Introducing Our New Robotic Hip and Knee Surgery
BEFORE SURGERY
It all begins with a CT scan of your joint that is used to generate a 3D virtual model of your unique anatomy. This virtual model is loaded into the Mako system software and is used to create your personalized pre-operative plan.
IN THE OPERATING ROOM
In the operating room, I will use Mako to assist in performing your surgery based on your personalized preoperative plan. The Mako system also allows me to make adjustments to your plan during surgery as needed. When I prepare the bone for the implant, the Mako system guides me within the pre-defined area and helps prevent me from moving outside the planned boundaries. This helps provide more accurate placement and alignment of your implant.
AFTER SURGERY
After surgery, my Medical Team and Physiotherapists will set goals with you to get you back on the move. They will closely monitor your condition and progress.
CAUSES OF YOUR HIP & KNEE PAIN
Your joints are involved in almost every activity you do. Movements such as walking, bending and turning require the use of your hip and knee joints. When the joint becomes diseased or injured, the resulting pain can severely limit your ability to move and work.
The hip and knees are amongst the largest joints in the body and are
central to nearly every routine activity. A smooth plastic like lining called cartilage covers the ends of the bones and prevents them from rubbing against each other allowing for flexible and nearly frictionless movement (Figure 1, right).
Cartilage also serves as a shock absorber, cushioning the bones from the forces between them. Finally, a soft tissue called synovium lines the joint and produces a lubricating synovial fluid that reduces friction and wear. Each patient is unique and can experience knee or hip pain for different reasons.
The main cause of hip/knee pain is osteoarthritis
This is sometimes called degenerative arthritis because it is a wearing out condition involving the breakdown and of cartilage and formation of bone spurs
(Figure 2, right). With osteoarthritis, the cushioning cartilage at the end of the femur may have worn down making walking painful as bones rub against bone. Once the bone ends are exposed the joints become more painful on weight bearing.
Another common cause of knee and hip pain is rheumatoid arthritis which is an inflammatory condition . Rheumatoid arthritis produces chemical changes in the lining of the joints or synovium that causes it to become thickened and inflamed. In turn the synovial fluid destroys the cartilage, the end result is cartilage loss pain and stiffness (Figure 2). Because the primary problem is the synovial inflammation this causes damage to multiple joints, including non weight bearing joints in the hands and feet.
Cotswoldlink You r Advertising - contact Christine: 01609 777401 | www.cotswoldlink.co.uk 9 For more information please contact me on: 01905 362003 • info@wkhc.co.uk • www.wkhc.co.uk Instagram : worcesterkneeandhipclinic Facebook : Worcestershire Knee and Hip Clinic Robotics Spire South Bank Hospital 139 Bath Road, Worcester, WR5 3YB
MENTAL HEALTH ISSUES AFFECTING OUR CHILDREN
There are so many issues affecting education today examples being:
Pupil Mental Health, Post Covid Recovery, Funding, School Discipline, Teacher Retention, Teacher unrest and even Teacher Mental Health, the list goes on.
Yet there has never been available the support we now have at our fingertips in the form of virtual instant communication by modern technology –unheard of decades ago. We can access charities and groups for advice and information. Each person will have their own priorities and my personal concern is that of the mental health of our children; the future generation.
It is only in recent years that mental health issues have been freely debated in public. Prior to this people “hid” behind their problems with feelings of guilt, being fearful that they were unusual in being the only one with such problems and not realising they were not alone.
The increasing trend in the Mental Health of Children
In a recent survey conducted by the NHS several alarming figures were found:
• 18% of children aged 7 to 16 and 22% of young people aged 17 to 24 had a probable mental disorder.
• 12.5% of 11 to 16 year old social media users
reported of being bullied online.
• Those with a probable mental disorder were less likely to report feeling safe online.
Bar Chart showing the increase in the mental health issues of children from 2017 to 2022
Sources of help and advice
The NHS report showed that parents seeked advice from a variety of sources these included in order:
• Education Services e.g. schools
• Health services e.g. local doctor
• Friends or family
• Online or telephone support
The Education services were generally the first port of call followed by the Health Services. Surprisingly not all referred their children to the Health Services. What is important is that if your child has Mental Health problems, seek advice preferably from your doctor.
Note the dramatic increase in the 17 to 19 years age group from 2021 to 2022
Further research has been carried out by a number of institutions and Sir Peter Lampl the founder and chair of the Sutton Trust who carried out a joint research project with University College London stated, with reference to Covid and Mental Health “… the after effects are far from over for our country’s youngsters”
John Harris
10 Cotswoldlink You r Please mention You r Cotswoldlink when contacting any of our advertisers
Cotswoldlink You r Advertising - contact Christine: 01609 777401 | www.cotswoldlink.co.uk 11
A Passion for Peaches!
When we rented a house in the South of France one summer, there was a peach tree in the garden and the owner invited us to help ourselves. We have never eaten so many sweet, ripe peaches. Nothing in the supermarkets here has ever compared to those fat globes of nectar.
A few years ago, I discovered that it was possible to grow peaches in this country too, with a few caveats. In the far South it’s possible to grow them against a south, or south-west-facing wall. Further up the country we need the help of a conservatory or a large greenhouse. If you have that south-facing wall or conservatory and would like to have a go at growing peaches (and who wouldn’t?) read on.
