TOP 5 MOVES: Dr. Richard Berger’s Tips for UKA
Richard A. Berger, MD, says that about 15% of the knee arthroplasty procedures he performs each year are unicompartmental knee arthroplasties (UKA), noting that there has been a renewed interest in UKA in recent years due to better results with modern UKA and better patient satisfaction.
In a presentation about UKAs at ICJR’s 12th Annual Winter Hip & Knee Course, Dr. Berger discussed his top 5 tips and techniques for this procedure, including:
- Do more UKAs, following appropriate patient selection criteria
- Do more lateral UKAs, which aren’t as difficult as some surgeons think
- Cut the tibia correctly to ensure that the tibial try is sized properly
- Balance and adjust the flexion and extension gaps
- Do more UKAs at your ambulatory surgery center for greater autonomy
PRO TIP: When cutting the tibia for a medial UKA, the saggital cut should be done on the apex of the tibial spine. For a lateral UKA, the saggital cut is on the lateral border of the femoral condyle. These cuts will facilitate appropriate poly coverage.
Disclosures: Dr. Berger has no disclosures relevant to this presentation.