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Mr Andrew Lavender

Trauma & orthopaedic surgery

  • Fee assured
Overview

Specialises in

  • Knee

About me

I am a Consultant Knee Surgeon at Spire Hospital, Manchester, where I am also the Medical Advisory Committee Chairman. My entire elective practice is devoted to knee surgery. I have over 15 years experience as a consultant. I undertake all aspects of knee surgery.

I have undertaken over 1000 total knee replacements, over 1000 anterior cruciate ligament (ACL) reconstructions and 5000 arthroscopic (Keyhole) knee operations.

In 2019 Spire purchased a MAKO Robot. I have been trained in its use and have successfully used it to help me perform Total and Partial (Unicompartmental) Knee Replacements. My experience is that the patients have a shorter stay in hospital and recover quicker, getting back to their normal activities, than with conventional knee replacements.

The latest publication of the National Joint Registry in 2019 shows that my revision rate (rate of re-do) of a cemented Total Knee Replacement is 2.1% at 5 years (21 per 1000) compared to the national average of 2.7% (27 per 1000). It no longer gives revision rates for Unicompartmental (Partial) Knee Replacements. In June 2018 my revision rate was 5.4% at 5 years (54 per 1000) compared to the national average of 6.5% (65 per 1000)

I am interested to know how my patients feel about their knee replacements. This is monitored by Patient Reported Outcome Measures (PROMS). For knee replacement the average increase in Oxford Knee Score after a total knee replacement, according to the published PROMS database, is 16 points. My average increase is 21 points on the patients I operate on at Spire Manchester. In the PROMs data published by the National Joint Registry I had more than the average number of patients who improved, compared to the national average in all three areas quoted.

There is a newly formed National Ligament Register that is looking at the outcomes of knee ligament reconstructions. I enter my patients onto this register and am awaiting their publication of results.

Areas of interest

Knee surgery; Robotically Assisted Knee Surgery; Arthroscopy; Arthroscopic knee surgery; Torn cartilage; Torn cartilage surgery; Torn cartilage repair ; Keyhole surgery; Keyhole knee surgery; Osteoarthritis; Knee arthritis; Knee pain; Joint pain; Degenerative knee disorders; Knee replacement; Knee replacement surgery; Total knee replacement; Robotically Assisted Knee Replacement; Partial knee replacement; Unicompartmental knee replacement; Robotically Assisted Unicompartmental Knee Replacement; Anterior cruciate ligament (ACL); Anterior Cruciate Ligament reconstruction surgery; ACL reconstruction surgery; Knee Ligament reconstruction surgery; Osteotomy; Knee osteotomy; High tibial osteotomy; Adolescent knee problems; Sports injuries; Anterior knee pain

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