Partial Knee Replacement
Unicompartmental Knee Replacement
Disease Overview of Arthritis
Arthritis is inflammation of a joint causing pain, swelling (inflammation), and stiffness.
Osteoarthritis is the most common form of knee arthritis in which the joint cartilage gradually wears away. It most often affects older people. In a normal joint, articular cartilage allows for smooth movement within the joint, where as in an arthritic knee the cartilage itself becomes thinner or completely absent. In addition, the bones become thicker around the edges of the joint and may form bony “spurs”. These factors can cause pain and restricted range of motion in the joint.
Causes of Arthritis
The exact cause is unknown, however there are several factors that are commonly associated with the onset of arthritis and may include:
- Injury or trauma to the joint
- Fractures of the knee joint
- Increased body weight
- Repetitive overuse
- Joint infection
- Inflammation of the joint
- Connective tissue disorders
Symptoms of Arthritis
Arthritis of the knees can cause knee pain, which may increase after activities such as walking, stair climbing, or kneeling.
The joint may become stiff and swollen, limiting the range of motion. Knee deformities such as knock-knees and bow-legs may also occur.
Diagnosis of Arthritis
Your doctor will diagnose osteoarthritis based on the medical history, physical examination, and X-rays.
X-rays typically show a narrowing of joint space in the arthritic knee.
What is Partial Knee Replacement?
Partial knee replacement is a minimally invasive surgery in which only the damaged compartment of the knee is replaced with an implant. It is also called unicompartmental knee replacement.
The knee can be divided into three compartments: patellofemoral, the compartment in front of the knee between the kneecap and thighbone, medial compartment, on the inside portion of the knee, and lateral compartment which is the area on the outside portion of the knee joint.
Indications of Partial Knee Replacement
Traditionally, total knee replacement was commonly indicated for severe osteoarthritis of the knee. In total knee replacement, all worn out or damaged surfaces of the knee joint are removed and replaced with new artificial parts. Partial knee replacement is a surgical option if your arthritis is confined to a single compartment of your knee.
Surgical Procedure for Partial Knee Replacement
Your doctor may recommend surgery if non-surgical treatment options such as medications, injections, and physical therapy have failed to relieve the symptoms.
During the surgery, a small incision is made over the knee to expose the knee joint. Your surgeon will remove only the damaged part of the meniscus and place the implant into the bone by slightly shaping the shinbone and the thighbone. The plastic component is placed into the new prepared area and is secured with bone cement. Now the damaged part of the femur or thighbone is removed to accommodate the new metal component which is fixed in place using bone cement. Once the femoral and tibial components are fixed in proper place the knee is taken through a range of movements. The muscles and tendons are then repaired and the incision is closed.
Postoperative Care for Partial Knee Replacement
You may walk with the help of a walker or cane for the first 1-2 weeks after surgery. A physical therapist will advise you on an exercise program to follow for 4 to 6 months to help maintain range of motion and restore your strength. You may perform exercises such as walking, swimming and biking but high impact activities such as jogging should be avoided.
Risks and Complications Associated with Partial Knee Replacement
Possible risks and complications associated with partial knee replacement include:
- Knee stiffness
- Blood clots (Deep vein thrombosis)
- Nerve and blood vessel damage
- Ligament injuries
- Patella (kneecap) dislocation
- Plastic liner wears out
- Loosening of the implant
Advantages of Partial Knee Replacement
The advantages of Partial Knee Replacement over Total Knee Replacement include:
- Smaller incision
- Less blood loss
- Quick recovery
- Less Postoperative pain
- Better overall range of motion
- Feels more like a natural knee
Robotic Assisted Partial Knee Surgery
What is Robotic Assisted Partial Knee Surgery?
Robotic assisted partial knee surgery is an innovative alternative to the conventional surgical procedure in patients suffering from degenerative knee diseases such as osteoarthritis. It is performed using robotic-arm technology that allows the surgeon to precisely perform the surgery through a smaller incision as compared to traditional surgery.
Robotic Assisted Partial Knee Surgery Procedure
This procedure utilizes X-rays and CT scans to determine the damaged areas, of the joint, that need to be removed for the precise placement of the knee implant. The procedure may be used for total or partial knee surgery. In the partial knee resurfacing, only the diseased portion of your knee is removed, preserving the surrounding healthy bone and tissue. An implant is then secured over the prepared portion of your knee joint that results in resolution of symptoms and a natural knee movement. As it employs a minimally invasive technique the incidence of scarring and blood loss is very low.
The procedure is beneficial in patients with unicompartmental or bicompartmental knee disease. Robotic assisted partial knee surgery can be considered in patients with early to mid-stage osteoarthritis associated with symptoms such as knee pain, knee swelling, and knee locking. The procedure results in resolution of symptoms and a natural knee movement.
Benefits of Robotic Assisted Partial Knee Surgery
The benefits of the robotic assisted partial knee surgery include:
- Smaller incisions
- Rapid recovery
- Precise placement of the implant
- Reduced injury to adjacent tissues
- Increased longevity of the implant