UK’s Top Total Knee Replacement Expert Prof Paul Lee Releases New Surgical Guide

Mar 13, 2024

If you want the most advanced care, the best prosthetics, and the most up-to-date surgical techniques – just ask Prof. Paul Lee from MSK Doctors (03300010048). His latest research is all about TWIS-TKR, a new knee replacement technique that’s better in nearly every way.

Quick question: What's better, a one-size-fits-all solution, or a personalised option designed just for you?

No matter what the context is, we all know that a custom solution is better - so why aren't we using them more often in medicine?

That's the question Prof. Paul Lee, founder of MSK Doctors in London, asked himself - and when there wasn't a good answer, he decided to fix the problem by pioneering an advanced, custom solution, to getting a Total Knee Replacement (TKR). Find out more at

I'll fill you in on everything you need to know - but I also understand if you would rather get the details straight from the doctor - he is the professional, after all. If that's the case, no worries, you can visit his personal site for all the details - or you can book your own appointment to see him at MSK Doctors... but more on that later.

Here's What You Need To Know, In A Nutshell.

Known as the TWIS-TKR, or Turn With Intelligent Stability - Total Knee Replacement, this technique improves on the standard procedure by adding a custom rotational alignment, determined by a unique AI process. Or to put it more simply, the prosthetic is custom-fit to your knee, and how you move.

So how do they do it? The technique uses Motion Analysis Intelligence (MAI) to capture information about how you, individually, move. Once it knows that, the program can simulate future movements, and how your new prosthetic will respond, to make sure everything will run smoothly.

It Sounds Good, But Where's The Evidence?

That's a good question, anyone can say their new technique is great, but what about clinical trials?

It's still new, but this technique has shown benefits in several areas during clinical trials, including improved recovery times, joint stability, and increased range of motion. The new results also suggest that it may reduce wear and tear on your prosthetic, allowing it a longer lifespan.

Prof. Paul Lee suggests in the report that while most TKR prosthetics need adjustment within 10 - 20 years, the TWIS-TKR has the potential to last significantly longer, due to its custom placement. With a little luck, it could even last a lifetime.

Personalised Planning? How Does That Work?

The personalised planning for a TWIS-TKR begins by mapping your specific anatomy, your movement needs, and your routines. By first measuring all the ways you most commonly move, they can ensure a precision fit tailored to the types of flexing, twisting, and bending you do most often.

Discussing the surgery, Prof. Paul Lee explained, “The precision of the TWIS-TKR method means you’re likely to experience a natural feeling in your knee, right from the first steps you take after surgery.”

What About Recovery - When Will You Be Fully Healed?

Of course, the recovery process will be different for everyone - but it can be even more different than you think, using a customised plan. That's good.

Just like the surgery, there is no one-size-fits-all solution.

Your customised rehabilitation plan will be designed to fit in with your daily life, and to continue improving joint strength and mobility while minimizing post-operative pain or discomfort. It's ok if things change too - because it's not a "one-size-fits-forever" plan, either.

The MSK Doctors recovery plan includes regular check-ins to find out how you're doing, and modifications to your routines as necessary, to optimize your healing. If something isn't working out, you just need to talk to the experts about it, and they'll find a way to help.

Of course, having no "one-size-fits-all" also means that this particular surgery may not be the best option for you. The only way to know for sure is to talk to a specialist, and see if TWIS-TKR can help to improve your life.

I know that's a pain, but there's good news - at least you won't have to wait, or run around getting referrals.

The MSK Doctors clinic doesn't believe in those things.

You can schedule your own appointment, for consultation, diagnosis, or even treatment, and there's never any waiting list.

Learn more about the new TWIS-TKR procedure, if it's the right fit for you, and how to schedule an appointment with no wait, at

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