The human knee is
made of 3 parts: medial, lateral, and patellofemoral. Unicondylar knee
replacement which is also known as partial knee replacement means to rearrange
the injured or bad part of the knee which is known as resurfacing in medical
term.
Reduced damage to bones, lesser pain, shorter
hospital stay
More ease of mobility
Better restoration of physiological gait pattern
Any joint
replacement surgery has a risk of developing deep vein thrombosis and/or
infection. Generally, complications after UKR are comparatively lesser than
that of TKR.
UKR is suitable
for patients over 40 years of age.
Most of the
patients are being discharged the same day of the surgery; however, a hospital
stay of two to three days may be required in some patients. Patients are able
to walk quickly after the surgery. Recovery from the surgery takes typically
six to eight weeks.
In most cases,
the damage to the cartilage of the knee (due to arthritis) begins from the
medial part which later on extends to the lateral part and the patellofemoral
side. Replacement of the medial joint at the right time ceases the progression
of arthritis.
There are 2
types:
1. Fixed bearing implants: the tibial insert is fixed to the metal tibial implant and the femoral component rolls on this cushioned surface. It allows the patient to bend and stretch the knee, but not to rotate it normally.
2. Mobile bearing implants: mobile bearing implants are developed as an alternative to fixed bearing implants to reduce wear and improve range of motion.
We use mobile bearing implants in all our UKR surgeries.
It is a
misconception that UKR is an interual surgery. The success rate of
unicondylar/partial knee replacement is the same as total knee. Replacement.
Long-term research done by oxford on partial knee replacement showed remarkable
results of the clinical study depicting survivorship of 94.0% at 15 years and
91.0% at 20 years in the patients. (www.zimmerbiomet.com)
TKR requires removal of at least one ligament
of the knee whereas UKr does not require removal of any ligament.
UKR saves up to 75% of the healthy tissues of
the compound knee joint.
incision during the surgery of UKR is almost
half than that of TKR, also there is no muscle incision in UKR.
only 3 days of hospital stay in UKR.
knee prosthesis can be made of stainless steel, cobalt-chromium alloys, titanium alloys, polyethene, girconium etc.
These are
designed to facilitate friction-less movements between two surfaces of the
knee.
Partial knee
replacement benefits those patients with arthritis whose only medial part of
the knee is affected. This surgery is contraindicated in patients having
rheumatoid arthritis or gout.
Most of the
patient are able to ride a bicycle, swim, and play tennis, however, they should
avoid contact sports. The patients are also able to climb stairs and sit crosslegged
after the surgery. our ukr surgeries.
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