Saturday, August 10, 2024

Know Unicondylar knee replacement disadvantages

Unicondylar Knee Replacement (UKR) has several disadvantages:

1. _Limited durability_: UKR implants may not last as long as total knee replacement implants, potentially requiring future revisions.
2. _Higher revision rate_: UKR has a higher revision rate compared to total knee replacement, especially in younger patients.
3. _Less predictable outcome_: UKR outcomes can be less predictable, with some patients experiencing ongoing pain or stiffness.
4. _Risk of progression to bicompartmental disease_: UKR only addresses one compartment, leaving the other compartments vulnerable to future degeneration.
5. _Risk of patellofemoral complications_: UKR can lead to patellofemoral complications, such as patellar fracture or instability.
6. _Limited activity level_: UKR patients may need to limit high-impact activities to avoid implant wear and tear.
7. _Risk of implant failure_: UKR implants can fail due to wear, loosening, or other mechanisms.
8. _Surgical complexity_: UKR surgery can be technically demanding, requiring specialized training and expertise.
9. _Higher cost_: UKR can be more expensive than other treatment options, such as high tibial osteotomy.
10. _Risk of infection and blood clots_: As with any surgery, UKR carries risks of infection and blood clots.
11. _Limited bone preservation_: UKR requires removal of some bone, which can lead to future bone loss or weakness.
12. _Risk of component subsidence_: UKR components can sink into the surrounding bone, leading to implant failure.

It's essential to discuss these disadvantages with an orthopedic surgeon to determine if UKR is the right treatment option

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