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Author Topic: Best surgeon for ACL *revision* in London  (Read 1927 times)

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Offline MFlump

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Best surgeon for ACL *revision* in London
« on: May 13, 2016, 11:58:15 AM »
Hi all,

I have had two ACL reconstructions (incl. one revision) after two failures.

Very sadly, my second graft failed a few weeks ago, leading to a complete tear. Does anyone have advice on the best surgeon/specialist to see regarding ACL revisions in London? My GP has kindly said he will refer me to a surgeon of my choice (NHS) - I would like to opt for Andrew Davies at Guys and St Thomas but I'm not sure he still does NHS work.

Would be great to hear people's thoughts.

Best wishes!

Max

Online Vickster

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Re: Best surgeon for ACL *revision* in London
« Reply #1 on: May 13, 2016, 12:19:27 PM »
Andy Williams at Chelsea & Westminster has a very good reputation, but very long wait lists to go with it

I've also heard positive things about Jonathan Lavelle

The other top guy is Jonathan Bell but private only, which is presumably out of the question?

I think Andrew Davies repaired a friends ACL a few years back, but privately

You might also wish to discuss with your previous surgeon and get his rocommendation? Is there a reason why you wish to change? Do you know why the other grafts have failed?
« Last Edit: May 13, 2016, 12:43:42 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Piquet

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Re: Best surgeon for ACL *revision* in London
« Reply #2 on: May 15, 2016, 10:28:40 AM »
South West London Elective Othropedic Center @ Epsom has a stellar reputation for all things orthopedic - I'm in the process of arranging my acl reconstruction  there.

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Re: Best surgeon for ACL *revision* in London
« Reply #3 on: May 15, 2016, 11:12:46 AM »
My knee surgeon is one of their senior guys, but I don't know how many ACL reconstructions he does, but definitely recommended. Been patching me up for over 6 years now (albeit via private healthcare)
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Piquet

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Re: Best surgeon for ACL *revision* in London
« Reply #4 on: May 17, 2016, 11:13:48 PM »
My knee surgeon is one of their senior guys, but I don't know how many ACL reconstructions he does, but definitely recommended. Been patching me up for over 6 years now (albeit via private healthcare)


He does circa 600 operation per year. Around 70 ACL.  Can't fid source for that at the moment, found it when researching him

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Re: Best surgeon for ACL *revision* in London
« Reply #5 on: May 18, 2016, 07:44:25 AM »
Sounds like it might be the same surgeon :) similar info on the private hospital website

Knee Replacement 220 per year
Cruciate ligament Surgery 70 per year
Arthroscopy 250 per year

If it is the same surgeon, you are in very good hands :)
« Last Edit: May 18, 2016, 07:49:27 AM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Kaputt_Knee

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Re: Best surgeon for ACL *revision* in London
« Reply #6 on: May 18, 2016, 09:34:23 AM »
With 2 failures behind you, you need a revision specialist. The best in London by reputation is Jonathan Bell at the Wimbledon Clinic. Jon Webb also has a good reputation but he splits his time between London and Bristol

Please ex :o 8) 8) :o ::) cuse any typos but sadly I've lost nearly all my sight due to a rather large brain tumour (christened my Alienbrain   8) 8) :'( :'(
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

Offline Piquet

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Re: Best surgeon for ACL *revision* in London
« Reply #7 on: May 18, 2016, 11:18:45 AM »
Bells reputation is indeed excellent but he only does private work these days. OP seeks NHS options, and his prices are at the upper end (or so my self pay researches told me)

Offline Kaputt_Knee

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Re: Best surgeon for ACL *revision* in London
« Reply #8 on: May 18, 2016, 11:51:50 AM »
He does also do some pro bono work on cases that Peak his interest, as well as work together with an excellent team of physics ( his wife s a specialist physio as well. An initial consultation maybe all that is needed. His fees are not what I would call exorbitant by any means, and repayment plans can be drawn up that are affordable even without private insurance
1989 big trauma R. knee - sorted
1990-2004 3ACL recons and 20+ arthroscopies -RK
3/06 LK ACL torn!
4/06 ACL recon, kneecap broken
09 &10/06- 2x meniscus trims
3/07 - Notch Plastic & Lateral Release
14/8/08 complete revision ACL plus LCL/PLC recon
6/2/09 returned to skiing! Whoopee

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Re: Best surgeon for ACL *revision* in London
« Reply #9 on: May 18, 2016, 12:02:27 PM »
Someone I know checked ACLr prices for Bell at Parkside. Around 10k versus 5-6k for my surgeon who will be doing the op later in the year on the NHS

That said, if looking at a 3rd recon rather than 1st, I'd want to know whether Bell can guarantee the outcome. We don't know why the first two failed? Suboptimal surgery or suboptimal rehab/rushed back to impact sports say or bad luck?

I don't think the OP has been back since posting?

Fwiw Andrew Davies London Bridge hospital profile suggests he still works out of Guys. Drop him a line

Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline MFlump

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Re: Best surgeon for ACL *revision* in London
« Reply #10 on: May 19, 2016, 10:30:40 AM »
Thanks very much all! Clear consensus for Jonathan Bell, but I'm not insured and paid for my first reconstruction privately so would prefer to avoid that route this time.

