Outcomes are excellent, but we must set realistic goals. The main goals are significant pain relief and restoring functional motion (typically 0-110 degrees). While a standard case might achieve 125 degrees of flexion, a complex case achieving 110 degrees is a major success. Patient satisfaction is very high when expectations are clear from the start.
No. Very few knees are truly "impossible" to replace. Often, "too bad" simply means the case is too complex for a generalist surgeon. These are precisely the cases Dr Allom's subspecialist training is for.
The surgery typically takes 2-3 hours (versus 60-90 minutes). The hospital stay is usually 3-6 days (versus 2-4 days). Full functional recovery may take 4-6 months, as opposed to 3-4 months for a standard case.
Many complex cases can achieve stability with standard implants. Dr Allom uses the minimal constraint necessary. He only uses more supportive constrained or hinged implants if the ligaments are severely damaged or bone loss is extreme.
Dr Allom uses advanced techniques to manage bone loss. This includes metal augments (wedges or blocks) to fill moderate defects or trabecular metal cones to reconstruct large, uncontained defects.
Yes. Conditions like [Rheumatoid Arthritis] can be successfully managed with knee replacement, even with bone erosion and medication challenges. Dr Allom will coordinate closely with your rheumatologist.
Converting a high tibial [osteotomy] to a knee replacement is a recognised complex scenario. It involves altered anatomy, hardware removal, and potential bone loss. Dr Allom has extensive experience managing these specific cases.
Complex knee replacement costs more than a standard procedure due to the longer surgery, advanced implants, and extended hospital stay. Dr Allom's team provides transparent, itemised cost estimates during consultation.
Complex anatomy does not automatically mean you need surgery. Dr Allom assesses your symptom severity, your goals, and what conservative options have been tried. Surgery is only recommended when conservative options are exhausted and it is likely to significantly improve your quality of life.
Your consultation includes a comprehensive assessment, a review of your imaging, and a discussion of your specific challenges. Dr Allom will provide honest, evidence-based recommendations and help you develop a realistic treatment plan that respects your personal goals.
How to Book
Complex cases need specialist expertise. Discover whether subspecialist care can achieve the outcomes you deserve.
I welcome patients across South West Sydney and the Mid North Coast seeking expert management of complex knee fractures.
