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  • Reference Book
      • Unicompartmental Arthroplasty with the Oxford Knee
      • Preface
      • Chapter 1: Introduction and Historical Overview
      • Chapter 2: Design and Biomechanics of the Oxford Knee
      • Chapter 3: Mobility and Stability of the Intact and Replaced Knee
      • Chapter 4; Indications: Anteromedial Osteoarthritis
      • Chapter 5: Contraindications in Anteromedial Osteoarthritis
      • Chapter 6: Principles of the Oxford Operation
      • Chapter 7: Surgical technique: Cemented or cementless implantation with Microplasty instrumentation
      • Chapter 8: Medial Indications other than AMOA
      • Chapter 9: Postoperative Management and Radiography
      • Chapter 10: Clinical Results
      • Chapter 11: Management of Complications
      • Chapter 12: The Lateral Side
      • Appendix
  • Publications
  • Patient’s Area
  • Meet the Team
    • David_MurrayDavid Murray
    • Chris-Dodd2Christopher Dodd
    • John-O’ConnorJohn O’Connor
    • John GoodfellowJohn Goodfellow
    • Oxford-Knee-Fellows23Knee Fellows & Engineers
  • Contact
  • Home
  • Reference Book
    • Unicompartmental Arthroplasty with the Oxford Knee
    • Preface
    • Chapter 1: Introduction and Historical Overview
    • Chapter 2: Design and Biomechanics of the Oxford Knee
    • Chapter 3: Mobility and Stability of the Intact and Replaced Knee
    • Chapter 4; Indications: Anteromedial Osteoarthritis
    • Chapter 5: Contraindications in Anteromedial Osteoarthritis
    • Chapter 6: Principles of the Oxford Operation
    • Chapter 7: Surgical technique: Cemented or cementless implantation with Microplasty instrumentation
    • Chapter 8: Medial Indications other than AMOA
    • Chapter 9: Postoperative Management and Radiography
    • Chapter 10: Clinical Results
    • Chapter 11: Management of Complications
    • Chapter 12: The Lateral Side
    • Appendix
  • Publications
  • Patient’s Area
  • Meet the Team
    • David Murray
    • Christopher Dodd
    • John O’Connor
    • John Goodfellow
    • Knee Fellows & Engineers
  • Contact
Expand All Collapse All
  • 11: Management of Complications
    • Infection
    • Medial tibial plateau fracture
      • Treatment
    • Dislocation of a mobile bearing
      • Treatment
    • Loosening of a fixed component
    • Loosening of cementless components
    • Lateral compartment arthritis
    • Pain
      • Prevention and treatment
    • Limited motion
    • Recurrent haemarthrosis
    • Implant fracture
    • Results of revision surgery
    • References

References

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Berger RA, Nedeff DD, Barden RM, Sheinkop MM, Jacobs JJ, Rosenberg AG & Galante JO, 1999. Unicompartmental knee arthroplasty. Clinical experience at 6- to 10-year followup. Clin Orthop Relat Res; (367): 50-60. https://doi.org/10.1097/00003086-199910000-00007

Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG & Galante JO, 2005. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am; 87(5): 999-1006. https://doi.org/10.2106/00004623-200505000-00010

Chau R, Gulati A, Pandit H, Beard DJ, Price AJ, Dodd CA, Gill HS & Murray DW, 2009. Tibial component overhang following unicompartmental knee replacement–does it matter? Knee; 16(5): 310-3. https://doi.org/10.1016/j.knee.2008.12.017

Dejour H, Dejour D & Habi S, 1998. Prothese Unicompartimentale du Genou. Cahier Enseign SOFCOT; 65: 156-9.

Dodd CAF, 2014. Tips for preoperative assessment before UKA. ESSKA; Amsterdam; May.

Emery IH & Meachim G, 1973. Surface morphology and topography of patello-femoral cartilage fibrillation in Liverpool necropsies. J Anat; 116(Pt 1): 103-20.

Goodfellow JW, O’Connor JJ & Shrive NG, inventors; 1974. Endoprosthetic knee joint devices. British Patent Application 1534263.

