Knee arthritis can be debilitating, causing pain, stiffness, and limited movement. When arthritis is confined to only one part of the knee joint, unicompartmental knee replacement surgery (also known as partial knee replacement) can offer a less invasive solution compared to traditional total knee replacement. This procedure involves replacing only the damaged compartment of the knee, preserving the healthy parts of the joint and allowing for faster recovery. Mr. Sanjiv Manjure, a highly skilled orthopaedic consultant in Luton, specialises in unicompartmental knee replacement surgery and provides personalised care to ensure the best outcomes for his patients. This guide explores the procedure, its benefits, recovery process, risks, and why Mr. Manjure is the ideal choice for this surgery.

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What is unicompartmental knee replacement surgery?

Unicompartmental knee replacement surgery is a procedure performed when arthritis affects only one compartment of the knee joint, typically the medial (inner) or lateral (outer) side. Instead of replacing the entire knee joint, as with a total knee replacement, only the damaged part of the knee is resurfaced with a metal and plastic prosthesis. The procedure preserves the healthy bone and cartilage in the remaining compartments of the knee, providing a more natural feel and function.

The procedure is suitable for patients who:

• Have localised knee arthritis affecting one compartment.
• Have not responded to non-surgical treatments such as physical therapy, medications, or injections.
• Are relatively active and want to preserve as much of their natural knee function as possible.

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Who can benefit from unicompartmental knee replacement surgery?

Candidates for unicompartmental knee replacement surgery include individuals who:

• Have osteoarthritis or wear and tear in only one area of the knee joint.
• Have persistent knee pain that does not improve with conservative treatments like medications or physical therapy.
• Have good overall knee stability and range of motion in the unaffected compartments of the knee.
• Are not experiencing deformities, such as significant bowing or misalignment of the knee joint.

Mr. Manjure will conduct a thorough assessment, including medical history and diagnostic imaging, to determine if unicompartmental knee replacement is the right option for you.

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The procedure

Pre-operative preparation

Before undergoing unicompartmental knee replacement surgery, Mr. Manjure will ensure you are fully prepared:

• Consultation: A detailed consultation to review your symptoms, medical history, and diagnostic imaging (e.g., X-rays or MRI) to assess the extent of your arthritis.
• Pre-Surgical Testing: Blood work and other necessary tests to ensure you are in good health for surgery.
• Pre-Operative Instructions: You will receive specific instructions regarding fasting, medication management, and other preparations leading up to the surgery.

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The surgery/procedure itself

Unicompartmental knee replacement surgery is typically performed under general or regional anaesthesia. The procedure involves:

• Incision and Accessing the Knee Joint: A small incision is made over the affected part of the knee, allowing Mr. Manjure to access the damaged compartment.
• Removal of Damaged Tissue: Only the damaged bone and cartilage in the affected compartment are removed.
• Implant Placement: A metal and plastic prosthesis is placed to replace the damaged compartment, providing a smooth surface for joint movement.
• Preservation of Healthy Tissues: The healthy parts of the knee joint are preserved, which allows for a more natural feel and function post-surgery.
• Closing the Incision: The incision is closed with stitches or staples, and the knee is bandaged.

The surgery generally takes 1-2 hours, depending on the complexity of the case. Mr. Manjure uses minimally invasive techniques to reduce recovery time and promote faster healing.

Unicompartmental knee replacement surgery is performed at The Manor Hospital and Luton and Dunstable University Hospital, both equipped with modern facilities to support advanced knee procedures.

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Duration and post-op care

Following surgery, you will be closely monitored in the recovery room. Most patients stay in the hospital for 1-2 days, depending on their recovery progress. Immediate post-operative care includes:

• Pain Management: Pain relief medications will be provided to manage discomfort.
• Physiotherapy: Early mobilisation is encouraged, with physiotherapy starting within 24 hours to help restore movement and prevent complications.
• Knee Support: A knee brace or splint may be used to stabilise the joint during the initial recovery phase.

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Recovery and aftercare

• First Few Days: Pain management and initial physiotherapy to restore movement and begin weight-bearing activities.
• First Few Weeks: Gradual improvement in mobility, with physiotherapy focusing on strength and range of motion exercises.
• 3-6 Months: Full recovery, with most patients resuming their normal activities, including walking, driving, and low-impact exercises.
• 6-12 Months: Continued rehabilitation to enhance knee function and strength.

Mr. Manjure will provide follow-up care throughout the recovery process to ensure you are progressing well and achieving optimal results.

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Risks and complications

As with any surgery, unicompartmental knee replacement carries some risks, though these are rare and can be minimised with careful planning and post-operative care. Possible complications include:

• Infection at the surgical site.
• Blood Clots (deep vein thrombosis) in the legs.
• Implant Failure or loosening.
• Stiffness or reduced range of motion.
• Nerve or Blood Vessel Injury during the procedure.

Mr. Manjure uses advanced techniques and technologies to reduce the risks associated with surgery. Close monitoring and adherence to rehabilitation instructions will ensure the best possible outcome.

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Why choose Mr. Sanjiv Manjure in Luton?

Mr. Sanjiv Manjure is an expert orthopaedic consultant with years of experience in knee surgeries, including unicompartmental knee replacement. His commitment to providing personalised care, combined with his advanced skills in performing minimally invasive knee surgeries, ensures that patients receive the best possible outcomes. Reasons to choose Mr. Manjure for your unicompartmental knee replacement surgery include:

• Minimally Invasive Techniques to reduce recovery time and improve surgical outcomes.
• State-of-the-Art Facilities at The Manor Hospital and Luton and Dunstable University Hospital.
• Personalised Care that addresses the unique needs of each patient.
• Comprehensive Aftercare to support a smooth recovery and help patients regain knee function.

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FAQs

What is the recovery time for unicompartmental knee replacement surgery?
Recovery times vary, but most patients can return to normal activities within 3-6 months. Mr. Manjure will provide a detailed rehabilitation plan to guide your recovery.

Will I need to stay in the hospital after surgery?
Most patients stay in the hospital for 1-2 days following surgery. You will be closely monitored and will start rehabilitation to help regain movement and strength in the knee.

Can I return to sports after unicompartmental knee replacement surgery?
While high-impact sports may be limited, many patients can resume low-impact activities like swimming, walking, and cycling within a few months after surgery.

How long will my unicompartmental knee replacement last?
A unicompartmental knee replacement can last 10-15 years, depending on your activity level and overall health. Mr. Manjure will choose the most appropriate implant to ensure durability.

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If you are experiencing knee pain due to arthritis, and think you may be a candidate for unicompartmental knee replacement surgery, contact us today to learn more about the procedure with Mr. Sanjiv Manjure. Book a consultation to discuss your options and take the next step toward pain relief and improved knee function.