Knee total knee arthroplasty brigham and womens hospital. Unicondylar knee arthroplasty following a patellectomy. Pdf the popularity of unicompartmental knee arthroplasty uka for the treatment of isolated compartment osteoarthritis of the knee has risen. Fortythree patients who had undergone revision total knee arthroplasty following either primary, medial unicondylar arthroplasty 23 patients or valgus tibial osteotomy 20 patients for medial. Unicondylar knee replacement orthopaedic associates of. Pdf results of unicondylar knee arthroplasty in indian. Now with wider skill set and training in rural surgeons, total knee.
Ten years later, it was performed utilizing the bicompartmental design, thus innovating the. Pdf unicondylar knee arthroplasty in the uk national. Left knee lateral compartment degenerative joint disease. Partial knee replacement also known as unicompartmental knee arthroplasty is a surgical treatment for knee arthritis. Thornhill, md d egenerative arthritis of the knee joint is a com mon pathology seen in orthopaedic. As one of the most important factors for osteogenic adaptive response. Oxford unicompartmental knee manual of the surgical. Unicondylar knee arthroplasty oxford patellectomy patella abstract we present a case of a 59yearold woman with a history of a rightsided patellectomy. Unicompartmental knee replacement protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance.
Request pdf outcomes and complications of unicondylar arthroplasty unicompartmental knee arthroplasty has experienced resurgence in popularity because of the lower morbidity of the procedure. Both total knee arthroplasty tka and unicompartmental knee arthroplasty uka are used to treat unicompartmental knee osteoarthrosis. Outcomes of a fixedbearing, medial, cemented unicondylar. Unicompartmental knee arthroplasty, bearing design, fixation technique. Pseudomeniscal synovial impingement after unicondylar knee. Traditionally, tka was believed to be a better option due to its. This is a less invasive procedure that allows for a more. The vanguard m series fixed bearing unicompartmental replacement is an available option for lateral compartment arthroplasty. Proprioception after unicondylar knee arthroplasty versus. Although uka achieves high success rates, surgeons should be.
Unicompartmental knee arthroplasty uka also known as unicondylar knee arthroplasty or partial knee replacement is an excellent surgical option for the treatment of isolated medial, lateral and. Figure 5 surgical procedure and images of a 53yearold woman. Background unexplained pain in the medial proximal tibia frequently leads to revision after unicondylar knee arthroplasty uka. It continues to offer the advantage of a large area of contact throughout the entire range of movement, which assures minimal polyethylene wear 2,3.
Unicondylar knee arthroplasty in the uk national health service. Oxford unicompartmental knee manual of the surgical technique. Unicompartmental knee arthroplasty uka is a surgical procedure used to relieve arthritis in one of the knee compartments in which the damaged parts of the knee are replaced. Unicondylar tibiofemoral replacements should be seen as real resurfacings of the knee joint. Arthroscopy combined with unicondylar knee arthroplasty. However, there have been several studies suggesting that revision is not as simple as suggested, and that function is not as good as primary total knee arthroplasty.
Unicondylar knee arthroplasty uka has evolved substantially since its conceptual. Comparative analysis of the results obtained after. This treatment is suitable for people who experience arthritis only in one compartment. Return to sports and physical activity after total and. An editorial on outcome of unicondylar knee arthroplasty. It should, in theory, also restore the normal kinematics of the knee.
This procedure is an alternative to total knee replacement for patients whose disease is limited to just one area of the knee. An unicondylar replacement cannot change the original natural alignment or ligament balance of the knee. Unicondylar knee arthroplasty in patellectomized patients. A total knee arthroplasty performed as a revision unicondylar knee arthroplasty is thought by some authors to have equivalent functional outcomes to a primary total knee replacement. Comparing in vivo kinematics of unicondylar and bi. Knee replacement in patients aged less than 65 years provides a challenge due to the higher demands on knee function and a longer life expectancy. These procedures include unicondylar knee replacement ukr, patellofemoral arthroplasty pfa, and total knee arthroplasty tka. The aim of this study was to analyse the results of the surgery and compare the outcomes of unicondylar knee arthroplasty and high tibial osteotomy performed in isolated gonarthrosis. Orthopedics abstract unicondylar knee arthroplasty uka is a wellestablished treatment option for unicompartmental knee arthrosis. Partial knee replacement femur first technique unicompartmental arthritis.
Factors influencing walking and stairclimbing following unicompartmental knee arthroplasty. Minimally invasive knee arthroplasty was first introduced in the early 1990s using the unicondylar prosthesis. There is paucity of literature on unicondylar knee arthroplasty in postpatellectomy patients with isolated anteromedial knee arthritis. Unicondylar tibiofemoral replacements should be seen as real resurfacings of. Also known as a partial knee replacement, a unicondylar knee replacement is an alternative to total knee replacement for patients suffering from osteoarthritis with damage confined to only one compartment. Outcome of unicondylar knee arthroplasty vs total knee. Navio surgical system surgical technique for total knee. To compare the results of cementless unicondylar knee arthroplasty uka with those already reported in a similar study on cemented uka. Unicompartmental knee arthroplasty uka has been an alternative treatment for knee osteoarthritis oa for more than 40 years, but it still remains controversial. An analysis of candidacy, outcome and cost efficacy. Unicondylar knee arthroplasty orthopaedicsone articles.
The woman in this case showed excellent postoperative clinical results. Unicondylar knee arthroplasty rodriguez hip and knee. Outcomes and complications of unicondylar arthroplasty. Pdf unicompartmental femorotibial osteoarthritis usually affects the medial compartment of the knee, but in 10 %, the lateral compartment is. It continues to offer the advantage of a large area of. Unicondylar knee arthroplasty implantation is extremely demanding due to the fact that the prosthesis needs to be. In the literature, we found only a few similar cases, with varying results. Revision of unicondylar to total knee arthroplasty. Unicompartmental knee arthroplasty vu research portal vrije.
Preoperative radiographs showing unicompartmental osteoarthritis on the right knee. In unicompartmental knee replacement also called partial knee replacement only a portion of the knee is resurfaced with metal and plastic components. Unicondylar knee arthroplasty uka has gained increasing interest over the last decade. Previously their access to modern methods of surgical treatment was limited. Unicondylar knee arthroplasty clinics in sports medicine. Unicompartmental knee arthroplasty amsterdam umc vrije. The oxford unicompartmental knee system the oxford knee is the evolution of the original meniscal arthroplasty, which was. Navio surgical system surgical technique for unicondylar.
Unicondylar knee arthroplasty uka has evolved substantially since its conceptual introduction by mckeever and macintosh in the late 1950s. Unicondylar knee replacement ukr or partial knee arthroplasty tka, is a type of knee replacement involving only the diseased half of the joint. Current concepts of total knee arthroplasty scott david martin, md richard d. Partial knee system oxford partial knee zimmer biomet. Biunicondylar arthroplasty has shown good outcomes 8 and there is renewed interest in this. Medial unicondylar knee arthroplasty improves patellofemoral. Does unicondylar knee arthroplasty affect tibial bone. Unicompartmental knee arthroplasty in patients aged less. The navio surgical system is indicated for use with cemented implants.
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