– This is done to remove the pain caused by the arthritis on the inside of the knee (Medial Osteoarthritis) in young, fit and active people
– The leg is broken in a controlled way and fixed immediately, so moving where the weight passes through the knee to the normal outside (Lateral side)
– The aim is to put off for as many years as possible when you will need a Total Knee Replacement (TKR)
– This is a big operation as it is the equal of suffering a broken leg
– It usually takes 3 months to get over the operation, but can take longer to feel the full benefits
– Recovery is delayed if you smoke

Pre-Operative Assessment of fitness for surgery:
– This is usually undertaken by one of the nurses at the hospital to make sure that you are fit enough for the operation
– You will usually have blood tests and may also have tracing of your heart (ECG) or a chest X-ray

Hormone Replacement Therapy (HRT):
– This does not require stopping prior to surgery, but please tell us when you are admitted to ensure that we give you injections to help prevent you getting a blood clot in your leg

Physiotherapy
– There will be lots of this after your operation to keep your knee moving through a full range of movement
– Keeping the ability to get your knee straight is very important

Stitches
– Mr Lavender usually uses clips. These do not hurt when being removed. They are usually removed after 2 weeks when you come to see Mr Lavender in the out patients department

Driving
– You are unable to drive for at least 6 weeks

Work
– This depends upon the type of work you do and should be discussed with Mr Lavender. As a rough guide:
– Sedentary work (2 weeks)
– Light work (6 weeks)
– Heavy work (12 weeks)

Sick note
– Mr Lavender will provide you with a sick note if you require one

Kneeling
– This can be done when you feel comfortable

Flying
– You are not allowed to fly for 6 weeks following your surgery, due to the risk of blood clots in your legs

Sport
– Your return depends upon the type of sport and should be discussed with Mr Lavender

Mr Lavender will normally see you at:
– 2 weeks – Remove clips
– 6 weeks – Ensure your knee goes straight
– 12 weeks – X-Ray
– 12 months – Ensure full healing with another X-Ray
– 24 months – Plan for removal of the plate in your leg