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Expert Orthopaedic Insights

Evidence-based articles from MSK specialists

Explore our latest guidance on joint health, sports injuries and personalised treatment pathways. All content is written and reviewed by our consultant specialists.

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When Physio Hasn't Fixed Your Knee Pain
knee pain12 Aug 2026

When Physio Hasn't Fixed Your Knee Pain

Physiotherapy plateau after 6–12 weeks reveals structural damage—a torn meniscus, cartilage loss, or arthritis—that exercises cannot repair. Without imaging to identify what is actually wrong, further treatment remains guesswork.

John Davies
Mosaicplasty vs Microfracture for Active Patients
OATS / Mosaicplasty12 Aug 2026

Mosaicplasty vs Microfracture for Active Patients

Mosaicplasty repairs outlast microfracture in young athletes: a ten-year trial recorded 14% failure against 38%, a gap that persisted across longer follow-up and reflects the superior durability of hyaline cartilage versus fibrocartilage.

John Davies
Why the Side of Your Knee Hurts Going Downstairs
iliotibial band syndrome11 Aug 2026

Why the Side of Your Knee Hurts Going Downstairs

The IT band compresses behind the knee's outer bony point at 30 degrees of knee flexion—the angle each stair descent passes through—under eccentric loading of 3.5 times your body weight.

John Davies
Who Qualifies for MACI Knee Surgery
ACI / MACI / STACI11 Aug 2026

Who Qualifies for MACI Knee Surgery

MACI addresses focal, full-thickness cartilage defects of 3–10 cm² in patients typically under 40; success depends on candidate selection as much as surgical technique.

John Davies
ChondroFiller vs gel injections for knee pain
ChondroFiller11 Aug 2026

ChondroFiller vs gel injections for knee pain

Hyaluronic acid gel lubricates the joint for three to six months; ChondroFiller scaffolds focal cartilage lesions with a collagen matrix that recruits the body's repair cells, with benefit extending over years.

John Davies

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