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Unicompartmental Knee Replacement
Posted: Mar 21 2020 #(C101401)
B

Progressive OA after GCT/UKA in 62M

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HPI

Giant cell tumor (GCT) curettage x 2 followed by cement packing ~40 years ago. Medial unicondylar knee arthroplasty (UKA) ~20 years ago. Progressive pain, sensation of instability, and swelling. Increasing NSAID and opioid medication use. Bracing no longer effective.

PMH

HTN, HLD, chronic pain/opioid use, depression, obesity

PE

BMI 36. Well-healed anterior midline and lateral knee incisions. No erythema. Mild varus deformity. Mild effusion. ROM 5-110, with pain at extremes of motion. +medial and lateral joint line tenderness. Neurovascularly intact distally.

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After ruling out infection, what would you recommend?
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If opting for TKA, what kind of femoral component would you plan?
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P: 109975
How would you complete an accurate distal femoral resection?
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How would you complete an accurate proximal tibial resection?
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