Introduction Knee problems can affect anyone, from professional athletes to individuals going about their daily routines. If you’ve been recommended for a knee arthroscopy, you might have questions about what it entails and what to expect. This blog will explain everything you need to know about knee arthroscopy, including the procedure, recovery, and potential benefits. The Anatomy of the Knee Joint The knee joint is a complex structure composed of bones, ligaments, cartilage, and tendons that work together to provide mobility and stability. Over time, wear and tear, injury, or medical conditions such as osteoarthritis can lead to pain and dysfunction. Arthroscopy provides a minimally invasive way to diagnose and treat knee problems effectively. What is an Arthroscopy? Arthroscopy is a minimally invasive surgical procedure that allows a surgeon to examine and treat issues inside the knee joint. The term comes from the Greek words ‘arthro’ (joint) and ‘scope’ (to look at). Unlike traditional open surgery, arthroscopy involves small incisions, reducing scarring and promoting quicker recovery. During an arthroscopy, a small camera (arthroscope) is inserted into the knee, relaying real-time images to a screen. This enables the surgeon to assess the condition of the joint and perform necessary procedures, such as trimming torn cartilage or repairing damaged tissue. Why is Arthroscopy Performed? Arthroscopy is commonly recommended for various knee conditions, including: Meniscus Tears  – The meniscus is a cartilage structure that acts as a shock absorber. Tears can occur due to twisting injuries and may require trimming or repair. Cruciate Ligament Assessment  – The anterior and posterior cruciate ligaments provide knee stability. Arthroscopy allows surgeons to inspect them and plan further interventions if needed. Removal of Loose Bone or Cartilage Fragments  – Trauma or degenerative conditions can lead to loose pieces of bone or cartilage in the knee, causing pain and stiffness. Articular Cartilage Repair  – Damage to the smooth cartilage lining of the joint can lead to pain and instability. Arthroscopy can help assess and address this damage. Biopsy for Joint Lining Inflammation  – If the joint lining is inflamed, a sample can be taken for further investigation. Patellar (Kneecap) Issues  – Arthroscopy allows for the evaluation of the patella and potential realignment if necessary. The Surgical Procedure Knee arthroscopy is typically performed under general anaesthesia and is often completed as a day procedure. The process involves: Making  two small incisions in the front of the knee Inserting the arthroscope and necessary surgical instruments Using fluid to expand the joint for better visualisation Performing the required surgical repairs Draining excess fluid and applying a dressing Most procedures take between 15 to 60 minutes, and patients typically wake up within an hour post-surgery. What to Expect After Arthroscopy Recovery from arthroscopy is generally faster compared to open knee surgery. Here’s what you can expect: Immediate Mobility : Patients are usually encouraged to walk soon after surgery, although initial movement should be supervised by a nurse or physiotherapist. Pain Management : Mild discomfort is common, but pain can be managed with prescribed medications and anti-inflammatory drugs. Driving : It is generally advised to avoid driving for at least 3-4 days post-surgery but this depends on what was found. Your doctor will guide you. Follow-Up Care : A follow-up appointment is scheduled after a week to assess wound healing and overall progress. Physiotherapy : Rehabilitation exercises may be recommended after 1-2 weeks, depending on the condition treated. Activity Restrictions : Strenuous activities should be avoided for about a month to allow proper healing. Potential Complications While knee arthroscopy is a safe procedure, complications can occur in rare cases. These may include: Bleeding and swelling Blood clot formation (DVT) Infection Bruising (especially after lateral patellar release) To minimise risks, patients are advised to wear compression stockings, stay mobile, and follow post-operative care instructions. Final Thoughts Knee arthroscopy is an effective and minimally invasive procedure for diagnosing and treating various knee conditions. If recommended by your surgeon, it can help improve mobility, reduce pain, and enhance overall knee function. As with any surgical procedure, understanding the process, recovery expectations, and potential risks can help you prepare for a successful outcome.

