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Knee Services

As the primary weight-bearing joint in the body, the knee is essential to your daily freedom and athletic performance. 


At East Coast Orthopaedics, we specialize in treating the full spectrum of knee conditions - from acute ligament tears and meniscal injuries to the chronic discomfort of advanced arthritis. Our approach integrates state-of-the-art diagnostics with a range of treatments, including specialized sports medicine, restorative repairs, and total joint replacement. 


We are dedicated to stabilizing your foundation, relieving your pain, and restoring the fluid movement you need to stay active at any stage of life.

Common Knee Conditions We Treat

Acute & Sports Injuries

✚ Meniscal Tear (Torn Knee Cartilage)

✚ Anterior Cruciate Ligament (ACL) Rupture / Knee Instability

✚ Posterior Cruciate Ligament (PCL) Tear

✚ Complex Knee Dislocation / Multiple Ligament Tears

✚ Patellar Subluxation / Kneecap Dislocation

✚ Fractures and dislocations (All Age Groups)

✚ Tendinopathies & Bursitis

Degenerative & Chronic Conditions

✚ Advanced Knee Osteoarthritis

✚ Medial or Lateral Compartment Knee Osteoarthritis

✚ Chronic Patellar Instability (Ruptured MPFL)

✚ Knee Malalignment (Bow-legged or Knock-kneed) / Early Wear

✚ Focal Articular Cartilage Defects / Early Joint Wear

✚ Chronic Tendonitis / Mild Osteoarthritis

✚ Joint Inflammation / Bursitis / Severe Localized Pain

Detailed medical illustration of human knee anatomy with clinical labels - East Coast Orthopaedics
Operative Procedures

Knee Operative Procedures

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Mr Jacob is renowned nationally and internationally for his advanced surgical skill in ACL reconstructions.


This surgical reconstruction uses a graft to restore knee stability and strength for a confident return to sport. Tailored graft selection, whether hamstring, patellar, or quadriceps tendon, is based on each patient's age and activity level, along with customized rehabilitation protocols.

ACL reconstruction

Mr Jacob is renowned nationally and internationally for his advanced surgical skill in ACL reconstructions.

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Replaces only the damaged knee portion to preserve healthy bone and allow for a natural-feeling joint.


By resurfacing only the affected compartment and preserving the remaining healthy tissue, partial replacement retains more of the natural knee's feel and function compared to total replacement, with faster recovery times and strong long-term outcomes in appropriately selected patients.

Partial knee replacement

Replaces only the damaged knee portion to preserve healthy bone and allow for a natural-feeling joint.

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Corrects kneecap tracking and reinforces ligaments to prevent dislocations and ensure smooth movement.


Where bony malalignment is contributing to instability, realignment of the tibial tubercle may be combined with soft tissue reconstruction to correct the underlying mechanics and provide a durable solution beyond what ligament repair alone can achieve.

Patellar realignment / stabilisation

Corrects kneecap tracking and reinforces ligaments to prevent dislocations and ensure smooth movement.

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Rebuilds the PCL to restore essential rear-joint stability for secure daily and athletic knee function.


PCL injuries are frequently underdiagnosed and undertreated, yet chronic posterior instability places significant long-term stress on the knee joint; reconstruction using a strong tendon graft restores the critical restraint against posterior tibial translation and protects surrounding structures from accelerated wear.

PCL reconstruction

Rebuilds the PCL to restore essential rear-joint stability for secure daily and athletic knee function.

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Repairs the ligament responsible for patellar alignment alignment and stability to prevent dislocations and restore movement confidence.


The medial patellofemoral ligament is reconstructed using a tendon graft to re-establish the primary soft tissue restraint against lateral patellar instability. These are often supplemented with Platelet rich plasma or other biologics.

MPFL reconstruction

Repairs the ligament responsible for patellar alignment and stability to prevent dislocations and restore movement confidence.

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Repairs joint surfaces and stimulates growth to delay invasive surgery and preserve natural mobility.


Techniques such as microfracture, osteochondral grafting, and autologous chondrocyte implantation are selected based on the size and location of the defect. These are often supplemented with Platelet rich plasma or other biologics..

Cartilage grafting/joint preservation

Repairs joint surfaces and stimulates growth to delay invasive surgery and preserve natural mobility.

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Complex repair of multiple knee ligaments to restore total stability and integrity after severe injury.


Often involving staged reconstruction of the ACL, PCL, and collateral ligaments, requiring careful surgical planning and a dedicated rehabilitation programme to restore functional stability. These are often supplemented with Platelet rich plasma or other biologics.

Multi-ligament reconstruction

Complex repair of multiple knee ligaments to restore total stability and integrity after severe injury.

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Replaces worn joint surfaces to provide a pain-free foundation for mobility and a return to an active life.


All three compartments of the knee are resurfaced using precision-fitted prosthetic components, and with advances in surgical technique and implant longevity, the majority of patients achieve durable, pain-free function for 15 to 20 years or more.

Total knee replacement

Replaces worn joint surfaces to provide a pain-free foundation for mobility and a return to an active life.

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Realigns leg bones to shift weight from damaged areas, preserving the natural joint and delaying replacement.


By carefully correcting the alignment of the tibia and femur in all 3 planes, this procedure redistributes load away from the damaged compartment, relieving pain and slowing joint deterioration. These are often supplemented with Platelet rich plasma or other biologics.

Multi-planar osteotomies

Realigns leg bones to shift weight from damaged areas, preserving the natural joint and delaying replacement.

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Keyhole procedure to treat meniscus tears and debris, restoring smooth movement with a faster recovery time.


The surgeon can assess cartilage integrity, remove loose bodies, and address a range of intra-articular pathology through small incisions, making it one of the most versatile and well-tolerated procedures in orthopaedic surgery. These are often supplemented with Platelet rich plasma or other biologics.

Knee arthroscopy

Keyhole procedure to treat meniscus tears and debris, restoring smooth movement with a faster recovery time.

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Non-Operative Procedures

Non-Operative Care

Patient Resources

East Coast Ortho resources and information on orthopaedic procedures, surgical demonstrations and recovery protocols 

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