I took a year out and with extensive physio after the first operation, and then a year and a half with physio/running etc after the second. I love playing football and have torn it playing football on each occasion. So it's been bad luck I think. What has been quite fortunate is that there has been limited damage to other areas of the knee on each occasion.

I also have very large legs with very heavy bones so I don't think this helps?

What I'm going to do is ask to be referred to my previous surgeon at Guys. Hopefully he's still there and then he'll be able to work round his previous job. I know that he didn't alter the tunnels or anything else from the very first surgery.

Offline Piri00

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Re: Best surgeon for ACL *revision* in London
« Reply #11 on: May 23, 2016, 03:31:38 PM »
Hi

I have a similar story to yours.I am also tall.
Torn my ACL Twice and now recovering from ACL revision.
Same like you after first op 12 months of good and strong rehab. Played tennis for two months but went to play First game in football and bang re-tear it again when running and tried to cross the ball.

I had my surgeries in London with http://www.davidsweetnam.com/
He did second time patellar tendon with MAC technique (take little bit of quad and for better support for the knee)

I am 7 months post-op all is going well no pain etc. The only thing is what I am afraid is that my knee joint is still very weak / wobbly.  My PT is saying ACL is tight and I need to work on building muscles. I have almost same size of my operated leg compare to healthy leg  but wobbly joint is still there.
I  assume that this time it is taking longer to get back my strength of the knee joint 

Offline MFlump

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Re: Best surgeon for ACL *revision* in London
« Reply #12 on: May 25, 2016, 04:10:55 PM »
Andy Williams at Chelsea & Westminster has a very good reputation, but very long wait lists to go with it

Quick follow-up, my previous surgeon (Andrew Davies) has stopped doing NHS work, so I've asked to be referred to Andy Williams as C&W is near me, and he sounds very good. Thanks for your suggestion Vickster

Offline mliviam

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Re: Best surgeon for ACL *revision* in London
« Reply #13 on: June 15, 2016, 08:54:20 PM »
Knee Kapoot: My name is Michael, email is [email protected] ... i need your expertise. Your ACL story is similar to mine.

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Re: Best surgeon for ACL *revision* in London
« Reply #14 on: June 15, 2016, 09:09:09 PM »
Kaputt_knee is unwell right now, you might not hear from her for some while
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline mliviam

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Re: Best surgeon for ACL *revision* in London
« Reply #15 on: June 15, 2016, 10:59:22 PM »
I am sorry for posting here but if anyone has any opinion i welcome it ... I had ACL SURGERY ALLOGRAFT IN 2013...that went well for 1 year ... however in May 2015 i retore it with meniscus tear (medial) ... i had revision in Nov 2015 ... dr used same femur tunnel but new tibial tunnel ... repaired Meniscus as well ... however, 8 weeks later a screw he placed in old tunnel moved and frayed graft ... I had swelling and pain ... he was very worried about infection, so he went in the knee and drianed swelling, he then had to fix graft as it had frayed a bit ... i was left with a 7mm graft ... he barely used some thermal device and all was well ... This all happened Jan 2016. I am doing fine and don't have any instability issues ... i am working out hard and am able to run, and am working hard on getting muscle back ... i was left with some minimal play in the knee after that revision in January. I basically am 6 months post op (8 months really) but Dr said we are now 6 months because of the fix. I feel great but I was left with a punch in the gut knowing that i had slight play. I have read so many posts that i am really going nuts ... Some people i read have had this fail, some have had this work, Zengirl had her work and still played sports but knew she would one day tear it and when that happened she would have it repaired, my tunnels are actually perfect...the reason of my first failure was that i AM LOCO SOCCER ... i played it with a passion and was really good...i basically went back to my old ways of playing and neglected the rehab on the first ACL 14 months later i start having issues ... DR SAID I SHOULD HAVE CARED BETTER FOR MY FIRST GRAFT ... I am now in this dillemma ... i feel like going to a new doctor and having them just redo this entire thing ... just plug the tunnels and then 3 months later place a new graft ... I wanna play soccer again one day ... My Dr that did the revision and fix up said that my ACL will get tighter ... it contracts and it all falls in place ... my muscles have to be developed again and that will also play a major part in my stability down the road when i start playing sports ... IS THIS TRUE? my PT says the same ... regardless of the fixed up graft, which was done in the early stages of my revision rather then the later stage ... My PT says it will be fine ... i just need to built muscles and let leg heal ... let the ACL scar and let meniscus scar up ... I just wanna DO SO MUCH AND FEAR THAT I WILL PUT ALL MY EFFORTS IN MY LEG AND IN 6 MONTHS when i start playing soccer KAPUTT! my knee will tear. PLEASE HELP? Like i said i have no pain, or give away, leg has little play but i can walk and run, i can not pivot yet ... DR wants me to hold off on CUTS AND PIVOTS until Jan 2017 when we do the year evaluation. any opinions are welcomed.

thanks you















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