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

What should I expect when I come to hospital?

Following your appointment with Mr Moss, his practice manager Niki Bassett will get in touch to offer you a convenient date and time for admission. Following this discussion you will have an hour-long appointment with our pre-assessment nursing/physiotherapy team. This will be to discuss medical history, medication, recovery after surgery, equipment you may need, home circumstances and any worries you may have regarding your treatment. The nurse will liaise with Mr Moss’s anaesthetist regarding your test results. If the anaesthetist is concerned about your medical history he may ask you to attend another appointment to see him in clinic.

On the day of admission you will be taken to your room by one of our receptionist team. The nurse in charge of your care will confirm your medical history and check your medication has not changed since your pre-assessment appointment. You will then be prepared for theatre. Mr Moss and his anaesthetist will see you prior to theatre to explain fully what they will be doing and consent with be obtained.

Following surgery you will continue to be looked after in your own room by the nursing and physiotherapy staff.

Mr Moss or his anaesthetist will review you on a daily ward round. You will be visited daily by our resident medical doctor who is on-call to answer any questions. You will also be visited by our pharmacist to ensure the pain medication is suitable for you.