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Perhaps, you've
heard about minimally invasive knee surgeries and want to know if
one could help you.
On this page we describe the development of the minimally invasive
unicompartmental knee arthroplasty performed at Anderson Clinic,
who can benefit from this procedure, and its many benefits.
For the past
20 years, surgeons with the Anderson Orthopaedic Institute have
been at the forefront in the use and research of
unicompartmental knee arthroplasties (UKA), also
commonly called a "uni." It involves placing
an implant on just one side of the knee, rather than over the entire
surface of the knee joint, as in a total knee replacement.
The uni was
the precurser to a minimally invasive unicom-partmental knee
arthroplasty, also called a mini uni. In the late 90s, surgeons
from the Anderson Clinic and an international team of surgeons made
it possible to perform a uni with a much smaller incision (3
to 4 inches long), hence the nickname a
"mini-uni." This
procedure can provide great pain relief and improved functionality
to patients with knee arthritis. Continue reading to see if a mini
uni is the solution for you.
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Physicians
with the Anderson Orthopaedic Institute have refined a minimally
invasive knee replacement that provides excellent results for
sufferers of knee arthritis.
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shown above.)
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Scroll or jump to the answers to these questions:
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What are the benefits of a mini uni?
Who can the be treated with a mini uni?
What can patients expect after this procedure?
Can patients be confident with this relatively
new procedure?
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Q.
What are the benefits of a Minimally Invasive Unicondylar knee replacement?
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A.
For
appropriate patients, a mini uni not only offers many benefits, it also
offers distinct advantages over a total knee arthroplasty.
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Because the
incision is smaller with a mini-uni than with a total knee replacement,
patients have less pain, spend less recovery time in the hospital,
and can be active sooner. The procedure also reduces risks of infection
or blood loss.
In terms of
outcomes, studies have shown that patients treated with unicondylar
knee arthroplasties have more functionality and greater range of
motion than patients treated with total knee arthroplasties.
Lastly, it is
possible that later in life an active or relatively young patient
could wear out the initial knee replacement, thus requiring a second
knee replacement, known as a revision. Research shows that a unicondylar
knee implant is revised much more easily than a total knee replacement
and that the results are excellent.
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A
d v a n t a g e s
1.
reduced pain
2. less
hospitalization
3. faster return to activities
4. lower risks of surgery
5. greater range of motion
6. better functionality
7. more easily revised if needed later in life.
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A.
This
operation is for patients with debilitating arthritis on one side
of the knee, rather than on both sides.
Physicians at
the Anderson Clinic determine if the procedure is suitable by examining
x-rays of the patient taken at our clinic.
Because a mini
uni is less invasive than a total knee replacement and causes less
bone loss, our physicians prefer this procedure over a total knee
arthroplasty for appropriate patients.
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A
mini uni provides a solution for younger patients with debilitating
knee arthritis.
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This
arthroplasty also offers hope for those who have debilitating knee pain
but who have been told they are too young for a total knee replacement.
Again, because a mini uni causes less bone loss and can be revised more
easily and effectively than a total knee replacement, we consider this
a good alternative for patients from upper middle age to senior years.
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Q. What
can patients expect after this procedure?
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A. They
can expect pain relief and good functionality. They can return to activites
such as walking, swimming, bicycling, and doubles tennis.
We do not recommend
running or sports that involve knee pivoting, such as singles tennis or
soccer. Such activities push the envelope for any knee replacement.
Because
mini unis are a relatively new procedure based on unicondylar surgeries,
we look to studies of unicondylar knees to determine the expected longevity
of a mini uni. Numerous long-term followup studies of unicondylar knee
replacements have a 10-year survival rate of greater than 90%.
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Q. Can
patients be confident with this relatively new procedure?
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A. We
believe the mini uni is a big advancement for our patients, and
we are confident with this procedure.
The mini uni
implant, surgical instruments, and techniques now used at Anderson
Orthopaedic Clinic
were developed by Dr. Gerard A. Engh and Dr. James P. McAuley of
the Anderson Clinic with an international team of experts in knee
surgery.
The operation
actually evolved from 20 years of research and experience with unicondylar
knee replacements. By the early 1990s, the unicondylar knee had
a good track record, which encouraged surgeons to improve the techniques
and surgical instruments to allow them to make smaller incisions.
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The
new instruments and techniques developed for the mini-uni have improved
the accuracy and reproducibility of this operation.
Dr.
Gerard A. Engh
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The
new instruments and techniques developed for the mini-uni have improved
the accuracy of the operation, and the smaller incision has improved recovery
and reduced risks for patients.
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For
more information:
Anderson
Orthopaedic Physicians
AORI's
research.
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We encourage you to learn
as much as possible about your condition and possible treatments.
Please do not hesitate to call us at Anderson
Orthopaedic Clinic,
703-892-6500,
to learn if a minimally invasive unicondylar knee arthroplasty can help
you.
Our
team of knee surgeons, Dr. Gerard Engh, Dr.
Andy Engh, and Dr. Jim McAuley have performed this procedure since
its inception and have instructed other surgeons in its use. Each of these
physicians had extensive experience with unicondylar knee arthroplasties
prior to performing the mini uni.
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