AANA19 Knee Access Pass-UKA is The Answer-Dr. Christopher Travers, M.D.

Video Transcription

Video Summary

The video provides an overview and comparison of uni-compartmental knee arthroplasty (UNI) and high tibial osteotomy (HTO) procedures. The speaker explains that UNI aims to resurface a damaged compartment while maintaining the mechanical axis, while HTO seeks to unload the damaged compartment and shift the mechanical axis. The indications and contraindications for UNI are discussed, with some previously listed contraindications becoming less strict. A study shows that UNI has good long-term outcomes and high survivorship for patients with isolated compartmental arthritis. Meta-analyses comparing UNI and HTO highlight lower revision rates and complications with UNI but better range of motion with HTO. The trend in American orthopedic surgery favors UNI over HTO due to faster recovery and improved instrumentation. The speaker predicts that UNI will continue to gain popularity while HTO becomes niche, and improvements in materials, implant design, and instrumentation will further enhance the UNI procedure.

Asset Caption

Concurrent Scientific Session I: Symposium - Knee Challenges 5.4.2019

Keywords

uni-compartmental knee arthroplasty

high tibial osteotomy

mechanical axis

compartmental arthritis

revision rates