Unicondylar Knee Replacement

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Procedure Description

Unicondylar knee replacement, also known as partial knee replacement, is a surgical procedure aimed at treating arthritis or damage localized to one compartment of the knee. Unlike total knee replacement, which involves replacing the entire knee joint, unicondylar knee replacement only addresses the damaged portion of the knee. This makes it an appealing option for patients with arthritis confined to a single area, as it preserves much of the natural knee structure and function.

The procedure begins with the surgeon making a small incision over the affected area of the knee. Special instruments are used to remove the damaged cartilage and bone from the compartment of the knee that is affected by arthritis. This is then replaced with metal and plastic components that mimic the function of a healthy knee joint. The artificial parts are typically made from materials like titanium and polyethylene, which are biocompatible and designed for long-term durability.

Unicondylar knee replacement is typically less invasive than total knee replacement, leading to faster recovery times and reduced risks of complications. It is an excellent option for patients who have maintained relatively healthy knee structures outside of the affected compartment, allowing them to retain more of their original knee’s functionality and range of motion.

Procedure Duration

The unicondylar knee replacement procedure generally takes between one and two hours to complete, depending on the patient’s specific condition and the surgeon's experience. Preoperative preparation, including anesthesia, may extend the overall time spent in the operating room. However, the surgical process itself is relatively quick compared to other knee surgeries.

Once the procedure is completed, the patient is monitored in a recovery area until the anesthesia wears off. In many cases, patients can start walking on the same day as the surgery with the help of crutches or a walker. This is because unicondylar knee replacement tends to disrupt less of the surrounding tissue than total knee replacement.

Recovery time after a unicondylar knee replacement is usually shorter compared to total knee replacement, with most patients returning to daily activities within four to six weeks. Physical therapy plays a critical role in ensuring that patients regain strength, flexibility, and range of motion in their knee. Full recovery may take several months, but many patients experience less pain and swelling post-surgery, making the rehabilitation process more manageable.

Benefits

  • Minimally invasive: The procedure involves smaller incisions and less disruption to surrounding tissues, resulting in faster recovery times.
  • Preserves natural knee structure: Only the damaged part of the knee is replaced, allowing patients to retain more of their natural knee and its function.
  • Faster rehabilitation: Patients typically recover more quickly and can return to normal activities sooner than with total knee replacement.
  • Reduced pain and improved mobility: Most patients experience significant pain relief and improved mobility following surgery, leading to a better quality of life.
  • Long-lasting results: Advances in surgical techniques and materials mean that the artificial components used in unicondylar knee replacements are durable and designed to last many years.

Potential Destinations

1. Germany

Germany is renowned for its world-class healthcare system and cutting-edge medical technology. Patients seeking unicondylar knee replacement often choose Germany for its highly skilled orthopedic surgeons and state-of-the-art facilities. The country is also known for its strict quality standards and advanced rehabilitation programs, making it a popular destination for medical tourists.

2. Thailand

Thailand has become a hub for medical tourism, offering high-quality medical procedures at competitive prices. Bangkok and Phuket are home to internationally accredited hospitals with experienced orthopedic teams who specialize in knee replacements. Patients benefit from affordable yet top-notch care, combined with the appeal of recovering in a tropical destination.

3. India

India is known for its affordability and high-quality medical care, especially in orthopedic surgery. With English-speaking healthcare professionals and state-of-the-art facilities, India attracts many international patients. The combination of experienced surgeons and modern medical technology makes it a prime location for unicondylar knee replacement.

4. Spain

Spain offers excellent medical care with a focus on patient-centered treatment. Orthopedic surgery is a specialty in many hospitals across the country, particularly in cities like Barcelona and Madrid. Patients choose Spain for its expertise in minimally invasive procedures, advanced medical technology, and favorable recovery environments.

5. United Arab Emirates

The UAE has rapidly emerged as a leader in medical tourism, boasting some of the most modern healthcare facilities in the world. Dubai and Abu Dhabi are equipped with internationally accredited hospitals, where patients can access high-quality knee replacement surgeries. The UAE’s combination of luxury recovery options and top-tier medical services makes it an attractive destination for those seeking comprehensive care.

Risks & Considerations

  • Infection: As with any surgery, there is a risk of infection at the incision site or within the joint. Proper postoperative care and hygiene are crucial to minimize this risk.
  • Blood clots: There is a small risk of developing blood clots in the legs (deep vein thrombosis) or lungs (pulmonary embolism) after knee surgery. Blood thinners may be prescribed to reduce this risk.
  • Implant wear or failure: Over time, the artificial components used in unicondylar knee replacements can wear out or become loose, potentially requiring revision surgery.
  • Nerve or blood vessel damage: Although rare, the surgery may result in accidental damage to nerves or blood vessels near the knee, leading to complications such as numbness or weakness.
  • Limited success in advanced arthritis: Unicondylar knee replacement may not be appropriate for patients with widespread knee arthritis, as the remaining healthy compartments could become damaged, leading to the need for total knee replacement later on.

How to Choose the Right Doctor and Hospital

When selecting a doctor and hospital for unicondylar knee replacement, it's essential to consider several factors. First, ensure that the surgeon has specialized training and significant experience in performing partial knee replacements. Look for a doctor who regularly performs this procedure and has a track record of successful outcomes. You can ask for patient testimonials, success rates, and any certifications or accreditations the surgeon or hospital holds in orthopedic care.

Secondly, the hospital should have modern facilities equipped with advanced technology for both the surgery and postoperative care. A well-established rehabilitation program is essential to ensure a smooth recovery. In addition, consider the overall experience of the hospital staff and whether they have specialized teams for knee surgeries and related rehabilitation.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote

Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com

Frequently Asked Questions

What actually happens during hyperstimulation of the ovaries?

The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.

What happens during egg retrieval?

When the follicles have developed enough to be harvested, the patient attends an appointment  where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.

What happens to the eggs?

In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle.  Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.

How are the embryos transferred back to the uterus?

The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.

Embryoscope©

Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.

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