Gulati A, 2013. Outcome after medial unicompartmental knee replacement. DPhil. Oxford: University of Oxford.

Gulati A, Chau R, Pandit HG, Gray H, Price AJ, Dodd CA & Murray DW, 2009. The incidence of physiological radiolucency following Oxford unicompartmental knee replacement and its relationship to outcome. J Bone Joint Surg Br; 91(7): 896-902. https://doi.org/10.1302/0301-620X.91B7.21914

Hang JR, Stanford TE, Graves SE, Davidson DC, de Steiger RN & Miller LN, 2010. Outcome of revision of unicompartmental knee replacement. Acta Orthop; 81(1): 95-8. https://doi.org/10.3109/17453671003628731

Liddle AD, Pandit H, O’Brien S, Doran E, Penny ID, Hooper GJ, Burn PJ, Dodd CA, Beverland DE, Maxwell AR & Murray DW, 2013a. Cementless fixation in Oxford unicompartmental knee replacement: a multicentre study of 1000 knees. Bone Joint J; 95-B(2): 181-7. https://doi.org/10.1302/0301-620X.95B2.30411

Liddle AD, McGrath C, Pandit H, Pegg E, Dada O, Mellon SJ, Spiegelberg BGI, Dodd CA & Murray DW, 2013b. Predictors of arthritis progression following mobile-bearing unicompartmental knee replacement: A case-control study. British Association for Surgery of the Knee annual meeting. Leeds, UK.

Liddle AD, Judge A, Pandit H & Murray DW, 2014. Determinants of revision and functional outcome following unicompartmental knee replacement. Osteoarthritis Cartilage; 22(9): 1241-50. https://doi.org/10.1016/j.joca.2014.07.006

Martin JG, Wallace DA, Woods DA, Carr AJ & Murray DW, 1995. Revision of unicondylar knee replacements to total knee replacement. Knee; 2:121-5. https://doi.org/10.1016/0968-0160(95)00017-J

Monk AP, Keys GW & Murray DW, 2009. Loosening of the femoral component after unicompartmental knee replacement. J Bone Joint Surg Br; 91(3): 405-7. https://doi.org/10.1302/0301-620X.91B3.21940

Niinimaki TT, Murray DW, Partanen J, Pajala A & Leppilahti JI, 2011. Unicompartmental knee arthroplasties implanted for osteoarthritis with partial loss of joint space have high re-operation rates. Knee; 18(6): 432-5. https://doi.org/10.1016/j.knee.2010.08.004

NJR Board, 2014. 11th Annual Report of the National Joint Registry for England, Wales and Northern Ireland.

Pandit H, Jenkins C, Gill HS, Barker K, Dodd CA & Murray DW, 2011. Minimally invasive Oxford phase 3 unicompartmental knee replacement: results of 1000 cases. J Bone Joint Surg Br; 93(2): 198-204. https://doi.org/10.1302/0301-620X.93B2.25767

Pandit H, Murray DW, Dodd CA, Deo S, Waite J, Goodfellow J & Gibbons CL, 2007. Medial tibial plateau fracture and the Oxford unicompartmental knee. Orthopedics; 30(5 Suppl): 28-31.

Pandit H, Gulati A, Jenkins C, Barker K, Price AJ, Dodd CA & Murray DW, 2011. Unicompartmental knee replacement for patients with partial thickness cartilage loss in the affected compartment. Knee; 18(3): 168-71. https://doi.org/10.1016/j.knee.2010.05.003

Pandit H, Hamilton TW, Jenkins C, Mellon SJ, Dodd CA & Murray DW, 2015. The clinical outcome of minimally invasive Phase 3 Oxford unicompartmental knee arthroplasty: a 15-year follow-up of 1000 UKAs. Bone Joint J; 97-B(11): 1493-500. https://doi.org/10.1302/0301-620X.97B11.35634

Pegg EC, Walter J, Mellon SJ, Pandit HG, Murray DW, D’Lima DD, Fregly BJ & Gill HS, 2013. Evaluation of factors affecting tibial bone strain after unicompartmental knee replacement. J Orthop Res; 31(5): 821-8. https://doi.org/10.1002/jor.22283

Pegg EC, Dodd CA, Murray DW & Pandit H, 2015. Conservative tibial resection and vertical cut minimise risk of tibial plateau fracture after UKR. British Association for Surgery of the Knee Annual Meeting. Telford, UK.

