
CASE DISCUSSION
What’s the Best Knee Replacement: Standard, Robotic, or Custom-Made?
Presented from by Dr. Ian McDermott
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Case Description
Knee replacement surgery has evolved significantly, offering surgeons multiple approaches including standard implants, robotic-assisted techniques, and patient-specific custom implants. Each method has its own advantages depending on factors such as patient anatomy, surgeon expertise, precision...
Case Summary
- The speaker, a knee specialist, declares no financial conflicts of interest with orthopedic companies and believes surgeons should avoid such conflicts to maintain objectivity. He defines knee osteoarthritis as cartilage deterioration leading to bone-on-bone contact, resulting in pain, stiffness, and reduced function. While radiographic evidence of knee arthritis is common, particularly in older adults, it doesn't always necessitate knee replacement.
Speaker Profile

Dr. Ian McDermott
Consultant Orthopaedics, London Sports Orthopaedics, London, UKDr. Ian McDermott is a highly respected Consultant Orthopaedic Surgeon specializing in knee surgery, with particular expertise in sports injuries, knee reconstruction, and joint replacement. He is the Managing Partner at London Sports Orthopaedics (LSO), where he has been leading advanced orthopedic care since 2008. Dr. McDermott is also a Professor Emeritus at London South Bank University and an Honorary Professor Associate at Brunel University’s School of Sport & Education, reflecting his strong commitment to academic medicine and surgical education. Over the course of his career, he has held several influential leadership roles, including Vice Chairman of the Federation of Independent Practitioners Organisations (FIPO) and Founder and Past President of the UK Biological Knee Society, an academic group dedicated to advancing innovative knee reconstruction techniques for younger patients. Previously a consultant within the NHS, Dr. McDermott now practices exclusively in the private sector, and he also serves as Immediate Past President of the Orthopaedic and Trauma Specialists Indemnity Scheme (OTSIS). Notably, he was the youngest surgeon ever elected to the Council of the Royal College of Surgeons, underscoring his early and lasting contributions to the field of orthopaedic surgery.