Treatment / Knee / Partial Knee Arthroplasty

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KNEE | LAS VEGAS

Partial Knee Arthroplasty

Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas, Nevada

Understanding Knee Compartments

The knee joint is divided into three compartments: the medial compartment between the inner femoral condyle and tibia, the lateral compartment between the outer condyle and tibia, and the patellofemoral compartment between the kneecap and femur. Osteoarthritis can affect one, two, or all three compartments.


When arthritis is isolated to a single compartment with the remaining cartilage intact, partial knee replacement offers the advantage of preserving healthy tissue and maintaining the natural feel of the knee.

Who Is a Candidate for Partial Knee Replacement

  • Isolated Medial Compartment Arthritis: The most common pattern for unicompartmental knee replacement. Arthritis limited to the inner side of the knee with intact lateral and patellofemoral cartilage.
  • Intact Cruciate Ligaments: Both ACL and PCL must be functional for partial knee replacement to work correctly.
  • Appropriate Deformity: Minor varus or valgus deformity correctable to neutral alignment is acceptable.
  • Adequate Bone Quality: Sufficient bone stock to support the smaller implant components.

Conservative Non-Surgical Care

Dr. Andrew Lee at Nevada Spine Clinic in Las Vegas evaluates all partial knee candidates for non-surgical options first. Physical therapy, anti-inflammatory
medications, unloader bracing, and joint injections can provide meaningful symptom relief for isolated compartment arthritis.

Partial knee replacement is recommended when isolated compartment arthritis causes significant functional limitation despite adequate non-operative management.

Partial Knee Arthroplasty

Partial knee arthroplasty, also called unicompartmental knee replacement, resurfaces only the arthritic compartment while preserving the healthy articular cartilage, menisci, and cruciate ligaments in the unaffected areas. Dr. Andrew Lee performs partial knee replacement in Las Vegas at Southern Hills Hospital for carefully selected patients.

A smaller incision than total knee replacement is used, and the knee’s natural anatomy is largely preserved. A metal femoral component and a metal-backed polyethylene tibial component resurface the damaged compartment. The preserved cruciate ligaments allow more natural knee kinematics and proprioception than total replacement.

Partial knee replacement offers faster recovery, less post-operative pain, greater range of motion, and a more natural feeling knee than total replacement in appropriate candidates. If the remaining compartments develop arthritis in the future, conversion to total knee replacement is a well-defined revision option.

The primary goals of this procedure are to:
  • Resurface the arthritic compartment while preserving healthy tissue
  • Relieve knee pain and restore function
  • Maintain natural knee mechanics and proprioception
  • Allow faster recovery than total knee replacement

Potential Risks

  • Progression of arthritis: Arthritis in the preserved compartments may progress over time requiring conversion to total knee replacement.
  • Implant loosening: Aseptic loosening may require revision.
  • Blood clots: Anticoagulation is prescribed following surgery.
  • Infection: Preventive antibiotics are given.
  • Stiffness: Less common than total knee replacement but possible.

Postoperative Recovery and Rehabilitation

Recovery following partial knee replacement is typically faster than total knee replacement. Most patients are weight bearing immediately and discharged the same day or the following morning.

Physical therapy begins quickly and most patients achieve functional ambulation without assistive devices within two to three weeks. Return to recreational activities typically occurs at six to eight weeks.

What to Expect After Surgery

Partial knee replacement patients typically report a more natural feeling knee than total replacement patients, due to the preserved cruciate ligaments and native cartilage.

Pain relief is typically excellent and rapid following partial knee replacement.

Do not soak your wound.

No bathtub, swimming, or hot tub until cleared by Dr. Lee.

Wound Care and Medication Management

The partial knee incision is smaller than total knee replacement. Follow wound care instructions provided at discharge and avoid soaking the wound until cleared.

Blood clot prevention medication is prescribed. Pain medication refills require advance notice from your pharmacy.

Activity Guidelines After Surgery

Weight bearing is encouraged immediately following partial knee replacement. Use assistive devices as prescribed during early recovery.

Contact Nevada Spine Clinic or go to the emergency room for sudden severe knee pain, calf swelling, fever, or wound changes.

CALL US IF YOU EXPERIENCE

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No bathtub, swimming, or hot tub until cleared by Dr. Lee.

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Dr. Andrew Lee, MD | Nevada Spine Clinic, Las Vegas

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