‘Peregrine’ is a white-fleshed peach quite well-suited to the English climate (the above warnings notwithstanding) though generally best grown under cover. ‘Rochester’ is a very reliable yellow variety that gives good harvests of large fruits in August. It also has the advantage of being a late bloomer, making it less susceptible to frost damage. If space is limited, which it often is in a conservatory, choose a plant grafted on to dwarf rootstock. Peaches are best grown as a fan. Fasten horizontal wires to the wall at 30cm intervals to allow the stems to be tied in and spaced out evenly. The plant should be positioned about 25cm from the wall with branches sloped towards it, and if planted directly into the soil, this should be enriched
with well-rotted manure or compost. If planted into a pot, make it as large and deep as the space will allow. When the flowers appear, cover the plant with a light fleece at night to protect the blossom. Because of the lack of natural pollinators early in the year you can help things a long by using a long dry paintbrush to dust pollen from one flower to another. Then water the plant regularly and feed with tomato food through the summer to keep it healthy. Prune any branches that grow out away from the wall, and also remove any that overcrowd the framework. Cut some old and fruited lateral shoots out each year to allow new ones to take their place. Happy gardening.
12 Cotswoldlink You r Please mention You r Cotswoldlink when contacting any of our advertisers
Cotswoldlink You r Advertising - contact Christine: 01609 777401 | www.cotswoldlink.co.uk 13
Accomodation
B Simply Rooms: p7
Bathrooms
Country Bathrooms: p3
HPR Services: p5
Builders & Contractors
Calarel Developments: p5
Country Roofing & Building: p15
DTN Oxford: p13
Feldon Builders: p16
Mitre Oak: p16
North Cotswold Builder: p12
Rooflight Company: p3
Phil Dadge: p9
Thomas Contracting: p12
Wychwood oak Frames: p4
Children’s Services
Cotswold Tutor: p10
Clearances
Coln Clearances: p12
Oxfordshire Clearances: p2
Education
Cotswold Tutor: p10
Elderly Services
Hearing & Mobility Store: p11
Windrush Care: p10
Electrical Services
P Wheeler Electrical: p4
Flooring
Country Tiles and Flooring: p3
Framing
Witney Framing: p7
Fuel
Cotswold Petrolium: p15
Furniture
Amanda Hanley By Design: p1
Graham Lane Furniture: p14
Hilltop Joinery: p2
Hooper Joinery: p14
Phil Dadge: p14
Gardening & Outdoors
A R Lewis Tree Care: p13
Avant Garden p12
Coln Clearances: p12
DP Gardening Services: p12
DTN Oxford: p13
Mower Medic: p13
Stockwell Davies Tree
Contractors: p13
Thomas Contracting: p12
Tom Negus Tree Care: p13
WHC Hire: p13
Gifts
Alain Rouveure Galleries: p7
SOTA Gallery: p7
Witney Framing: p7
Healthcare & Wellbeing
Bourton Podiatry Clinic: p11
Cotswold Deep Tissue Massage: p11
Cotswolds Foot Clinic: p11
Cotswold Physio Rooms: p7
Paul Brookes Foot Health: p11
Runnerbean: p6
Worcestershire Knee & Hip Clinic: p8-9
Hearing Aids
Hearing & Mobility Store: p11
Home & Interiors
Alain Rouveure Galleries: p7
Amanda Hanley By Design: p1
Country Bathrooms: p3
Country House Curtains: p1
Country Tiles and Flooring: p3
Hilltop Joinery: p2
Paul Dadge: p3
SOTA Gallery: p7
Witney Framing: p7
Locksmiths
Just Carpentry & Locks: p4
Motoring
Cotswold Garage: p15
Painters & Decorators
Cotswold Wallpaper
Hanging & Decor: p5
J & D Painting & Decorating: p4
Paul Dadge: p3
Phil Dadge: p14
WB Property
Maintenance: p13
Plumbers
HPR Services: p5
MPN Plumbing: p4
Property Maintenance
Coln Clearances: p12
Country Roofing & Building: p15
Dovecote Property: p2
DTN Oxford: p13
Hilltop Joinery: p2
Hooper Joinery: p14
Just Carpentry & Locks: p4
MJ Harris Domestic Repairs: p2
Mossinator: p1
Phil Dadge: p14
WB Property Maintenance: p13
Removals
Coln Clearances: p12
Oxfordshire Clearances: p2
WB Property Maintenance: p13
Repairs
MJ Harris Domestic Repairs: p2
Sports & Leisure
Cotswold Riding: p6
Private Yoga: p6
Runnerbean: p6
Tattoo Clinic
Cotswold Ink: p6
Tree Surgery
A R Lewis Tree Care: p13
Stockwell Davies Tree Contractors: p13
Tom Negus Tree Care: p13
Tuition
Cotswold Tutor: p10
Windows
RJB Window Restoration: p15
Rissingtons Local History Society
Friday 24th March 2023 @7.30pm
Australian Flying Corps in the Cotswolds
14 Cotswoldlink You r Please mention You r Cotswoldlink when contacting any of our advertisers
Christine 01609 777401 07742 595747 christine@jkanorth.com There are thousands of reasons to advertise with us... Next issues West Oxfordshire May - June Copy: 5th April Dist: w/c 1st May North Cotswolds May - June Copy: 5th April Dist: w/c 1st May West Oxfordshire 21,000 homes & businesses North Cotswolds 17,000 homes & businesses
Visitors Welcome £3.50
For enquiries: information.RLHS@gmail.com or Kate O’Brien 07815 606770 Venue: Upper Rissington Village Hall GL54 2QW
in
WW1 A
talk by Bill King. Their training was based in the Cotswolds, many young lives were lost during training accidents.
to include refreshments.
Cotswoldlink You r Advertising - contact Christine: 01609 777401 | www.cotswoldlink.co.uk 15
www.cotswoldlink.co.uk