Treatments provided by Stephen Palmer

Mr Palmer offers a range of orthopaedic treatments, using the latest arthroscopic and reconstructive techniques.

Treatments, operations and tests

Cruciate knee ligament surgery

The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) cross in the centre of the knee. A tear of these ligaments can be partial or complete, and results from overstretching of this ligament within the knee. Cruciate ligament repair is carried out by an orthopaedic surgeon, using a combination of open surgery and arthroscopy. The operation can be carried out as a day case, or may require a day or two in hospital.

Knee arthroscopy (keyhole investigation of the knee)

Arthroscopy is one of the most frequently used investigations for the diagnosis and treatment of knee injuries. It is a minor surgical procedure that is done as an outpatient. An arthroscope is a small, soft tube with a light and lenses on the tip. The surgeon inserts the arthroscope into your knee through a small incision. This allows the surgeon to see the entire knee joint and facilitates the repair of some knee injuries. Arthroscopy is normally done as a day case procedure.

Knee ligament surgery (ACL Reconstruction)

The anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL) cross in the centre of the knee. A tear of these ligaments can be partial or complete, and results from overstretching of this ligament within the knee. Cruciate ligament repair is carried out by an orthopaedic surgeon, using a combination of open surgery and arthroscopy. The operation can be carried out as a day case, or may require a day or two in hospital.

Knee replacement (Total)

Knee replacement surgery is usually undertaken when osteoarthritis has resulted in the wearing down of the knee joint. In a knee replacement operation the worn out and arthritic parts of the knee joint are removed and replaced with a new, artificial knee joint. The new knee joint is called a prosthesis. More recently, Computer Guided Total Knee Replacements as well as a new technological development called “patient specific instrumentation” or a “custom fit knee” is beeing performed.

Knee replacement revision

A knee replacement tends to last between 10 to 20 years. After that time, it is often the case that a further procedure is required to have it replaced. This is known as a knee revision.

Meniscectomy (cartilage)

Damaged cartilage in the knee can cause pain and the loss of motion. One option is a menisectomy, where a doctor uses an arthroscope and other tools to remove all or part of the damaged meniscus in the knee. When this is an keyhole surgery, a range of anaesthetic options are available and either act to repair the cartilage or remove it as the individual situation demands.

Torn cartilage repair

A meniscus tear is a common injury to the cartilage that stabilizes and cushions the knee joint. The pattern of the tear can determine whether your tear can be repaired. Radial tears sometimes can be repaired, depending on where they are located. Horizontal, flap, long-standing, and degenerative tears-those caused by years of wear and tear-generally cannot be repaired.

I specialise in...

  • Arthroscopic knee surgery
  • Knee replacement
  • Revision knee replacement
  • ACL reconstruction
  • Sports injuries
  • Knee osteoarthritis