Introduction If you've been told that you need Anterior Cruciate Ligament (ACL) reconstruction , you're likely dealing with knee instability, pain, or difficulty engaging in physical activities. This blog will guide you through the structure and function  of the ACL, the surgical process , rehabilitation , and what to expect post-surgery . Understanding the procedure and recovery is essential to achieving the best results. If you have any additional questions, consult your surgeon or physiotherapist. What is the ACL? The Anterior Cruciate Ligament (ACL)  is one of two cruciate ligaments located in the centre of your knee. These ligaments cross each other, forming an “X” shape—hence the name "cruciate." The ACL runs from the outer aspect of the femur (thigh bone) to the inner aspect of the tibia  (shin bone), preventing excessive forward movement of the tibia and controlling rotational movements of the knee. Functions of the ACL: Prevents excessive forward movement  of the tibia. Controls rotational movement  of the knee. Ensures smooth knee motion  during activities like walking, running, and jumping. ACL Injury and Diagnosis A torn ACL often occurs due to sudden twisting, pivoting, or impact injuries —common in sports like football, basketball, and skiing. Symptoms include: Knee instability or "giving way." Immediate swelling and pain. Difficulty bearing weight on the injured leg. How is an ACL Tear Diagnosed? Physical Examination:  A skilled clinician can often diagnose an ACL tear without an MRI. MRI Scan:  This helps confirm the diagnosis and assess damage to other structures in the knee. Arthroscopy (Keyhole Surgery):  In some cases, a minor surgical procedure is used to confirm the extent of the damage. ACL Reconstruction Surgery: What to Expect Why Surgery? Since a torn ACL often does not heal on its own, or heals in the wrong place leaving it dysfunctional, surgical reconstruction is often recommended to restore knee stability and function. Graft Choices for ACL Reconstruction Since the ACL cannot be repaired directly, surgeons use alternative tissue (grafts) to reconstruct the ligament. Options include: Hamstring Tendon Graft (Preferred Choice)  – Harvested from the inner thigh; offers less post-op pain and better function. Patellar Tendon Graft  – Uses the central part of the kneecap tendon; provides strong fixation but may cause more post-op discomfort. Quadriceps Tendon Graft  – Taken from the top of the knee; an option if other grafts are not viable. The Surgical Process General anaesthesia  is used for most ACL reconstructions. The procedure is performed arthroscopically  (using small incisions and a camera for precision). The selected graft is fixed  in place using surgical screws or other fixation devices. Surgery typically lasts 1-2 hours . Most patients stay in the hospital for one night  before discharge. Recovery and Rehabilitation A structured rehabilitation program  is essential for regaining knee function and strength. General Timeline for Recovery 0-2 weeks:  Focus on reducing swelling, restoring full knee extension, and gentle movement exercises. 2-6 weeks: Gradual weight-bearing and strengthening exercises. 6-12 weeks:  Light gym activities, swimming, and progressive strengthening. 3-6 months: Jogging and balance training. 6-9 months: Non-contact sports training. 9-12 months:  Full return to contact sports. Key Rehabilitation Goals Early movement is crucial.  Avoiding stiffness is key to a successful recovery. Strengthen supporting muscles.  Focus on quadriceps, hamstrings, and core stability. Proprioception training. Balance and coordination exercises help restore knee function. Gradual return to activity.  Rushing back to sports too soon can increase the risk of re-injury. Potential Risks and Complications While ACL reconstruction has a high success rate, some risks include: Knee stiffness (minimised with proper rehab) Persistent pain or numbness  around the surgical site Swelling and bruising Deep Vein Thrombosis (DVT)  (blood clot risk—minimised with movement and hydration) Infection  (rare but serious) Graft failure (approx. 10% risk over five years) It’s essential to follow post-operative care  instructions and notify your surgeon if you experience severe pain, swelling, or signs of infection. Important Travel Considerations After ACL surgery, air travel can increase the risk of blood clots . General Recommendations: Avoid long-haul flights for at least 6 weeks. Wear compression stockings  to reduce swelling. Move frequently during flights—walk up and down the aisle every hour. Stay hydrated  and avoid excessive alcohol intake. If travel is necessary, discuss blood-thinning medication with your doctor. Conclusion ACL reconstruction is a well-established procedure that can restore knee stability and allow a return to an active lifestyle . However, a successful outcome depends on rehabilitation and patient commitment  to the recovery process. If you have any concerns about your surgery, rehabilitation, or potential complications , don’t hesitate to contact your surgeon or physiotherapist. By following a structured rehab program and giving your knee time to heal, you’ll be well on your way to regaining full function and returning to the activities you love!

