy Committee
- European Society of Sports Traumatology, Knee Surgery Osteotomy Committee
A number of innovative orthopaedic procedures were developed by Professor Wilson to improve the treatment of patients and speed up recovery times for minimally invasive knee realignment (osteotomy); minimally invasive anterior cruciate ligament repair, including treating children; and Adipose tissue therapy (Lipogems®).
- Ligament reinforcement with Internal Brace: in 2013 Adrian presented a technique to augment a cruciate reconstruction with a composite polymer fibre tape, which has since become known as an ‘internal brace’ ligament augmentation
- Anterior cruciate ligament (ACL) repair (https://www.ncbi.nlm.nih.gov/pubmed/27141865): Adrian has used fibre tape extensively for ACL repair, and it has become especially useful in children’s ACL surgery. His team’s paper, published in 2016, on ‘Paediatric ACL repair reinforced with temporary internal bracing’ is the first to present ACL repair in children
- All-Inside technique for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) repair (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3716211/): Adrian has helped to develop a new surgical technique known as the All-Inside ‘translateral’ approach, along with the instruments needed to carry out this pioneering procedure
- Anterolateral ligament (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5429259/): Adrian has been involved for some years in the Anterolateral Ligament Expert Group, working with Dr Steven Claes and other experts to determine the function and significance of this structure, as well as surgical techniques for its reconstruction.
- The CoolCut CaliBrator: Adrian worked with the manufacturer, Arthrex, to develop the CaliBrator for anterolateral ligament (ACL) reconstruction
- Graft compression tubes (https://www.arthrex.com/resources/pdv/p9XftDcjnkmsHwFN40Xeiw/graft-compression-tubes): This was an innovation of Adrian’s that allows the surgeon to downsize any graft – sometimes significantly – in order to take less bone from the patient when drilling the tunnel for anterior cruciate ligament (ACL) reconstruction, and is now used extensively around the world.
- Minimally invasive techniques in knee realignment (osteotomy) surgery: Adrian has developed a very precise technique both to measure and carry out minimally-invasive knee realignment (osteotomy) surgery using tiny incisions. He has contributed to the development of new plates which are smaller and allow quicker recovery, as well as the use of a bone wedge and new cryotherapy to enhance recovery. The techniques mean that patients can bear their own weight soon after surgery and have a faster and more successful rehabilitation period. Adrian has set up the London Knee Osteotomy Centre, at The Wellington Hospital in London.
Academia is core to Adrian’s practice. His Honorary Professorial Chair at the University of Winchester brings Adrian into contact with undergraduate and graduate students, as well as expert researchers worldwide.
Adrian is a key member of the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) and sits on their Academy committee, Arthroscopy committee and Osteotomy committee.
Adrian co-founded the UK Knee Osteotomy Registry (UKKOR), the first national database dedicated to knee realignment (osteotomy) surgery. The project was Adrian’s original idea 12 years earlier, in conjunction with Mr Neil Thomas. UKKOR has established a dataset that is now the largest followed group of osteotomy patients worldwide and released its first annual report in early 2018, the culmination of many years’ work.
He is the founder of the Knee Preservation Foundation, a founder member of the Osteotomy Expert Group, a member of the ESSKA Academy editorial board and the ESSKA Arthroscopy committee, Osteotomy committees and Honorary Chair at Winchester University.
Adrian is also a member of the United Kingdom Knee Osteotomy Registry Steering Committee, which released its first annual report in early 2018. This first annual report is the culmination of many years’ work. The project was Adrian’s original idea 12 years earlier, in conjunction with Mr Neil Thomas.
Adrian has a recognised centre for the ESSKA Osteotomy travelling fellowship, his Unit having been chosen as one of four leading centres in Europe to showcase their techniques and experience.
He is also a course convenor for the annual Knee Osteotomy Masterclass, now in its 12th year. The last event in February 2019 was held at the prestigious Lord’s Cricket Ground.
He is the founder of the Knee Preservation Foundation and a founder member of the Osteotomy Expert Group.
