What is a
unicompartmental replacement?
Unicompartmental replacement
or uni replacement, is an alternative to traditional knee
replacement. It is appropriate for patients that have only
one side or compartment of their knee worn out. These
patients will have very specific pain on the inside or
outside of their knees and little to no pain while climbing
stairs. Only 20% of our patients are good candidates for
uni or partial replacement.
What are the
advantages?
Because the parts are much smaller, we are able to retain
almost all the native bone and all the ligaments during the
procedure. This allows a truly minimally invasive knee
replacement. There is very little chance of significant
bleeding or dangerous blood clots and a much small incision
can be used. The recovery time is shorter and rehab is much
easier. There is rarely much difficulty getting the knee's
natural motion back after surgery.
What are the
disadvantages?
Because the whole knee isn't replaced, the natural knee can
continue to wear in some patients. Because we have less
long term experience with uni knees, we don't know if they
will last as long as total knee replacements. If a uni knee
is unsuccessful or wears out, it can be converted to a
total knee replacement without the need for extensive
revision surgery. Ask Dr. Waldman if you think you are a
candidate for this kind or knee replacement.