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London Knee Unit is a dedicated unit based at The Princess Grace Hospital in central London.

The unit includes a group of highly experienced consultant surgeons who specialize in surgery for conditions affecting the knee.

These surgeons work primarily at The Princess Grace Hospital within the extensive orthopaedic and trauma facilities.

The Princess Grace Hospital provides a full range of treatment options under one roof, has the latest technology and a multi-disciplinary care team. Together they work with each patient to determine the best treatment for the best outcome with the minimum of side effects.

Surgeons and physicians are available for advice, treatment and care for all orthopaedic, trauma and sports conditions at your convenience.

Diagnosis
Their team members are trained to take a precise medical history and thoroughly examine the relevant joint. This will often produce a diagnosis which can be further investigated using x-rays, ultrasound, magnetic resonance imaging (MRI) and arthroscopy.

X-rays – different views – arthritis, loose bodies, osteochondritis dessicans (OCD) Ultrasound – for swellings, bursa, quadriceps ruptures, deep vein thrombosis (DVT) Magnetic resonance scanning – for articular cartilage, menisci, ligaments Arthroscopy – usually once diagnosis has been made, allows for treatment.

Treatment
London Knee provides a comprehensive range of treatments for conditions that affect the knee.

1. Physiotherapy
Many knee problems can be treated with physical therapy, ice, rehabilitation and mobilization, some conditions, for example, torn cartilage, will require arthroscopic surgery.

2. Surgical treatments

• Arthroscopy – meniscal tears, loose bodies, chondral injury
• Ligament reconstruction
• Fracture repair
• Arthritis – high tibial osteotomy, Uncemented knee replacement, total knee replacement

Medical decisions on knee replacement options will take into account the patient’s age and general health and the severity of symptoms, as well as patient preference.

Their consultants can perform a total prosthetic replacement of the knee joint, including the patella if necessary and this is done under a general anaesthetic and requires up to 7 nights stay in hospital.

5. Revision of total replacement of knee joint

The London Centre for Musculoskeletal Services is a multidisciplinary service for the diagnosis, treatment, management and rehabilitation of musculoskeletal / orthopaedic disorders.

The centre combines the expertise of a range of consultants and other professionals in the care of patients with a wide range of musculoskeletal / orthopaedic and associated disorders.

Spinal and neurospinal conditions are also managed and treated by specialists within the hospital.

The extensive diagnostic facilities provided by the Princess Grace Hospital and the facilities of HCA International in London ensure that the needs of clinicians and patients are fulfilled and that the best outcomes are achieved.

Orthopaedic surgery
Clinicians at the centre provide almost 7,000 orthopaedic treatments per annum, including:

• ACLs
• Arthroscopies
• Shoulder Surgeries
• Hip replacements
• Fractures

Snow sports injuries
The Snowsports Injuries team offers expert advice, support, treatment and rehabilitation for all types of injuries sustained while participating in winter sports.

Brain and Spine Centre
Head and spinal injuries are cared for by a group of medical experts including brain and neurological surgeons, physicians, diagnosticians and therapists working together as a coordinated team at the Brain and Spine Centre.

Critical Care
The London Centre for Musculoskeletal Services is supported by a fully functioning, independent critical care unit which offers all forms of invasive monitoring, respiratory support and inotropic support.