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London Knee Osteotomy Centre

Cutting-edge knee treatment for adults and children

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Orthopaedic Specialists brings together a team of leading knee experts from across Europe, who are all  global leaders in their respective fields and have been instrumental in developing many of the ground-breaking treatments they use. Working individually or as a team,  patients can be reassured that they will get the most appropriate treatment.

Professor Adrian Wilson is a world-leading knee and sports injury specialist who has pioneered a number of evidence-based techniques for knee preservation and repair. These include new, minimally invasive procedures for knee realignment (osteotomy) and anterior cruciate ligament (ACL) repair.

Professor Wilson and Mr Raghbir Khakha work regularly as a team, treating patients with osteoarthritis, sports injuries and running dedicated clinics for children’s knee problems at The Children’s Knee Clinic at The Portland Hospital for Women and Children in London. They have developed a revolutionary way of carrying out knee replacements, offering patients less pain, a quicker recovery and shorter operating time.

They have together set up The London Knee Osteotomy Centre, which offers the latest, minimally-invasive surgical techniques aimed at preserving a patient’s knee joint. For those suffering from arthritis or sports injuries, a knee osteotomy offers an alternative to knee replacement surgery. The greatly reduced pain patients feel after treatment often means they can return to living normal lifestyles soon after surgery. This can be particularly beneficial to active younger and older patients, including those who play sport regularly. Professor Wilson and Mr Khakha are joined by leading osteotomy surgeons from across Europe, Dr Ronald van Heerwaarden and Dr Kristian Kley, both of whom share their passion about and expertise in joint preservation.

Dr Ronald van Heerwaarden is a worldwide authority with an international practice specialising in osteotomy surgery. He is also a leading specialist in limb deformity correction.

Professor Philip Schoettle is an internationally recognised expert in reconstructive knee surgery, and is known most widely for his surgical expertise in treating kneecap (patella) dislocation and instability.

Dr Kristian Kley is known worldwide for his pioneering new techniques in knee osteotomy surgery, many of which have become accepted practice across the globe. Based in Hannover, Germany, he brings his vast experience to the Orthopaedic Specialists team.

Leading consultant orthopaedic surgeon Mr Tony Andrade specialises in knee and hip conditions. Based at the Royal Berkshire Hospital, where he has set up various educational initiatives, including a visiting surgeon programme, where surgeons are invited to study his techniques, and a lower limb arthroplasty fellowship programme.

He has been at the forefront of developing arthroscopic techniques in the UK and is not only a highly regarded specialist surgeon, but also a respected speaker, teacher, and author in his field.

Mr Tom Pollard is a high-volume knee and hip specialist who performs more than 250 knee and hip replacements each year.

Clinical Director of Royal Berkshire Hospital’s trauma and orthopaedic department, he is part of a visiting surgeon programme, which allows consultant surgeons to study his hip arthroscopy techniques. A renowned author, researcher, and lecturer, he firmly believes that staying active after a joint replacement is crucial to effective recovery.

Specialist Paediatric Consultant Mr Thomas Crompton is available to see children for any orthopaedic condition, including knee.

Knee anatomy

The knee joint is made up of two parts. The part of the knee between the end of the thigh bone (femur) and the top of the shin bone (tibia) is called the tibiofemoral joint. The patellofemoral joint is between the end of the thigh bone (femur) and the kneecap (patella).

The knee joint is surrounded by synovial fluid which keeps it lubricated. The bones are covered by smooth joint surface (articular) cartilage that allows them to glide smoothly together without friction. If the joint surface is damaged through wear and tear or a knee injury, arthritis can develop.

Cruciate ligaments
These are found inside your knee joint. They cross each other to form an “X” with the anterior cruciate ligament in front and the posterior cruciate ligament at the back. The cruciate ligaments control the back and forth motion of your knee.

Collateral ligaments
These are found on the sides of your knee. The medial or “inside” collateral ligament (MCL) connects the femur to the tibia. The lateral or “outside” collateral ligament (LCL) connects the femur to the smaller bone in the lower leg (fibula). The collateral ligaments control the sideways motion of your knee and brace it against unusual movement.

There are two meniscal cartilages in the knee that act as shock absorbers – one on the inner and one on the outer side. They sit between the curved lower part of the thigh bone and the flat upper part of the shin bone. Their job is to evenly distribute the load from the thigh bone to shin bone when walking and to provide knee stability. If the menisci are damaged, this can cause the cartilage beneath to become damaged and develop arthritis.

Knee anatomy

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