As orthopaedic surgery continues to evolve, one of the most exciting breakthroughs is the advent of robot-assisted knee surgery. This technology is transforming the way surgeons perform knee replacements, offering patients enhanced precision, better outcomes and shorter recovery times. At Agile Ortho, we are proud to incorporate this innovative technology into our practice, providing state-of-the-art care for our patients.   How Robot-Assisted Knee Surgery Works Robot-assisted knee surgery  involves the use of a robotic system that helps surgeons plan and execute knee replacement procedures with unprecedented accuracy. The process starts with a 3D model of the patient’s knee, created from CT or MRI scans. This model allows the surgeon to develop a personalised surgical plan based on the patient’s unique anatomy.   During the surgery, the robotic arm guides the surgeon in making precise cuts and placing the implant with incredible accuracy. While the surgeon remains in full control, the robotic system enhances precision and reduces the margin for error, resulting in better alignment and improved implant longevity.   Benefits of Robot-Assisted Knee Surgery  Patients undergoing robot-assisted knee surgery  at Agile Ortho experience several key benefits:   Greater Accuracy:  The robotic system allows for more precise placement of the knee implant, ensuring optimal alignment and reducing wear over time. Minimally Invasive:  This technique typically uses smaller incisions, leading to less pain, reduced scarring, and faster recovery. Better Outcomes:  Studies show that robot-assisted surgeries result in better functional outcomes and lower rates of revision surgery compared to traditional methods.   Is Robot-Assisted Knee Surgery Right for You? At Agile Ortho, we offer personalised consultations to determine if robot-assisted knee surgery is the best option for your condition. Whether you’re suffering from osteoarthritis, a knee injury, or simply need a joint replacement, our team will assess your needs and recommend the most appropriate treatment.   The future of knee replacement surgery is here, and it’s driven by robotics. At Agile Ortho, we are committed to staying at the forefront of medical technology, ensuring that our patients receive the highest level of care. If you’re considering knee replacement surgery, contact our team to learn more about the benefits of robot-assisted knee surgery and how it can help you get back to your active lifestyle.

Introduction   Orthopaedic surgery has made significant strides with the introduction of cutting-edge technologies like 3D printing and biologic treatments. These innovations are helping to enhance the precision of surgeries and accelerate healing processes. At Agile Ortho, we embrace these latest advancements in orthopaedic surgery to provide our patients with tailored, effective treatment options.   How 3D Printing is Revolutionising Orthopaedic Surgery   3D printing technology allows surgeons to create custom implants that are designed to fit a patient’s specific anatomy. This is particularly useful for joint replacements, where the fit and alignment of the implant are critical to its success. With 3D-printed implants, patients benefit from a better fit, improved comfort, and longer-lasting results.   At Agile Ortho, our team uses 3D printing to produce both implants and surgical guides. These custom-made tools ensure that the surgery is performed with pinpoint accuracy, minimizing the risk of complications and improving recovery outcomes.   Biologics: A Natural Approach to Healing   Biologics are another exciting development in orthopaedic surgery. Treatments such as platelet-rich plasma (PRP) and stem cell therapy use the body’s own cells to promote healing. These treatments are particularly effective in addressing soft tissue injuries, cartilage damage, and even degenerative joint conditions.   At Agile Ortho, we offer biologic treatments as part of our comprehensive approach to orthopaedic care. Dr Joseph Wessels, who specialises in shoulder and elbow surgeries, often integrates biologics into patient treatment plans to enhance healing and potentially delay the need for surgery.   The Future of Orthopaedics: Combining Technology and Biologics   The future of orthopaedic surgery lies in the combination of cutting-edge technology and biologic treatments. By integrating 3D printing with biologics, surgeons can offer more personalised, effective care that speeds up recovery and improves patient outcomes.   For instance, custom 3D-printed implants can be combined with biologic therapies to stimulate bone growth and tissue repair, providing patients with a comprehensive solution to their orthopaedic issues. At Agile Ortho, we are excited to be part of this technological evolution, continually striving to provide our patients with the most advanced care available.   Conclusion   The field of orthopaedics is rapidly evolving, with 3D printing and biologics leading the way. At Agile Ortho, we are proud to offer these innovative treatments to our patients, ensuring they receive the most effective, personalised care possible. Whether you’re in need of joint replacement surgery or exploring non-surgical options, our team is here to guide you every step of the way. Contact us today to learn more about how these latest advancements in orthopaedic surgery can benefit you.

