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- Talk
- UK
What's New Going Forward? Knee Surgery - Patella Resurfacing and Non-resurfacing by Implant
Description
In a recent presentation, Colin Esler discusses updates regarding knee surgery as reflected in the latest National Joint Register (NJR) annual report. He highlights that new guidelines from NICE recommend arthroplasty surgeons consider resurfacing the patella for all primary elective knee replacements, despite the lack of strong clinical evidence. The NJR report also reveals that while revising data indicates higher revision rates after ten years when the patella is not resurfaced, this varies by implant brand and the specific constraints of the implant used.
Esler notes that unicompartmental knee replacements have not gained significant traction, with only 11% of registered patients opting for them in recent years. However, certain brands are demonstrating improved survival rates over a decade, with the Oxford medial unicompartmental knee replacement increasingly being utilized in a non-cemented format, leading to better outcomes.
Furthermore, data from the NJR indicates that when two or more knee compartments are replaced simultaneously, the revision rate at ten years is under 5%. Overall, Esler emphasizes the continuous improvement in the performance of knee surgical procedures and implants, suggesting that for an average patient, a primary knee replacement could last a lifetime without the need for further revision surgery.