Mr Michael Moss

Consultant Orthopaedic Surgeon

01243 753032

info@michaelmoss.info

Not infrequently, especially in women, the area of the knee between the underside of the patella (kneecap) and the front of the femur (thigh bone) wears out. The patient particularly notices a crunching sensation within the joint and problems on inclines or stairs as well as getting up out of chairs.

If this happens in isolation then the front surface of the femur (trochlea) is resurfaced with a metal prosthesis and a polythylene or plastic implant resurfaces the underside of the patella. The attraction here of course is that if only the patella or kneecap is worn, the patient may keep the rest of the natural knee without operation whilst a much reduced procedure is performed to resurface the patellofemoral joint.

This procedure is much smaller than a total knee replacement and patients achieve a faster recovery.

If wear and tear subsequently occurs in the main part of the knee joint, it is possible to resurface that area around the patellofemoral replacement without resorting to a total knee joint replacement.

Frequently Asked Questions

How do you know if you require knee surgery?

Commonly patients experience pain and swelling in the knee and find that everyday activities are uncomfortable. Walking may be restricted and sleep may be interrupted. Patients may notice instability or locking of the knee and occasionally a grinding sensation.

Though non-surgical treatments are always considered initially, if using medication and a can aren’t delivering enough relief, you need to be referred to a consultant orthopaedic surgeon by your GP before you can be considered for surgery.