Partial Knee Replacement
Partial Knee Replacement (also known as unicompartmental knee replacement) is a surgical procedure that replaces only the damaged part of the knee joint, rather than the entire knee. It’s less invasive than a total knee replacement and is an excellent option for patients with arthritis limited to one compartment of the knee.
🦵 What Is Partial Knee Replacement?
The knee is divided into three compartments:
Medial (inner part)
Lateral (outer part)
Patellofemoral (kneecap area)
In a partial knee replacement, only the affected compartment is resurfaced with metal and plastic implants. The rest of the knee—including ligaments and cartilage—is left intact.
✅ Who Is a Candidate?
Ideal candidates have:
Osteoarthritis confined to one compartment
Good range of motion
Stable ligaments, especially the ACL
Lower body weight or less physically demanding lifestyle (though this is changing with newer techniques)
Not recommended if:
Arthritis affects multiple compartments
Severe knee deformity or instability
Inflammatory arthritis (like rheumatoid arthritis)
⚙️ Procedure Overview
Anesthesia: Spinal or general
Incision: Small (3–6 inches)
Resurfacing: Damaged bone and cartilage are removed from one compartment
Implants: A metal cap is placed on the femur, and a plastic spacer or cap on the tibia
🕒 Surgery time: ~1–2 hours
🏥 Hospital stay: Often same-day or 1 night
⏱️ Recovery Timeline
Activity Timeline
Walking with assistance 1–2 days
Return to work (desk job) 2–3 weeks
Resume driving 2–4 weeks
Physical therapy 6–8 weeks
Full recovery 3–4 months
Recovery is generally faster and less painful than after total knee replacement.
🩺 Advantages Over Total Knee Replacement
Smaller incision and less tissue trauma
Retains more of your natural knee
Quicker recovery and less pain
Feels more “natural” during movement
Less blood loss
Lower risk of complications like infection or blood clots
⚠️ Potential Risks and Complications
Blood clots
Infection
Implant loosening or wear
Continued pain (if arthritis progresses in other parts of the knee)
Need for revision surgery (conversion to total knee replacement later)
🔁 Longevity of Implants
Modern partial knee implants last 10–15+ years in most patients.
Some may require revision if arthritis spreads or the implant fails.