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At the Hull Hip and Knee Clinic we are happy to see patients with any hip or knee problem. The most common disorders we encounter are:

Copyright Tom Symes
Arthritis
This can be caused by a number of different conditions including osteoarthritis, rheumatoid arthritis, psoriatic arthropathy and arthritis that develops after trauma. 
 
The end result is wearing away of the cartilage in the joint. 
Patients develop pain, stiffness, swelling, locking and giving way of the affected joint
 
Arthritis is by far the most common cause of joint problems over the age of 50 but surgery is not the only treatment. 
 
Good treatment starts with regular painkillers and anti inflammatory medication. Physiotherapy and exercises to build muscle strength can really help and weight loss is also really important. 
Losing weight reduces the load on the joint, it can significantly reduce pain and slows the progression of arthritis. It also makes surgery more straightforward and reduces the risk of complications. 
 
Steroid injections for knee arthritis can be particularly helpful in mild to moderate disease. and can be repeated 2-3 times a year. 
 
When the joint is completely worn out and if symptoms are severe then joint replacement surgery is often the best option. 
 
Patients can be told they are ‘too young’ for a joint replacement. There are 3 main reasons for this:
Firstly, the younger you have a joint replacement the quicker it tends to fail. Secondly your hip or knee replacement is more likely to need a revision operation (surgery to take out the replacement and redo it) if you are young.  Thirdly the younger you are when you have your replacement, the less likely you are to be happy with it. Having said this, the majority of even young patient undergoing joint replacement surgery are satisfied with the result. 

 
 
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Cartilage (meniscal/labral) tears
The knee joint has 2 pieces of cartilage inside called meniscii. They are made of fibrocartilage and as you become older the meniscus become stiffer and tears occur more easily. In fact a torn meniscus is extremely common as you get older and in most cases does probably not cause symptoms in itself.  
In patients over 50, unless the knee becomes “locked”, surgery is not recommended for meniscal problems. 
 
For younger patients, when the meniscus is strong, it requires a more severe injury to tear it. This can happen after a bad fall or a sports injury and, in this case, keyhole surgery to repair or remove the torn meniscus can be helpful. 
 
The hip socket has a rim of cartilage around it called a labrum. This is also made of fibrocartilage and like the knee meniscus deteriorates with age. 
A torn labrum can cause pain, clicking and locking of the hip and can be treated with keyhole hip surgery. 

 
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Ligament injuries 
The knee has 4 ligaments, 2 collateral ligament on either side of the knee that stop side to side movement and 2 cruciate ligaments that prevent too much forwards and backwards movement of the knee. 
The ligaments can be torn or sprained and in most cases are treated without surgery and a knee brace. 
A torn anterior cruciate ligament (ACL) can cause painful giving way (instability) symptoms Reconstruction of the ligament is often performed to stabilise the knee and let the patient return to activities and sports. 

Useful Links for further Information

Hull Hip & Knee Clinic

Spire Hull & East Riding Hospital

Lowfield Road

Anlaby

Hull

HU10 7AZ

Contact Information

To enquire about surgery or ask for more information please ring my private secretary or contract me via the email below

Phone : 01482 660272

Email : contact@hullhipandkneeclinic.co.uk

 

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