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Adult Reconstruction
intermediate
X-Type

Unicompartmental Knee Arthroplasty - Oxford Criteria, Contraindications and Outcomes

Knee Arthroplasty

A 58-year-old active businessman presents with medial knee pain and X-rays showing isolated medial compartment bone-on-bone osteoarthritis. The lateral compartment and patellofemoral joint have full-thickness cartilage. His varus deformity corrects to neutral on stress views. He has an intact ACL on clinical examination and less than 5 degrees of fixed flexion. He wants to return to golf and tennis. The surgeon discusses unicompartmental knee arthroplasty (UKA) versus total knee arthroplasty (TKA). Regarding unicompartmental knee arthroplasty patient selection and outcomes:

Mark each as TRUE or FALSE

A

The OXFORD CRITERIA (ABCDE) for medial UKA include: ACL intact and functional, Bone-on-bone medial c...

B

An INTACT ACL is an ABSOLUTE requirement for UKA; ACL deficiency causes altered kinematics with ante...

C

ACL deficiency is acceptable for UKA; inflammatory arthritis is an indication for UKA; overcorrectio...

D

INFLAMMATORY ARTHRITIS is an ABSOLUTE contraindication because the disease will progress to other co...

E

UKA has FASTER RECOVERY, better range of motion, and more natural knee feel than TKA; MOBILE BEARING...

Answer the questions to see explanations

Click T (True) or F (False) for each option