The knee is one of the most complicated joints in the body. A discussion of symptoms as well as a careful examination and appropriate imaging are usually necessary to reach a diagnosis.
Many conditions, at least initially can be treated without surgery. Common treatments include exercise physiotherapy, pain killing tablets anti-inflammatory and injections.
Arthroscopy, otherwise known as key surgery, is a common and very effective low risk intervention that can be used to treat many problems in the knee.
Joint replacement is a major undertaking that I would only recommend if other forms of management have failed. I would undertake the most appropriate procedure following a detailed discussion of the associated risks and benefits.
I am frequently asked to review patients who have had problems following joint replacement. I do my best to solve these problems. If this is not possible I am happy to advise against further surgery and have a frank discussion about the long term outcome