Mr Deepu Sethi treats the full spectrum of knee problems, from sport injuries in the professional adult to knee arthritis in the senior population. Treatments available include:
A meniscal tear is damage to the protective cartilage found between the bones of the knee joint. It is a very common injury which rarely heals by itself. If it is to heal, a meniscal tear generally requires key surgery (arthroscopy) to repair the tear, however it is important to bear in mind that not all meniscal tears can be repaired, and many do not require surgery.
Where surgery is indicated, Mr Sethi will always try to preserve the meniscal tissues, suturing the meniscus back into its anatomic position, to prevent further development of arthritis. In the case of a non-repairable tear, Mr Sethi will preserve as much meniscal tissue as possible and will trim and contour the area of the tear such that it has a lower risk of tearing further over time.
The anterior cruciate ligament (ACL) is the main stabilising ligament inside the knee. Tears to the ACL are commonly caused by pivoting or twisting and can result in knee instability.
Mr Sethi offers comprehensive assessment of ACL injuries, including 3T MRI scanning, where possible. Some ACL injuries can be treated conservatively with a supervised physiotherapy led rehabilitation programme. However, patients who continue to experience knee instability, or who wish to continue participating in pivoting sports such as football, netball and basketball, will often require a surgical reconstruction of the ACL.
Mr Sethi performs most ACL reconstructions arthroscopically. His technique involves using the patient’s own tissues to reconstruct the ligament. In line with modern practice, the reconstruction graft is placed more anatomically than in the past to provide better stability for the knee.
Knee arthritis can be a painful and debilitating condition. Mr Sethi offers a wide range of techniques to reduce pain and improve quality of life.
In the first instance, Mr Sethi will try and treat patients non-surgically, if appropriate, using procedures such as PRP injections. When surgery is indicated, Mr Sethi uses joint preservation surgical techniques and knee osteotomy, where possible, to delay the need for joint replacement surgery.
In patients with severe end stage knee arthritis, the main form of treatment is knee replacement surgery. Mr Sethi offers both partial and total knee replacement surgery and is fully trained in the NAVIO® Surgical System for Robotic Assisted Knee Replacement Surgery.
In general, when the knee cap dislocates more than once or continues to feel unstable, Mr Sethi would discuss potential surgical treatment to prevent pain, instability and future degeneration in the joint. Procedures he offers to stabilise the kneecap are medial patella-femoral ligament (MPFL) reconstruction and, for selected patients, tibial tubercule osteotomy.
Cartilage is a smooth substance that covers the ends of the bones, allowing the knee to move in a fluid, painless manner. Damage to the cartilage causes pain and swelling. Over time, this process will continue to progress leading to a complete loss of cartilage, exposing the bone and resulting in arthritis. For this reason, it is important to address a cartilage injury as soon as it occurs.
Mr Sethi is highly experienced in the treatment of articular cartilage damage, offering a range of cutting-edge techniques:
The most common knee ligament injury is an injury to the Medial Collateral Ligament (MCL). There are three grades of MCL tear and the majority can be treated non-surgically and with a structured rehabilitation programme. There are, however, some cases where surgery may be recommended.
The use of a MCL protective knee brace is often recommended whether the injury is treated with or without surgery. It is recommended that this be fitted by a brace specialist who fully understands the patient’s goals and will correctly fit a MCL brace which is durable enough for the patient’s desired activity levels.
Mr Sethi provides accurate assessment and a full range of treatment options, including ligament reconstruction, for injuries to the Posterior Cruciate Ligament (PCL), Lateral Collateral Ligament (LCL) and Postero-Lateral Corner (PLC).
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Mr Sethi is available for private consultation at OneWelbeck Orthopaedics and The London Clinic in London’s Harley Street District, and at LycaHealth Canary Wharf in Docklands.
