Partial knee replacement

Definition

A partial knee replacement is surgery to replace only one part of a damaged knee. It can replace either the inside (medial) part, the outside (lateral) part, or the kneecap part of the knee.

Surgery to replace the whole knee joint is called total knee replacement.

Alternative Names

Unicompartmental knee arthroplasty; Knee replacement - partial; Unicondylar knee replacement; Arthroplasty - unicompartmental knee; UKA; Minimally invasive partial knee replacement

Description

Partial knee replacement surgery removes damaged tissue and bone in the knee joint. The areas are replaced with a man-made implant, called a prosthetic.

Before surgery, you will be given medicine that blocks pain (anesthesia). You will have one of two anesthesia types:

The surgeon will make a cut over your knee. This cut is about 3 to 5 inches (7.5 to 13 centimeters) long.

Why the Procedure Is Performed

The most common reason to have a knee joint replaced is to ease severe arthritis pain.

Your health care provider may suggest knee joint replacement if:

You will need to understand what surgery and recovery will be like.

Partial knee arthroplasty may be a good choice if you have arthritis in only one side or part of the knee and:

However, most people with knee arthritis have a surgery called a total knee arthroplasty (TKA).

Knee replacement is most often done in people age 60 and older. Not all people can have a partial knee replacement. You may not be a good candidate if your condition is too severe. Also, your medical and physical condition may not allow you to have the procedure.

Risks

Risks for this surgery include:

Before the Procedure

Always tell your health care provider which drugs you are taking, including herbs, supplements, and medicines bought without a prescription.

During the 2 weeks before your surgery:

On the day of your surgery:

After the Procedure

You may need to stay in the hospital for 1 to 2 days. Most people are able to go home the day after surgery.

You can put your full weight on your knee right away.

After you return home, you should try to do as much as you can. This includes going to the bathroom or taking walks in the hallways with help. You will also need physical therapy to improve range of motion and strengthen the muscles around the knee.

Outlook (Prognosis)

Most people recover quickly and have much less pain than they did before surgery. People who have a partial knee replacement recover faster than those who have a total knee replacement.

Many people are able to walk without a cane or walker within 3 to 4 weeks after surgery. You will need physical therapy for 4 to 6 months.

Most forms of exercise are OK after surgery, including walking, swimming, tennis, golf, and biking. However, you should avoid high-impact activities such as jogging.

Partial knee replacement can have good results for some people. Partial inside or outside replacement has good outcomes for up to 10 years after surgery. Partial patella or patellofemoral replacement does not have as good long term results as the partial inside or outside replacements. You should discuss with your health care provider whether you are a candidate for partial knee replacement and what the success rate is for your condition.

References

American Academy of Orthopedic Surgeons (AAOS). Treatment of osteoarthritis of the knee: Evidence-based guideline 2nd edition (summary). Rosemont, IL. Published May 18, 2013.

Mihalko WM. Arthroplasty of the knee. In: Canale ST, Beaty JH, eds. Campbell's Operative Orthopaedics. 12th ed. Philadelphia, PA: Elsevier Mosby; 2013:chap 7.

Richmond J, Hunter D, Irrgang J, et al. American Academy of Orthopaedic Surgeons. Treatment of osteoarthritis of the knee (nonarthroplasty). J Am Acad Orthop Surg. 2009;17:591-600. PMID: 19726743 www.ncbi.nlm.nih.gov/pubmed/19726743.