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