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The Unispacer knee implant

EARLY CLINICAL RESULTS

¹ Musgrave Park Hospital, Stockman’s Lane, Belfast, Northern Ireland BT9 7JB, UK.
² Wakefield Orthopaedic Clinic, 270 Wakefield Street, Adelaide 5000, South Australia.
³ Royal Glamorgan Hospital, Ynys Maerdy, Llantrisant, CF72 8XR, Wales, UK.
⁴ Sportsmed SA, 32 Payneham Road, Stepney, Adelaide 5069, South Australia.

Correspondence should be sent to Mr A. G. Bailie; e-mail: grahambailie{at}hotmail.com

The Unispacer knee system is a cobalt-chrome self-centring tibial hemiarthroplasty device for use in the treatment of isolated medial compartment osteoarthritis of the knee. The indications for use are similar to those for high tibial osteotomy, but insertion does not require bone cuts or component fixation, and does not compromise future knee replacement surgery. A prospective study of a consecutive series of 18 patients treated with the Unispacer between June 2003 and August 2004 was carried out to determine the early clinical results of this device. The mean age of the patients was 49 years (40 to 57). A total of eight patients (44%) required revision within two years. In two patients revision to a larger spacer was required, and in six conversion to either a unicompartmental or total knee replacement was needed. At the most recent review 12 patients (66.7%) had a Unispacer remaining in situ. The mean modified visual analogue score for these patients at a mean follow-up of 19 months (12 to 26) was 3.0 (0 to 11.5). The mean pain level was 30% that of the mean pre-operative level of 10. The early clinical results using this device have been disappointing.

This study demonstrates that use of the Unispacer in isolated medial compartment osteoarthritis is associated with a high rate of revision surgery and provides unpredictable relief of pain.

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