Orthopaedic surgery has seen tremendous advancements in recent years, offering patients quicker recovery times, reduced pain and improved outcomes. At Agile Ortho, we stay at the forefront of these innovations to provide our patients with the best possible care. In this post, we’ll explore some of the latest advancements in orthopaedic surgery, including new technologies and minimally invasive procedures.   Minimally Invasive Orthopaedic Surgery: A Game Changer   Minimally invasive surgery (MIS) has revolutionised the field of orthopaedics. These procedures use smaller incisions, leading to less tissue damage, reduced scarring and faster recovery times compared to traditional open surgeries. At Agile Ortho, our surgeons use cutting-edge techniques for hip and knee replacements, allowing patients to get back on their feet sooner and with less pain.   Robotic-Assisted Surgery: Precision at Its Best   One of the most exciting advancements in orthopaedic surgery is the rise of robotic-assisted procedures. Robot-assisted knee surgery is a prime example, where surgeons use a robotic arm to perform precise cuts and implant placements. This technology ensures accuracy down to the millimetre, leading to better alignment, longer-lasting implants, and improved patient outcomes. At Agile Ortho, our team of specialists, including Dr Matthew Foster, uses this technology to provide patients with highly personalised, accurate treatment.   The Role of Biologics in Orthopaedic Healing   In addition to advancements in surgical techniques, biologic treatments are becoming an integral part of orthopaedic care. Biologics, such as platelet-rich plasma (PRP) and stem cell therapy, use the body’s own cells to promote healing. These treatments can accelerate recovery from injuries like tendon tears or cartilage damage and may even delay the need for surgery.   At Agile Ortho, we are proud to embrace the latest advancements in orthopaedic surgery, from minimally invasive procedures to robotic-assisted technologies. These innovations allow us to provide our patients with safer, more effective treatments, ensuring faster recovery and better long-term outcomes. If you’re considering orthopaedic surgery, consult with our specialists to explore how these cutting-edge solutions can benefit you.

Introduction   Shoulder surgery, whether for a rotator cuff tear, shoulder replacement, or labral repair, can significantly improve function and reduce pain. At Agile Ortho, Dr Joseph Wessels specialises in shoulder and elbow surgeries, providing top-tier care to help you through every phase of recovery. In this blog, we’ll share practical tips for recovering after shoulder surgery, including what you need to know for a smooth healing process.   Post-Surgery: Immediate Care   In the days following shoulder surgery, your shoulder will be immobilised in a sling to protect the joint and minimise movement. Pain and swelling are common, but the team at Agile Ortho, led by Dr Joseph Wessels in this instance, will prescribe medication to manage discomfort. It’s important to rest and avoid using the affected arm, as premature movement can hinder healing.   Managing Pain and Swelling   Ice therapy is an effective way to reduce both pain and swelling. Apply an ice pack to your shoulder for 15-20 minutes every few hours. Elevating your shoulder while resting can also help reduce swelling. Dr Joseph Wessels will provide you with a pain management plan to ensure comfort during the first few days of recovery.   The Role of Physical Therapy   Physical therapy is crucial for regaining mobility in your shoulder. In the early stages of recovery, your physiotherapist will guide you through passive movements, where they gently move your arm without your assistance. As healing progresses, you’ll move on to active exercises to rebuild strength and mobility. Consistency with physical therapy is key to a full recovery, and Dr Joseph Wessels will tailor your rehabilitation plan to your specific surgery.   Tips for Daily Living During Recovery   During your recovery, simple tasks like dressing, eating, and bathing can become more challenging. Here are some tips to help you manage daily activities:   · Dressing: Wear loose-fitting clothes that are easy to slip on and consider using your non-affected arm to dress. · Sleeping: Sleep in a slightly elevated position to reduce strain on your shoulder. A recliner or pillows can help. · Bathing: You may need assistance for tasks like washing your hair, or use tools like a long-handled sponge.   When Can You Resume Sports or Physical Activities?   While it can be tempting to jump back into physical activities, patience is key. Dr Joseph Wessels and the team at Agile Ortho recommend light activities, such as walking, within a few weeks, while more strenuous activities, like swimming or lifting weights, may need to wait for 4-6 months. Gradually returning to these activities can help prevent reinjury.   Conclusion   At Agile Ortho, Dr Joseph Wessels and our team are committed to providing expert guidance through your shoulder surgery recovery journey. By following these tips and adhering to your physical therapy plan, you can achieve a successful recovery and return to a pain-free, active life.

