At Home with Chris Jessen 2018 - 136
If your joint problems are starting
to affect your daily routine, perhaps
it's time to ﬁnd a solution
pproximately 160,000 total
hip and knee replacement
procedures are performed
each year in England and
Wales. But it's not just older people
who suffer - adults of any age can
experience painful problems that limit
their everyday activities.
It's all in the knees
Knee pain in younger patients is often
a consequence of taking part in sport
or developmental factors, and may
prevent them from returning to the
activities of their choice.
In these cases, arthroscopy, or
keyhole surgery, is the most suitable
procedure. This is where the surgeon
uses special instruments and cameras
to look inside the knee and repair, or
reconstruct, parts of the joint.
Conditions that are commonly
treated with arthroscopy include
meniscal tears, cartilage lesions and
ligament reconstructions. The procedure
can also be used to remove loose bits
of cartilage and diagnose painful knee
conditions that cannot be diagnosed
with scans or X-rays.
'In younger and more active patients,
my aim is to reconstruct the torn
ligament or repair the meniscus so they
can get back to their sports, skiing and
other recreational activities as quickly
as possible,' explains Mr Konan. Other
patients include those whose joints have
worn out to the extent that a complete
replacement is the only viable solution.
The most common reason for such
damage is osteoarthritis.
This requires the use of minimally
invasive techniques and the latest
technology, such as robotic surgery
and 3D printing, which enables patients
MEET THE EXPERT
Mr Sujith Konan
is a consultant
Having completed surgical training in
the UK, Mr Konan undertook a two-year
postgraduate degree at University
College London. His specialist training
in orthopaedics was on the North
Western and Middlesex/University
College Hospital rotations.
He has a special interest in hip
and knee surgery and has developed a
wide range of skills, from arthroscopic
hip and knee procedures to joint
replacements. He has also trained
in robotic surgery.
to return to activities that might not have
been possible before.
One common reason for young patients
to have hip surgery is femoroacetabular
impingement (FAI). This is when the hip
joint is unable to move around freely,
with the ball and socket struggling
to work together smoothly. This can be
due to a deformity of the hip socket. If
left untreated, it can lead to arthritis and
the need for a replacement joint.
Hip arthroscopy is a way to access
and treat FAI and reduce the risk of
needing a hip replacement. It's a
minimally invasive procedure, where
the hip is rst assessed by the surgeon
using a video camera inserted through
small incisions and then treated using
specialist instruments that allow the
surgeon to work inside the joint.
Once patients have completed their
physiotherapy and rehabilitation after
the procedure, the great news is that
they shouldn't be restricted when it
comes to taking part in favourite sports
or hobbies. As Mr Konan says: 'My main
focus is always to return patients to a
functional and pain-free life.'
FOR MORE INFORMATION