The Bristol Knee Clinic
David Johnson in theatre and with a patient

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The Bristol Knee Clinic

The Bristol Orthopaedic Clinic

• The Glen Spire Hospital, Bristol
• St Mary's Hospital, Bristol
• St Joseph's Hospital, Newport
• The Lister Hospital, London

Appointment Bookings:

• Tel: 0117 970 6655


The "Glen" Spire Hospital
Redland Hill
Bristol BS6 6UT

Tel: 0117 980 4080

Bristol Nuffield Hospital at St Mary's
Upper Byron Place
Bristol BS8 1JU

Tel: 0117 970 6655

St Joseph's Hospital
Harding Avenue
Newport NP20 6ZE

Tel: 01633 820300

The Lister Hospital
The Lister Hospital
Chelsea Bridge Rd.

Tel: 01179 706655

Anterior Cruciate Ligament Reconstruction - ACL - Non-operative Treatment

Non-operative Management

Radiologist  Dr Charles WakeleyNon-operative management in sedentary older or in patients who wish to avoid surgery usually includes a detailed history of the condition, details of the current symptoms and disability, current and previous medications and past medical history. Clinical examination is undertaken by Mr. Johnson and subsequently radiographs or MRI scans can be arranged if necessary. An opinion is usually then available and discussed with the patient. Mr. Johnson will outline options for further treatment, and patients will then be encouraged to participate in the decisions about which treatment options are most appropriate.

In many patients the outcome of non-operative treatment can be expected to be unsatisfactory . This may be in cases where there has been instability since the time of injury or alternately patients have experienced chronic instability, demonstrable excessive laxity, concomitant meniscal injury, chondral injury or degenerative change. Then the surgical option may be most appropriate. Also in elite or competitive athletes surgical reconstruction can be undertaken at an early date soon after the injury as few patients can undertake competitive sports at the same level after such an injury particularly where the sport involve twisting or pivoting activities.

Initial non-operative management may include physiotherapy, use of anti-inflammatory medication (Ibruprofen, diclofenac, vioxx etc), and use of an ACL knee brace. If non-operative management proves unsatisfactory with an inability of the patient to return to their desired activity or further instability occurs then the surgical option can always be revisited.


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