Psychoyios V, Crawford RW, O’Connor JJ & Murray DW, 1998. Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg Br; 80(6): 976-82. https://doi.org/10.1302/0301-620X.80B6.0800976

Rudol G, Jackson MP & James SE, 2007. Medial tibial plateau fracture complicating unicompartmental knee arthroplasty. J Arthroplasty; 22(1): 148-50. https://doi.org/10.1016/j.arth.2006.01.005

Saldanha KA, Keys GW, Svard UC, White SH & Rao C, 2007. Revision of Oxford medial unicompartmental knee arthroplasty to total knee arthroplasty – results of a multicentre study. Knee; 14:275-9. https://doi.org/10.1016/j.knee.2007.03.005

Seeger JB, Haas D, Jager S, Rohner E, Tohtz S & Clarius M, 2012. Extended sagittal saw cut significantly reduces fracture load in cementless unicompartmental knee arthroplasty compared to cemented tibia plateaus: an experimental cadaver study. Knee Surg Sports Traumatol Arthrosc; 20(6): 1087-91. https://doi.org/10.1007/s00167-011-1698-3

Sloper PJ, Hing CB, Donell ST & Glasgow MM, 2003. Intra-operative tibial plateau fracture during unicompartmental knee replacement: a case report. Knee; 10(4): 367-9. https://doi.org/10.1016/S0968-0160(03)00003-6

Small SR, Berend ME, Ritter MA & Buckley CA, 2010. Bearing mobility affects tibial strain in mobile-bearing unicompartmental knee arthroplasty. Surg Technol Int; 19: 185-90.

Svard UC & Price AJ, 2001. Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br; 83(2): 191-4. https://doi.org/10.1302/0301-620X.83B2.0830191

Svard, U. & Price, A, 2006. 20-year survival & 10 year clinical results of the Oxford medial UKA. Presentation. 73rd Annual AAOS Meeting. Chicago, IL.

Swanson AB, Swanson GD, Powers T, Khalil MA, Maupin BK, Mayhew DE & Moss SH, 1985. Unicompartmental and bicompartmental arthroplasty of the knee with a finned metal tibial-plateau implant. J Bone Joint Surg Am; 67(8): 1175-82. https://doi.org/10.2106/00004623-198567080-00005

Tibrewal S, Pandit H, McLardy-Smith P, Tibrewal SB & Murray DW, 2014. Posterior dislocation of the Oxford knee meniscal bearing: a treatment option. J Orthop Traumatol; 15(1): 59-62. https://doi.org/10.1007/s10195-013-0250-2

Weale AE, Murray DW, Crawford R, Psychoyios V, Bonomo A, Howell G, O’Connor J & Goodfellow JW, 1999. Does arthritis progress in the retained compartments after ‘Oxford’ medial unicompartmental arthroplasty? A clinical and radiological study with a minimum ten-year follow-up. J Bone Joint Surg Br; 81(5): 783-9. https://doi.org/10.1302/0301-620X.81B5.0810783

Wynn Jones H, Chan W, Harrison T, Smith TO, Masonda P & Walton NP, 2012. Revision of medial Oxford unicompartmental knee replacement to a total knee replacement: similar to a primary? Knee;19:339-43. https://doi.org/10.1016/j.knee.2011.03.006

Yang KY, Yeo SJ & Lo NN, 2003. Stress fracture of the medial tibial plateau after minimally invasive unicompartmental knee arthroplasty: a report of 2 cases. J Arthroplasty; 18(6): 801-3. https://doi.org/10.1016/S0883-5403(03)00332-2

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  • Results of revision surgery
  • Implant fracture
  • Recurrent haemarthrosis
  • Limited motion
  • Prevention and treatment
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The Oxford Knee Replacement is the most widely used partial knee replacement worldwide. Replacing one side of the knee, unicompartmental knee replacement, tends to result in shorter hospital stays, fewer short-term complications, faster recovery and better knee function than total knee replacements.

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