Orthopedic 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 revolutionary keyhole process and implanted donor cartilage into the affected person’s knee.
It’s hoped the choice of transplant will remodel affected person take care of 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 attributable to 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 attributable to damaging or shedding their meniscus.
To conduct this transplantation, surgeons sourced an identical deceased donor meniscal graft from the US. Utilizing a digital camera as a information, the brand new cartilage is implanted by means of a keyhole process beneath common anesthetic.
There may be rising proof that this process can play an important function in stopping arthritis, which may be tough to deal with in youthful sufferers, and lowering the necessity for a full knee alternative.
NHS Golden Jubilee Orthopedic Consultants Mr Christopher Gee and Mr Jon Clarke and Queen Elizabeth College Hospital (QEUH) Orthopedic 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 method 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 may be rising proof that it will probably assist with signs and cut back the possibility of the affected person growing arthritis, which may 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 may be a number of proof to assist good purposeful outcomes, so we’re actually wanting to have the ability to present this process for a lot of extra folks from throughout Scotland.”
Mr Christopher Gee, NHS Golden Jubilee Orthopedic Consultants
Whereas for a lot of older sufferers with this situation, a complete or partial joint alternative is likely to be the fitting choice, for a younger, lively individual like Matthew Watkins from Inverness, the thought of ready by means of years of ache was daunting.
He stated: “After I had an accident within the health club, I used to be getting a number 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 once I was placing weight on it in comparison with the way it felt earlier than once 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 staff ensured the process is secure for sufferers.
Having mentioned the case with Mr Watkins and having gone by means of a shared decision-making course of, the staff gained approval from the native well being board, NHS Highland, to carry out the surgical procedure.
NHS Golden Jubilee at all times seems to be to innovate and enhance the affected person expertise.
We’re considered one of Europe’s largest centres for deliberate arthroplasty, performing round 4,000 joint replacements every year – round 25% of all joint replacements in Scotland.
Though that is the primary time this method has been utilized in Scotland and the operation shouldn’t be but being broadly carried out, it’s clear this surgical procedure has an actual place for folks with persistent ache following a meniscal tear.”
Christine Divers, Director of Nationwide Elective Companies, NHS Golden Jubilee
“The introduction of a brand new method like this helps us to ship person-centered take care of people who find themselves in excessive ache and offers us the power to offer the affected person with much-needed aid which aids their restoration.
“This landmark meniscal transplant reveals that we’re at all times searching for to progress and discover new methods to extend the standard of lifetime of our sufferers whereas persevering with to boost take care of the folks of Scotland.”