In some patients, disease affecting the knee joint is limited to one side (or
compartment) of the knee. In the past, a total knee replacement meant that
although the damaged side was being replaced, so was the other side, which was
not affected by the disease. With the introduction of unicompartmental (or
half-knee) replacement systems, it became possible for surgeons to be more
conservative in their treatment of selected patients, and to only replace the
damaged compartment within the knee. This type of procedure is considered more
conservative than total knee replacement, since the unaffected side of the knee
is left in place. Moreover, new operative techniques allow this procedure to be
carried out through a much smaller incision - so-called minimally invasive
techniques - which result in less tissue damage and faster post-operative
recovery.
A partial knee replacement -- also called a unicompartmental knee replacement --
involves putting an implant on just one side of the knee, rather than over the
entire surface of the knee joint. Think of the knee as having three
compartments: an inside, outside, and a front compartment for the kneecap. Most
frequently, it is the inside compartment that becomes arthritic. A
unicompartmental knee replacement is done if part of the knee joint is damaged
by arthritis and the other compartments have healthy, normal cartilage.
By retaining undamaged parts of the knee, the joint may bend better and function
more naturally.
In a healthy knee, the meniscus serves as a shock absorber between the ends of
the bones. The implant features an artificial meniscal bearing
designed to glide freely throughout the knee's range of motion, more closely
replicating normal movement. The free floating nature of the device also
improves durability of the implant.
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Copyright Knees For You 12/18/2006
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