The knee is a joint made of four bones: the femur, tibia, fibula and patella. There are a series of muscles that also support the knee, including the quadriceps and hamstrings. finally, these are all joined together by a carefully woven set of ligaments, meniscus and tendons, with precious cartilage providing necessary cushioning for comfortable movement.
The anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) are perhaps most critical for proper knee movement. The knee is also surrounded by fluid filled sacs called bursae that provide additional cushioning.
Knee pain should not be disruptive to activities and daily life. With the help of our experts there are a number of surgical and non-surgical options which may relieve you of your pain and disability.
The World Health Organisation (WHO) estimates that OA affects 9.6% of men and 18% of women older than 60 years of age (WHO Technical Report Series 2003). Increases in life expectancy and ageing populations are expected to make OA the fourth leading cause of disability by the year 2020 (Woolf et al 2003).
More than 1 million adults consult their GP each year with osteoarthritis (Royal College of General Practitioners – RCGP 2007) and it is the third most common diagnosis made by a general practitioner in older patients (McCormick et al 1995). It is estimated that 6 million people in the UK have painful osteoarthritis in one or both knees. Prevalence increases with age with 1 in 5 adults aged 50–59 to almost 1 in every 2 adults aged 80+ having painful osteoarthritis in one or both knees (Peat et al 2008). Before the age of 50, men have a higher prevalence and incidence of OA than women, presumably due to secondary changes due to trauma, while after the age of 50 women have a higher prevalence and incidence (Felson et al 1998).
More than 650,000 (12% of adults) in the UK have painful osteoarthritis in one or both hips, three quarters of whom are aged over 65 (Odding et al 1998). A further one and a half million have X-ray evidence of hip osteoarthritis (but may not have any symptoms) (Lanyon et al 2003).
There is a significant genetic component to the prevalence of knee OA, with heritability estimates from twin studies of between 39% and 65% independent of known environmental or demographic confounders (Spector et al 1996).
We regularly treat sports injuries of the knee including anterior cruciate and posterior cruciate ligament and meniscal tears and have extensive experience in meniscal and joint replacement surgery. Our specialist have worked with professional athletes to maintain and prolong their careers.
Like most injuries, the most important part of treatment is getting your knee injury correctly diagnosed. We achieve this by conducting comprehensive examinations of the ligaments, cartilage, muscles and tendons in and around the knee joint. As part of our multi-disciplinary team, our specialists have access to MRI facilities and together with our specialist knee physiotherapists.
Throughout your diagnosis, treatment, and rehabilitation, dedicated team members will continue to work hard to ensure you can get back to enjoying life with the most comfort, mobility, and functionality possible.