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Returning you to recreational sport

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Getting you back on the pitch

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Beating knee pain

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Internationally trained surgeon

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Regaining your independence

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Full range of knee surgery, to suit you

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Andrew Lavender

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Microfracture of the Knee

Microfracture of the Knee

Aim of Surgery

- To replace the Articular Cartilage (Shiny white gristle) that has
been lost from the end of the bone
- During an Arthroscopy (Telescope / Scope) of your knee lots of
small holes are made into the bone to let out stem cells from
the bone marrow
- The stem cells are then stimulated by gradually and continually
moving the knee to make new Articular Cartilage on the end of
the bone


Before Surgery

Pre-Operative Assessment of fitness for surgery:
- This is not normally required unless there are specific
problems with your general health

Contraceptive Pill (OCP):
- It is up to you
- If you wish to stop this for 6 weeks before your surgery and use a different form of contraception that is acceptable
- If you do not wish to stop using the OCP then please tell us when you come in for your surgery and we will give you
an injection while you are asleep to help prevent you getting a blood clot in your leg


In Hospital

Scratches / Cuts
- If you have any scratches, cuts or the like on your leg when you are admitted for surgery then your operation may be
postponed if Mr Lavender believes that these will pose a risk to you getting an infection at the time of your surgery

Consent
- Mr Lavender will come and see you when you arrive. He will get you to sign a form (Consent Form) agreeing to the
operation and explain the risks of the surgery

Discharge
- You will normally stay in hospital overnight
- You will be given and shown how to use a pair of crutches before your operation
- You will be walking with no weight through the operated leg for the first 8 weeks


Rehabilitation

Physiotherapy
- There will be lots of this after your operation
- You will be provided with and shown how to use a Continuous Passive Motion Machine (CPM). This you will take home. It moves your leg back and forwards very slowly
- You will use it for 8 hours every day for the first 8 weeks (This can be broken up into smaller time periods as you like)
- The knee should be moved through the biggest range of movement that the pain in your knee will allow
- The CPM machine should move slowly – 1 cycle every minute

Stitches
- Mr Lavender usually uses stitches to close the two / three small holes in the skin. 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 about 12 weeks, unless the surgery is on your left leg and you drive an automatic car

Work
- This depends upon the type of work you do and should be discussed with Mr Lavender. As a rough guide you will be
off work for 8 to 12 weeks, unless you can work from home on a computer

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

Flying
- You are not allowed to fly for 12 weeks following surgery, due to the risk of blood clots in your legs

Sport
- Your return depends upon the type of sport you like and should be discussed with Mr Lavender
- You will be unable to participate in most sports for at least 4 months


Follow up

Mr Lavender will normally see you at:
- 2 weeks - Remove stitches
- 8 weeks - Ensure knee goes straight
- 4 months - Check on progress


Expectations

For a condensed version of this page, click on the PDF below or right-click and choose 'Save Link As...' to download a copy to your computer.

Microfracture Expectations

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