I had an opportunity to attend hands on workshop cum certificate course on Oxford Partial Knee Replacement, conducted by the pioneer of this technique, Dr. Christopher Dodd . It’s a good thing that they don’t allow anyone to do this surgery, unless one has done the certificate course of this . I am feeling honoured and privileged on being allowed to perform this cutting edge surgery.
Oxford Knee Partial Knee Replacement can be offered to approx. 25 % of the patients who have been advised total knee replacement. It has following advantages over total knee replacement , although the surgery in itself is very exacting, precise and demanding:
1. It is performed through a very small incision. Hence , it has been named microplasty .
2. As there is very less soft tissue handling, this is a less painful surgery.
3. It’s a bone preserving surgery, as there is very minimum bone cuts .
4. Patient starts walking on the same day of surgery. He needs a stick for walking, not a walker .
5. There is no role of physiotherapy after this surgery, while after total knee replacement physiotherapy is to be continued at least for 3 – 4 months .
6. Patient is discharged from the hospital just after 1 – 2 days , just like any other surgery .
7. Postoperative discomfort and stiffness rate is very less .
8. Chances of infection is very minimal, less than 0.01% .
9. Patient becomes normal within 3 – 6 months .
10. It follows kinematics of the normal knee , leading to normal movement.
11. Patient can squat , sit cross legged and on the ground after 3 – 6 months.
12. Success rate ( survival rate ) of this procedure is 95% after 20 years of surgery.
13. If knee becomes bad due to increasing osteoarthritis, it can be converted into total knee replacement later on .
Phew …… And the list goes on about the advantage of Oxford Knee above Total knee replacement in the selected patients.