Introduction   Hip replacement surgery is a common procedure performed to relieve pain and improve mobility for those suffering from arthritis or injury. While the surgery itself can offer life-changing benefits, recovery requires patience and adherence to your doctor’s guidelines. At Agile Ortho, we specialise in patient-centred care and this blog will guide you through what to expect after hip replacement surgery and provide some practical recovery tips.   The First Week After Hip Replacement Surgery   The first week after hip replacement surgery is crucial for setting the foundation of your recovery. You will likely experience discomfort, swelling and stiffness, but pain management techniques such as medications and ice therapy can help. In the hospital, you will begin working with a physiotherapist to start moving your hip safely. Mobility aids like crutches or walkers will be necessary for the first few weeks.   Exercises to Improve Mobility   Physiotherapy is an essential part of your recovery. At Agile Ortho, our team will guide you through passive movements early on and help you progress to active exercises designed to strengthen the muscles around the hip joint. Low-impact activities such as walking, swimming, and cycling can promote healing as you progress.   Avoiding Common Complications   While hip replacement surgery is highly successful, it’s important to take steps to avoid common complications like infection, blood clots and dislocation. The surgeons at Agile Ortho will provide specific guidelines on wound care, taking prescribed blood thinners and wearing compression stockings to help minimise risks. Avoid certain movements, like crossing your legs or bending your hip beyond 90 degrees, which could increase the risk of dislocation.   When Can You Drive, Walk and Return to Work?   Your ability to return to normal activities depends on several factors, including your overall health and how well you follow your rehabilitation plan. Most patients at Agile Ortho can start walking short distances within the first few days after surgery, though a walker or crutches are needed for support. Driving can usually resume within 4-6 weeks, and many patients return to work within 6-12 weeks, depending on their profession.   Tips for Long-Term Recovery   Even after the initial recovery phase, it’s important to continue strengthening the muscles around your hip. At Agile Ortho, we emphasise the importance of follow-up appointments and maintaining a healthy lifestyle through regular exercise and a balanced diet.   Conclusion   A successful recovery from hip replacement surgery is a collaborative effort between the patient and the medical team. At Agile Ortho, we are committed to guiding you through every step of the process to ensure that you achieve the best possible outcome.

Introduction Knee surgery, whether it's a knee replacement, ACL reconstruction, or meniscus repair, is a significant procedure that requires careful recovery. A smooth recovery not only helps you regain mobility faster but also minimises the risk of complications. At Agile Ortho , led by Dr Matthew Foster , we prioritise patient recovery and aim to provide clear, actionable recovery tips after knee surgery to help you get back on your feet. What to Expect Immediately After Knee Surgery After knee surgery, you’ll likely experience swelling, pain and limited mobility in the first 24 to 48 hours. This is normal, and your team at Agile Ortho, including Dr Matthew Foster, will provide pain medication and instructions to help manage discomfort. You may need to use crutches or a walker for support as your knee heals. Rest is critical during this initial phase to allow your body time to recover. Tips for Managing Swelling and Pain Swelling is common after knee surgery, but it can be managed with a combination of ice, elevation and medication. Apply an ice pack to the knee for 15-20 minutes every few hours and elevate your leg to reduce swelling. Pain management is also crucial - your doctor, such as Dr Matthew Foster, may prescribe medications to reduce discomfort, but over-the-counter options can also be effective. The Importance of Physical Therapy Physical therapy is essential for regaining strength and mobility in your knee. At Agile Ortho, Dr. Matthew Foster works closely with physiotherapists to ensure that you start gentle range-of-motion exercises early in the recovery process. Staying consistent with your physical therapy plan is one of the best ways to ensure a successful recovery. Nutrition and Recovery Eating a balanced diet rich in protein, vitamins and minerals can support the healing process. Foods high in antioxidants, like fruits and vegetables, can reduce inflammation, while protein helps rebuild muscle tissue. Dr Matthew Foster and the team at Agile Ortho recommend staying hydrated to promote overall recovery. When Can You Return to Normal Activities? Recovery timelines vary depending on the type of knee surgery, but most patients can begin walking with assistance within the first few days. You may be able to drive within four to six weeks, depending on which leg was operated on and how well you can control the knee. More vigorous activities, like running or sports, will require a longer recovery period, often 3-6 months or more. Conclusion Recovering from knee surgery takes time and dedication. By following these recovery tips from Dr Matthew Foster and the Agile Ortho team, you can gradually return to your daily activities. Always consult your surgeon or physiotherapist if you have any concerns during your recovery process.