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In knee osteoarthritis, the cartilage protecting the bones of the knee slowly wears away. This can occur throughout the knee joint or just in a single area of the knee.
The knee is divided into three major compartments:
Advanced osteoarthritis that is limited to a single compartment may be treated with a unicompartmental knee replacement. During this procedure, the damaged compartment is replaced with metal and plastic. The healthy cartilage and bone, as well as all of the ligaments, are preserved
Multiple studies show that most patients who are appropriate candidates for unicompartmental knee replacement have good results with this procedure.
The advantages of partial knee replacement over total knee replacement include:
Also, because the bone, cartilage, and ligaments in the healthy parts of the knee are preserved, many patients report that a unicompartmental knee replacement feels more natural than a total knee replacement. A unicompartmental knee may also bend better.
Recovery time can vary depending on the individual and type of surgery that’s been done. It’s important to follow the advice the hospital gives you on looking after your knee.
The unicompartmental knee replacement is a surgery that will replace one single compartment of the patient’s knee with artificial prostheses. A normal total knee replacement will replace the three compartments present within a normal knee joint – the medial compartment, the lateral compartment and the patellofemoral compartment. In unicondylar knee arthroplasty, only a single compartment is replaced and it is usually the medial compartment as it is the most frequently affected in unicompartmental knee osteoarthritis, although there are implants that exist for replacing only the lateral and patellofemoral compartments as well.
There are a number of factors that determine this including the level of activity that the patient undergoes as well as the possibility of the arthritis extending into the compartments of the knee that were not replaced. The same is true for total knee arthroplasty and although unicompartmental knee arthroplasty patients can go onto require total knee arthroplasties, if selected appropriately then knee replacements can last a decade or even longer.
The procedure for replacing a single compartment in the knee takes slightly less time than the procedure for replacing the knee in its entirety. Although similar instruments and surgical steps are used and undertaken, because we are only replacing a single compartment within the knee, there are fewer surgical steps and so the surgery takes slightly less time than a standard knee replacement.
A total knee replacement would take anywhere from 45 minutes to an hour-and-a-half depending on the specific patient, their anatomy and the severity of their osteoarthritis whereas the unicompartmental knee arthroplasty generally will take between half an hour to an hour in total surgical time.
Given that unicompartmental knee replacements are less invasive than total knee replacement, it will take the patient slightly less time to recover from as compared to a total knee arthroplasty. We generally expect patient who undergoes a total knee arthroplasty to have recovered the majority of their recovery within 3 months of the surgery; however, usually by 6 weeks after the unicompartmental knee arthroplasty, patients are up walking and their pain levels are diminished significantly and they are close to their baseline level.
You will notice some swelling that will likely increase for the first few days after the surgery provided that you engage in exercise and ambulate on the knee normally as would be expected after the surgery. The swelling should begin to subside after the first few days and should be mostly gone by 2 weeks after the surgery.
Essentially, you will continue to be in pain. Arthritis is a progressive disease that, if left untreated will simply only get worse over time. There is a potential that, if you leave it too long, arthritis may set into your knee more extensively and you may go from being a possible candidate for unicompartmental knee arthroplasty to someone who would unfortunately be left only with the option of a total knee arthroplasty.
The goal of unicompartmental knee replacement is to remove the arthritis that is present in a single compartment of the knee and replace the arthritic bone that has worn away the knee cartilage with artificial replacement components. In this sense, yes it does get rid of arthritis in the knee.
Pioneer in field of joint replacement at Kutch since 2010, performed 4000+ joint replacements including total Knee, total Hip, Unicondylar knee alongwith revision hip and knee replacement surgeries.