ACI Vs UNI in 54 year uni-compartmental arthritis

 We debated about ACI vs Unicompartment replacement. Weighing the options the patient opted for ACI. 

Did not do HTO as there was grade 2 wear in lateral compartment which was small lesion

lt is 9 month standing postop xray with increased joint space after ACI

 

Post ACI  9 months

 Cartilage growth even a bit hypertrophic in the medial femur justifying joint preservation. . i could be questioned about unloading the compartment  and lets see how long it lasts

unstable periprosthetic fracture post TKR in an octogenarian caregiver

 one week old injury awaiting fixation. Decided to do a distal femoral replacement so that he can full wt bear and been the caregiver  he is for his wife, at six weeks he is back taking care of his wife. adv metabolic consult for osteoporosis