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Unicompartmental Arthroplasty for Young and Active Patients

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OrthopaedicsOne Poll: UKA is the best surgical option for young and active adult patients with osteoarthritis of the knee

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Dr. Michel Malo, from the University of Montreal, and Dr. Geoffrey Dervin, from the University of Ottawa, present opposing opinions on the use of unicompartmental arthroplasty for the young and active patient.

This debate illustrates the ongoing discussion on how to best meet the expectations of patients undergoing arthroplasty procedures in terms of return to full activities while minimizing the risk of early reoperation.

It is becoming evident that implants such as unicompartmental knee replacements and hip resurfacing, which are less invasive, have a significantly smaller margin of error in terms of implantation technique as well as patient selection. Having said that, it is probably not fair to criticize an implant or a surgical technique simply because it is not applicable to all patients or of ease to all surgeons.

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Viewpoint 1: Geoffrey Dervin, MD, MSc, FRCSC

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Unicompartmental Knee Arthroplasty is Superior to Total Knee Arthroplasty for Functional Outcome

Viewpoint 2: Michel Malo, MD, FRCS

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Unicondylar Knee Replacement Provides a Superior Functional Outcome to Total Knee Arthroplasty in the Young and Active Adult - In Opposition

 

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Viewpoint:Poll - Unicompartmental Arthroplasty for Young and Active Patients