Biomechanical Testing of Three Alternative Quadrupled Tendon Graft Constructs With Adjustable Loop Suspensory Fixation for Anterior Cruciate Ligament Reconstruction Compared With Four-Strand Grafts Fixed With Screws and Femoral Fixed Loop Devices. Am J Sports Med.2019 Feb 21:363546518825256. doi: 10.1177/0363546518825256.
Osteotomies: The Surgical Details You Want to Know. Heerwaarden,RJ, Wilson AJ (et al.) ESSKA Instructional Course Lecture Book 2018.
Anterolateral Ligament Expert Group consensus paper on the management of internal rotation and instability of the anterior cruciate ligament–deficient knee. Bertrand Sonnery-Cottet, Matthew Daggett, Jean-Marie Fayard, Andrea Ferretti, Camilo Partezani Helito, Martin Lind, Edoardo Monaco, Vitor Barion Castro de Padua, Mathieu Thaunat, Adrian Wilson, Stefano Zaffagnini, Jacco Zigl, Steven Claes. Journal of Orthopaedic Traumatology Feb 2017.
ACL graft compression: a method to allow reduced tunnel sizes in ACL reconstruction. Breck R. Lord, Henry B. Colaco, Chinmay M. Gupte, Adrian J. Wilson & Andrew A. Amis. Knee Surg Sports Traumatol Arthrosc (2018) 26:2430-2437.
Clinical outcomes of anatomic, all-inside, anterior cruciate ligament (ACL) reconstruction. Yasen SK, Borton ZM, Eyre-Brook AI, Palmer HC, Cotterill ST, Risebury MJ, Wilson AJ.Knee. 2017 Jan;24(1):55-62.
Paediatric ACL repair reinforced with temporary internal bracing. Smith JO, Yasen SK, Palmer HC, Lord BR, Britton EM, Wilson AJ. Knee Surg Sports Traumatol Arthrosc. 2016 Jun;24(6):1845-51.
Combined anterolateral ligament and anatomic anterior cruciate ligament reconstruction of the knee. Smith JO, Yasen SK, Lord B, Wilson AJ. Knee Surg Sports Traumatol Arthrosc. 2015 Nov;23(11):3151-6.
Anterior cruciate ligament reconstruction evolution and current concepts. Lord B, Grice J, Cox G, Yasen S, Wilson A. Orthopaedics and Trauma. 2015 Jan; 29 (1): 12-23.
Femoral and tibial tunnel positioning on graft isometry in anterior cruciate ligament reconstruction: a cadaveric study. Smith JO, Yasen S, Risebury MJ, Wilson AJ. J Orthop Surg (Hong Kong). 2014 Dec;22(3):318-24.
Osteotomy around the knee: evolution, principles and results. Smith JO, Wilson AJ, Thomas NP. Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):3-22.
Anatomic all-inside anterior cruciate ligament reconstruction using the translateral technique. Wilson AJ, Yasen SK, Nancoo T, Stannard R, Smith JO, Logan JS. Arthrosc Tech. 2013 Mar 24;2(2):e99-e104.
TriLink: Anatomic Double-Bundle Anterior Cruciate Ligament Reconstruction. Yasen SK, Logan JS, Smith JO, Nancoo T, Risebury MJ, Wilson AJ. Arthrosc Tech. 2013 Nov 28;3(1):e13-e20.
TransMedial All-Inside Posterior Cruciate Ligament Reconstruction Using a Reinforced Tibial Inlay Graft. Nancoo TJ, Lord B, Yasen SK, Smith JO, Risebury MJ, Wilson AJ. Arthrosc Tech. 2013 Oct 7;2(4):e381-e388.
TransLateral ACL reconstruction: a technique for anatomic anterior cruciate ligament reconstruction. Logan JS, Elliot RR, Wilson AJ. Knee Surg Sports Traumatol Arthrosc. 2012 Jul;20(7):1289-92.
A new technique for hamstring donor site blockade in anterior cruciate ligament reconstruction. Logan JS, Elliot RR, Wilson AJ. Ann R Coll Surg Engl. 2011 May;93(4):326.
