Information for Medical Professionals

Medial-side damage to the lateral femoral condyle should not affect UKR decision

Full thickness ulcers on the medial side of the lateral femoral condyle should not impact on any decision to conduct knee replacement in patients with osteoarthritis, it has been claimed.

According to new research published in the Journal of Bone and Joint Surgery, "damage to the medial side of the lateral femoral condyle is caused by impingement on the tibial spine and should not be considered a contraindication to [unicompartmental knee replacement], even if there is extensive full-thickness ulceration of the cartilage".

The researchers looked at a total of 769 knees with osteoarthritis, of which 20 (2.6 per cent) had full thickness cartilage deficit on the medial side of the lateral condyle.

They noted that there was not statistical difference between pre-operative Oxford knee scores and outcomes in the various groups.

Recent research conducted at the Department of Orthopaedic Surgery and Traumatology at the Universitair Ziekenhuis Brussel and the Department of Orthopaedic Surgery and Traumatology at AZ Nikolaas, claimed that no condyle cementing techniques were perfect.

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