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Patient information
Our Specialist Surgeons
Affiliated specialists

In association with The Alexandra Hospital

Spire Healthcare

Spire Regency Hospital
Spire Manchester Hospital


The knee is a complex joint. As well as the main joint between the thigh and shin bone, there is another joint behind the knee cap, articulating with the botttom of the thigh bone. Knee movement is carefully controlled by ligaments at the sides of the knee and also within the knee. Between the bottom of the thigh bone and the top of the shin bone are two circular shock absorbers made of cartilage called the meniscus.

Many problems can occur within the knee. Osteoarthritis can occur in the main knee joint, when the cartilage that surfaces the bones is worn away. This can lead to pain and deformity, and is usually found in patients over 50 years. There can also be similar arthritis behind the knee cap. In younger patients, especially those engaging in sport, damage can occur to the ligaments, especially the anterior cruciate ligament, or to the meniscus within the knee.

The Manchester Orthopaedic Group has three surgeons who regularly undertake knee surgery. David Johnson, Pankaj Sharma, Tahir Mahmud and Simon Ghalayini are experienced consultants with a strong academic background, and all members of the British Society for Surgery of the Knee, David Johnson being on the executive committee of this organisation.

Your surgeon will be able to assess your knee problem and advise you if any tests are required to make a diagnosis. If any intervention is required for an injury, or for the pain of long term osteoarthritis, your surgeon will discuss the options for treatment, and offer you surgery if appropriate.

Common Conditions


Patellofemoral irritation and arthritis

Rheumatoid Arthritis

Anterior Cruciate Ligament damage

Cartilage Tear


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