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The Knee is a very specialised joint that needs to tolerate the great demands we put on it, while still providing stability throughout a wide range of motion. The knee is a joint that is commonly injured. Dr Agolley has a sub-specialty interest in injuries and surgery of the knee.
Knee Joint Preservation Surgery
Knee preservation surgery is a group of procedures that are specifically geared at preserving your own knee joint to avoid joint replacement. These procedures aim to improve pain, and prolong the life of your own knee.
Total knee replacement (TKR) involves the resurfacing of the worn portions of the arthritic knee with specialised implants. Pain from osteoarthritis is due to the loss of protective cartilage on the surfaces of the bone in the joint.
Knee arthroscopy is ‘key hole’ surgery that Dr Agolley performs through very small incisions for a multitude of knee pathology.
Knee Anterior Cruciate Ligament (ACL) reconstruction
Commonly, the anterior cruciate ligament (ACL) is injured in a non-contact injury where the knee ‘twists’ during foot landing or push-off. The feeling or sound of a “pop” may be experienced, with pain, swelling and instability of the knee joint.
Knee Meniscal Tear
The meniscus in the knee are two C-shaped fibrocartilage structures that are positioned between the femur and the tibia. Due to the complex movements of the knee joint, combined with general wear and tear with life, the meniscus can be prone to injury, particularly with twisting and squatting.
Knee Osteotomy and Realignment
High tibial osteotomy (HTO) and distal femoral osteotomy (DFO) are a group of procedures that change the alignment of the knee, redirecting weight transferring through the arthritic painful part of the knee, to a part of the knee with healthier cartilage to alleviate pain.
Knee Patella dislocation
Patella instability is a condition where the patella (knee cap) is not guided centrally in the knee, and falls off to the side. This causes pain and apprehension with the feeling of the knee 'dislocating' in some positions. These symptoms often stop patients from having an active life.
Knee Cartilage Regeneration
Joint cartilage allows the ends of the bones to effortlessly glide over one another, and to provide shock absorption. Wear of the articular cartilage is known as arthritis. Dr Agolley performs regeneration procedures for isolated areas of articular cartilage wear to help preserve the knee and avoid joint replacement.