A correlation of clinical outcome scores and MRI/CT scan findings up to 24 months following insertion of a PLA/PLG scaffold implant for osteochondral defects of the knee. Melton J, Wilson A. ESSKA Poster June 8-11th 2010.
Trufit CB© bone plug: current concepts in chondral repair and scaffold design, TruFit CB© surgical technique and early experiences. Melton JTK, Wilson AJ, Chapman-Sheath P, Cossey AJ. Exp Rev Med Dev. May 2010.
Femoral Nerve Block Versus Fascia Illiaca Block For Post Operative Pain Control After Total Knee Arthroplasty: A Prospective Randomised Controlled Trial. McMeniman T, McMeniman P, Hayes P, Myers P, Cavdarski A, Wilson A, Watts M. J Arthroplasty. 2010 Dec;25(8):1246-9.
An unusual cause of locking. Jandhyala, R. Wilson, A.; Bhagat, S. Lavelle, J. Knee Surgery, Sports Traumatology, Arthroscopy, Volume 15, Number 5, May 2007, pp. 682-684(3). Springer.
Outcome of Copeland surface replacement shoulder arthroplasty. Thomas, A. Wilson, A. Chambler, I. Harding, M. Thomas, J. Shoulder Elbow Surg. 2005 Sep-Oct;14(5):485-91.
Manipulation Under Anaesthesia For Primary Frozen Shoulder. Effect On Early Functional Results. Dodenhoff R, Wilson A, Levy O, Copeland S.A. J. Shoulder And Elbow Surg. 9(1):23-6, 2000 Jan-Feb.
Trans-Oral Fusion With Internal Fixation In A Displaced Hangman’s Fracture. Wilson. A, Ewart M, Marshall R.W. Spine, 1999; 24: 295-298.
Professor Wilson is a specialist knee surgeon who qualified with a BSc in Biochemistry from Manchester University in 1989 and then went on to study medicine at St Bartholomew’s medical school, graduating in 1994. He did his fellowship in Sports Medicine at the Brisbane Orthopaedic Centre with Peter Myers in 2004.
Since becoming a consultant Professor Wilson has developed a specialist interest in knee preservation surgery particularly focusing on complex ligament and osteotomy surgery. Most recently he has set up a dedicated centre for osteotomy surgery at The Wellington Hospital in London, “The London Knee Osteotomy Centre” and has also set up “The Children’s Knee Clinic” based at The Portland Hospital for Women and Children in London. This brings together a group of knee surgeons to focus on the management of the paediatric knee including a programme for ACL damage prevention in the UK.
He has helped to develop the instruments and surgical techniques for a number of surgical procedures. He is particularly well known for his work on the All-Inside ACL and PCL ligament which Adrian helped to pioneer and he has presented and published extensively on these procedures.
Professor Wilson has also pioneered and helped to develop several other surgical techniques including his ligament reinforcement concept for ligament reconstruction, the minimally invasive Posterolateral corner technique. Professor Wilson has also helped to pioneer the new “Anterolateral Ligament Procedure” and is a member of the anterolateral ligament expert group.
He has a particular interest in knee osteotomy surgery and is considered one of the leading world experts in this surgery and the management of the young arthritic knee. He is a co-founder of the UK Knee Osteotomy Registry (UKKOR) the first dedicated national database for osteotomy surgery. He has developed a number of instruments for osteotomy surgery and pioneered a minimally invasive technique for High Tibial Osteotomy Surgery. He co-founded the Knee Osteotomy Masterclass in 2007. Professor Wilson handed on the role of vice chairman of the ESSKA Osteotomy Committee in 2017 he has a recognised centre for the ESSKA Osteotomy travelling fellowship.
Professor Wilson is also a member of the ESSKA Osteotomy Committee and the ESSKA Arthroscopy Committee.
He also set up a successful fellowship training programme for ligament and osteotomy surgery in 2012 and has a chair at the University of Winchester where he is a visiting Professor to the department of Sport & Exercise.
He frequently has international and UK visitors to observe both osteotomy and ligament surgery.