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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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Exosome27 May 2026

Exosome knee injections remain early-stage

Exosome knee injections are still an early-stage treatment: a 2024 regulatory review says the field lacks standardised products and should wait for clearer data on composition, pharmacokinetics and efficacy. A small 2025 human trial reported no adverse effe...

John Davies

Joint Preservation27 May 2026

When an unloader knee brace can delay surgery

An unloader knee brace can delay surgery for some people with medial or unicompartmental osteoarthritis, especially when pain is concentrated on the inner side of a bow-legged knee. It reduces load through the medial compartment and can ease walking pain, b...

John Davies

Knee Conditions26 May 2026

Outer knee pain from meniscus tear or IT band syndrome

Outer knee pain after repeated running or cycling usually fits iliotibial band syndrome, while a twist, swelling, catching or true locking points more towards a meniscus tear. McMurray’s test gives only a clue, and MRI helps most when symptoms persist or su...

John Davies

Hyaluronic Acid26 May 2026

When hyaluronic acid knee injections still make sense

Hyaluronic acid knee injections are not a routine first choice for osteoarthritis; guidelines place them behind exercise, weight management and education, with use reserved for selected cases when symptoms persist. They may ease pain or function for a time,...

John Davies

ACI / MACI / STACI26 May 2026

Which knee surgery fits your diagnosis

Knee surgery decisions usually reduce to repair, realign or replace: MACI suits focal cartilage defects, HTO suits medial compartment osteoarthritis when preservation still makes sense, and partial knee replacement suits truly isolated inner-compartment wea...

John Davies

Cartilage Repair25 May 2026

Which surgery fits a focal knee cartilage defect

Large post-traumatic focal knee cartilage defects, often over 2–4 cm² and sometimes involving bone, are usually treated with fresh osteochondral allograft transplantation, provided alignment, stability and meniscal support are sound. Smaller contained lesio...

John Davies

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