What is total knee replacement?

A total knee replacement may become necessary when patients find themselves having difficulty walking and/or sitting down due to intense pain associated with injury, illness, or arthritis. Our total knee replacement in Glasgow can provide welcome relief from discomfort while restoring function, allowing for a full return to normal activities. 

Meet Our Consultants

Michael Brown MBChB FRCS (Tr Orth)

Mr Brown is a highly regarded knee surgeon, recognised for his exceptional expertise in treating both sports-related injuries and degenerative knee conditions. Dedicated to providing comprehensive care, Mr. Brown offers a wide range of surgical solutions tailored to meet the unique needs of each patient. With a strong focus on patient-centered care, he emphasises collaborative decision-making to ensure the most effective treatment plans and optimal outcomes.

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Colin Drury FRCSEd (Tr+Orth)

Mr Drury FRCSEd (Tr+Orth) is a Consultant Orthopaedic Surgeon specialising in knee surgery. His expertise includes knee replacement, sports injury treatment, arthroscopy, osteotomy, and non-surgical therapies like physiotherapy, injections, and PRP. At Glasgow Royal Infirmary, he also manages complex trauma, infections, and collaborates with plastic surgeons for multi-disciplinary care.

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Rahul Kakar FRCS, MRCS, MBBS

Mr Kakar is a highly skilled consultant orthopaedic surgeon specialising in knee and hip surgeries, including ACL reconstruction, meniscal repairs, patellar dislocations, and hip replacements. With advanced fellowship training and leadership as the governance lead at NHS Tayside, he focuses on enhanced recovery protocols, often enabling patients to return home within a day. Rahul is dedicated to education, training, and achieving exceptional outcomes through routine audits and patient-centered care.

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Andrew MacDonald MB ChB, FRCS (Tr&Orth)

Mr MacDonald is a Consultant Orthopaedic Surgeon with over 23 years of experience, specialising in hip and knee replacement surgeries, including complex and revision cases. After training in Scotland, Cambridge, and Australia, he has served as a consultant in NHS Lanarkshire since 2011 and practices privately at Ross Hall Hospital in Glasgow. A passionate educator, he has won 'Trainer of the Year' and teaches for the AO Foundation, a global leader in surgical innovation.

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What is partial knee replacement?

If osteoarthritis exists in only one part of the knee, you may be a candidate for partial knee replacement, which can provide pain relief and a reduction in symptoms. The knee houses three compartments – the medial compartment inside the knee, the lateral compartment outside the knee, and the patellofemoral compartment in the front of the knee. If only one of these regions has been damaged and the remaining bone and cartilage are viable, our knee replacement specialists can replace the damaged component with a procedure known as unicompartmental knee replacement (partial knee replacement). Benefits of partial knee replacement include a more natural feel after surgery, accelerated recovery, and less blood loss.

What is revision knee replacement?

While most knee replacement surgeries are successful, there are some circumstances in which a patient may require a revision procedure. Our skilled knee experts can perform revision knee replacement in Glasgow to alleviate pain and restore optimal mobility. The most common reasons why patients may need revision surgery include the following:

  • The knee implant has become dislodged – If the implant is no longer firmly attached to the bone due to exercise, obesity, or wear and tear, it may need to be replaced through a revision procedure.
  • An infection has occurred – While very rare, it is possible to develop an infection in the artificial knee joint, which would require a revision surgery to restore function and eradicate disease.
  • The patient is experiencing instability and imbalance – If there is an imbalance in the ligaments surrounding the knee and non-invasive methods have not been successful in addressing the issue, a revision surgery may be the best approach.
  • The patient is still experiencing stiffness – If the original knee replacement surgery did not sufficiently address the patient’s symptoms and deliver the ideal range of motion, revision surgery can be performed to ensure ease and comfort.
  • A fall or fracture has occurred – If the patient has experienced a fracture in the bones near the implant, a revision surgery can be performed to replace the implant and repair the damaged tissue.

Why does severe knee damage occur?

There are numerous knee conditions that can result in the need for knee replacement. These include injury, deformity, infection, and chronic pain, as well as the various types of arthritis outlined below.

  • Osteoarthritis – Osteoarthritis typically occurs as individuals age. It develops when the protective cartilage around the bones begins to wear thin and decline. When the bones in the knee encounter friction, it can lead to chronic stiffness and pain.
  • Post-traumatic arthritis – Post-traumatic arthritis can develop after severe injuries. Accidents can result in tears and fractures that negatively impact the cartilage around the bones, impairing proper function while causing considerable pain.
  • Rheumatoid arthritis – The synovial membrane coats the knee surface, lubricating cartilage, which ensures harmonious, friction-free function. When this critical membrane becomes inflamed, it can result in cartilage loss and prolonged knee pain and stiffness.
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Who is a good candidate for total knee replacement?

Most patients will qualify for knee replacement after their symptoms have progressed to a significant level where movement is limited and the pain is unmanageable, interfering with normal activities like work, sleep, and leisure. Knee replacement surgery is usually a last resort after non-invasive treatment methods (injections, medications, braces) have been exhausted. If you have received a recommendation for knee replacement surgery from an orthopaedic doctor, our team can give you an informed second opinion.

What to expect from total knee replacement surgery

On the day of your surgery, you will receive general anaesthesia to ensure you are asleep and comfortable, free from pain throughout your procedure. Your surgeon will then create an incision in the frontal region of the knee, allowing access to the joint. The damaged tissue is removed and the knee implant is placed. A specialised adhesive is used to affix the new joint to the knee cap, shin, and thigh. Once the surgery is complete, the incision is closed and the patient is placed in the recovery suite for observation until they are ready to go home.

Recovery after total knee replacement

While you will likely be able to stand up right away after your surgery, walking without assistance may not be possible. You will first need to use the parallel bars before you are introduced to a walker. Most patients regain their ability to move without assistance within around six weeks. Physical therapy can begin right away after surgery to help you regain muscle strength. Within about one month, you will see a major improvement in your pain levels and mobility. Our team will continue to follow up with you to ensure your healing is progressing seamlessly.

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Recovery after total knee replacement

While you will likely be able to stand up right away after your surgery, walking without assistance may not be possible. You will first need to use the parallel bars before you are introduced to a walker. Most patients regain their ability to move without assistance within around six weeks. Physical therapy can begin right away after surgery to help you regain muscle strength. Within about one month, you will see a major improvement in your pain levels and mobility. Our team will continue to follow up with you to ensure your healing is progressing seamlessly.

Get started with a private, informative consultation today

If you are ready to learn more about how total, partial, or revision knee replacement in Glasgow can help you live with more ease, comfort, and confidence, contact our offices today to set up a detailed consultation. During this initial meeting at our brand-new, world-class facility, we will answer your questions in depth and empower you with the information you need to make the best decisions for your health and well-being. We look forward to your call!

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