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Knee pain is one of the most common musculoskeletal problems in the United Kingdom, with one study showing that 47% of over 50-year-olds experienced knee pain within the last year. A third of those sought medical help from their Doctors (GP). Knee pain can be divided into two broad categories: a bony type which is typically osteoarthritis (OA); and a soft tissue type which is predominantly ligamentous and cartilage in origin.

 Non-sugicalSoft Tissue | Biological | Knee Replacement

Surgeon:  Professor Paul Y F Lee - experience 

Prof. Lee specialises in both non-surgical and surgical management of the knee. The aim is to help you delay and avoid knee replacement surgery as much as possible. Mr Lee has published a recent update on "Non-surgical and Non-pharmacological Treatment of Knee Pain” and has a wide breadth of knowledge in supplements, bracing and injection therapy to treat arthritis, which can give his patients more options instead of knee replacement. more 

Soft tissue injuries most frequently occur as a result of trauma and accidents involving sporting activity; this will increase your chance (3 times more) of developing OA.  Soft tissue injuries are often difficult to identify; MSK Doctors have the specific knowledge required to diagnose and treat these conditions.  MSK Doctors offers premiership level of injection therapy and advanced techniques in ACL and MPFL reconstructions. read more

Without specific training, some of these condition are commonly missed and patient will continue to suffer. Prof. Lee is fellowship trained in the treatment of soft tissue and sports injuries, his expertise is recognised and certified by the Faculty of Sports and Exercise Medicine.  After 6 years of research, Prof. Lee was awarded doctor in philosophy (PhD) for his dissertation on “soft tissue injuries”. He has applied his research to clinical use having treated UK premiership footballers for sports injuries which significantly reduced their time for recovery and return to play. He has treated soft tissue and sports injuries in high-level athletes and has been offering soft tissue injury consultations, treatment, surgery and lectures to elite sports teams since 2010. 

knee guru


Stepwise surgical and medical management: 

Prof. Lee is specialised in both the surgical and non-surgical management of the knee, he believes in forming a working partnership with his patients to try to delay and avoid knee replacement for as long as possible. He has travelled the World and received advanced fellowship training from centres of excellence. He offers highly effective treatment options that may not be available in the public healthcare system

(please click here for non surgical treatments).

Prof. Lee has received advanced surgical training in the internationally renowned Robert Jones and Agnes Hunt Orthopaedics Hospital in Oswestry for regeneration medicine, stem cell and cartilage surgery. He was awarded the orthopaedics travelling fellowship from the British Orthopaedic Assocation to visit EndoKlinik, Germany and Sports Medicine Travelling Fellowship to present his work and gain further experience in Australia. Prof. Lee has also completed Advanced Knee Fellowship on the ‘all-in-side' ACL reconstruction and FT-MPFL technique. As a member of the British Orthopaedic Sports Trauma and Arthroscopy Association he is actively involved in evidence based surgery and has published in many scientific journals.  Prof. Lee is also experienced in biological knee replacement, which can be a great option for active individuals without the need for metal work. Prof. Lee has also pioneered the use of ultrasound scans during surgery to help identify and treat tricky soft tissue injuires in anterior knee pain. more on soft tissue surgery 

Learn more about TLS-ACL surgery : click here

Commonly overlooked knee problems:

Synovial plica syndrome occurs in the knee, when an otherwise normal structure becomes a source of pain due to injury or overuse. Patients may present with anterior knee pain with or without mechanical symptoms, and the diagnosis can sometimes be difficult. Several studies have examined the epidemiology, diagnosis, and treatment of synovial plica syndrome. Prof Lee has reviewed the latest update and published an evidence-based guide to the diagnosis and treatment of synovial plica syndrome of the knee. More

Knee Replacement

Osteoarthritis is the most common cause of knee pain in the older adult with Arthritis Research UK predicting that the prevalence of OA of the knee will increase from 4.7 million in 2010 to 6.5 million in 2020 due to a combination of the obesity epidemic, an ageing population and continuing population growth. Although Prof. Lee can offer cutting edge medical and surgical treatment options to patients, knee replacement is sometimes necessary.  With specialist higher surgical training and fellowships from international centres of excellence, Prof. Lee has extensive experience in Arthroplasty (Hip and Knee replacement) surgery. His knowledge and clinical acumen are recognised and certified by the Royal College of Surgeons of Edinburgh (Tr & Orth) as well as the European Board of Orthopaedics and Traumatology.

By not using a tourniquet (a device to apply high pressure to stop blood flow), muscles in the thigh will not become crushed during surgery and the patient usually has less thigh pain after surgery. Therefore with this technique, Prof. Lee can further enchance the recovery pathway. It is not a suprise that most of Prof. Lee’s patients go home at day 2 after surgery, and some even go home the same day. Prof. Lee uses the 'marginal gain principle’ by the formula one team to optimise each and every step of the surgical pathway over the past 10 years; with continued improvement he believes this will produce the best possible outcome for his patients. 

There is ample of data to suggest the success of a knee replacement is not just down to the type of implant used, there are over 1000 types of knee implant on the market. Therefore, it is important to use a surgeon who has a good understanding of the biomechanics of a specific knee system. more

"As the muscle was not crushed during surgery by the tourniquet, Mr Lee’s patients tends to be able to recover quicker” - Physio

“ I can't believe how quickly I can move my leg after surgey” - Patient A

Preparing for knee surgery : click here

Below is a list of publications by Mr Lee in the field of Knee and soft tissue Surgery:

  • Lee PYF, Chandratreya AP (2017) Medial Patellofemoral Ligament Reconstruction with FiberTape Demonstrates Equivalent Clinical Outcomes in Comparison to Gracilis Tendon Autograft at 4-years follow up. Knee Surg Sports Traumatol Arthrosc. 2017 Sep 19. doi:10.1007/s00167-017-4711-7
  • Lee PYF, Winfield TG, Harris SRS, et al (2017). Unloading knee brace is a cost-effective method to bridge and delay surgery in unicompartmental knee arthritis. BMJ Open Sport Exerc Med ;2:e000195.doi:10.1136/bmjsem- 016- 000195
  • Lee PYF, Nixion A, Chandratreya AP, Murray JM (2017) Synovial Plica Syndrome of the Knee: A Commonly Overlooked Cause of Anterior Knee Pain
    The Surgery Journal 2017; 01: e9-e16 doi: 10.1055/s-0037-1598047
  • Golding D, Brock J, Whiting B, Lee PYF (2017) Intra-articular Injections for Management of Knee Osteoarthritis. J Arthritis 6:242. doi: 10.4172/2167-7921.1000242
  • Gul S, Lee PYF, Davies A (2016) Clinical Outcomes of Tibial Tubercle Transfer for Anterior Knee Pain and Patello-femoral Instability. J Arthritis 5:204. doi:10.4172/2167-7921.1000204
  • Lee PYF, Holt M (2016) The Effects of Neuromuscular Blocking Agents in Soft Tissue Balancing During Primary Total Knee Arthroplasty. J Arthritis 5:202. doi:10.4172/2167-7921.1000202
  • Ram MR, Lee PYF,  Chandratreya AP (2017) Mid Term Results Of Patellofemoral Arthroplasty Using Journey ® Prosthesis. ISAKOS Biennial Congress. ePoster #1279

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