NHS Golden Jubilee orthopedic surgeons carry out the primary meniscal transplant in Scotland

Orthopaedic surgeons at NHS Golden Jubilee have carried out the primary meniscal transplant on a affected person in Scotland.

Picture Credit score: NHS Golden Jubilee

Surgeons on the College Nationwide Hospital, which carries out over 25% of all Scottish hip and knee replacements, carried out the progressive keyhole process and implanted donor cartilage into the affected person’s knee.

It’s hoped the choice of transplant will rework affected person look after these in want, by providing the process at NHS Golden Jubilee.

Every knee has two menisci, a c-shaped cartilage within the knee that acts like a shock absorber between the shinbone and the thighbone.

The meniscus can tear as a consequence of trauma or overuse. If the meniscus is so badly broken that it can’t be repaired, persistent knee ache or osteoarthritis can develop, doubtlessly resulting in the necessity for a complete knee alternative.

Appropriate for sure youthful sufferers, meniscal transplants have the potential to considerably enhance the standard of life for individuals who undergo from persistent ache of their knee as a consequence of damaging or shedding their meniscus.

To conduct this transplantation, surgeons sourced an identical deceased donor meniscal graft from the US. Utilizing a digicam as a information, the brand new cartilage is implanted by a keyhole process underneath common anaesthetic.

There’s growing proof that this process can play an important function in stopping arthritis, which could be tough to deal with in youthful sufferers, and decreasing the necessity for a full knee alternative.

NHS Golden Jubilee Orthopaedic Consultants Mr Christopher Gee and Mr Jon Clarke and Queen Elizabeth College Hospital (QEUH) Orthopaedic Marketing consultant Mr Simon Spencer labored collectively to hold out the process.

We’re very excited to have the ability to supply this surgical procedure, as it’s the first time this system has been carried out in Scotland.

The process tries to revive the cushioning impact of the meniscus, in flip preserving the joints till later in life. There’s growing proof that it may well assist with signs and scale back the possibility of the affected person growing arthritis, which could be very tough to deal with in youthful sufferers.

What we all know is that 70 to 80% of people that have a meniscal transplant see an enchancment of their signs.

There’s plenty of proof to help good useful outcomes, so we’re actually wanting to have the ability to present this process for a lot of extra individuals from throughout Scotland.”

Mr Christopher Gee, NHS Golden Jubilee Orthopaedic Consultants 

Whereas for a lot of older sufferers with this situation, a complete or partial joint alternative may be the appropriate choice, for a younger, energetic individual like Matthew Watkins from Inverness, the concept of ready by years of ache was daunting.

He stated: “After I had an accident within the fitness center, I used to be getting plenty of ache which was stopping me from mountain biking and hill strolling, my knee would swell up and it was actually affecting my high quality of life.

“Mainly, I had destroyed the entire of the within of my knee and broken the precise bones, so the cartilage had worn away and wanted to be repaired.

“Extra of the meniscus wanted to be eliminated to attempt to alleviate a few of the ache.

“When it comes to the way it felt instantly afterwards, I might really feel one thing was inside my knee after I was placing weight on it in comparison with the way it felt earlier than after I didn’t have any meniscus in there.

“I’m glad I had the surgical procedure, I can actually really feel a distinction.”

Following a cautious course of in establishing the service and dealing in collaboration with NHS Higher Glasgow & Clyde, the Clydebank based mostly staff ensured the process is secure for sufferers.

Having mentioned the case with Mr Watkins and having gone by a shared choice making course of, the staff gained approval from the native well being board, NHS Highland, to carry out the surgical procedure.

NHS Golden Jubilee all the time appears to innovate and enhance the affected person expertise.

We’re one in every of Europe’s largest centres for deliberate arthroplasty, performing round 4,000 joint replacements annually – round 25% of all joint replacements in Scotland.

Though that is the primary time this system has been utilized in Scotland and the operation just isn’t but being broadly carried out, it’s clear this surgical procedure has an actual place for individuals with persistent ache following a meniscal tear.”

Christine Divers, Director of Nationwide Elective Providers, NHS Golden Jubilee

“The introduction of a brand new method like this helps us to ship individual centred look after people who find themselves in excessive ache and provides us the power to offer the affected person with much-needed aid which aids their restoration.

“This landmark meniscal transplant reveals that we’re all the time in search of to progress and discover new methods to extend the standard of lifetime of our sufferers whereas persevering with to reinforce look after the individuals of Scotland.”

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