Smith & Nephew Journey Unicompartmental Knee replacement (Fixed Bearing ) surgical technique
Subscribe to get full access to this operation and the extensive Knee Surgery Atlas.
Learn the Smith & Nephew Journey Unicompartmental Knee replacement (Fixed Bearing ) surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Smith & Nephew Journey Unicompartmental Knee replacement (Fixed Bearing ) surgical procedure.
This technique details the use of a Smith & Nephew Journey unicompartmental knee replacement (UKR) for a 63 year old man with knee pain secondary to medial femoral condyle avascular necrosis.
History, examination and investigations were consistent with localised medial knee pain and a failure of conservative treatment. With sparing of the patellofemoral and lateral compartments the decision was to proceed to UKR. It was established prior to surgery that the patient’s cruciate ligaments were intact and functional. Pre-operative counselling and consent included a potential change to total knee replacement on table if on further inspection of the joint on arthrotomy more widespread disease was present. There is however strong evidence that some patellofemoral wear, especially affecting the medial facet of the patella, does not adversely affect the outcome of medial unicompartmental knee replacement.
The Smith & Nephew Journey is a fixed bearing unicompartmental knee replacement manufactured with advanced bearing materials. Fixed bearing designs have seen increasing popularity in recent years according to the National Joint Registry (UK). This Journey design benefits also from simplified instrumentation which can aid the technique in what is a less frequently performed procedure than total knee replacement.
Author :Mr Andrew Pearse FRCS (Tr & Orth)
Institution: The Worcestershire Acute Hospitals NHS Trust, Worcester ,UK.
- Each operation and the questions associated become a named course in the CPD section
- The operative technique itself is read as a lesson as is any company implant information if this is being assessed.
- You’ll need to tick the box to confirm this has been done and can do this immediately if you have already read the op tech.
- The vast majority of operations have a 10-15 MCQ quiz covering all aspects of the decision making and the technique
- There are four possible answers of which one is correct (or on occasion more correct) than the others.
- There are additional quiz modules on the surgical steps, the implants and problem cases being added continually
- The course is completed once all the lessons are read and quizzes submitted and passed.
- On successful completion of each quiz you will receive validated CPD points that add to the certificate in your CPD folder.
- Your dashboard also will contain a record of the time you have spent logged onto and using the site.
- The timer suspends after 5 minutes though if there is no activity.
- When you restart you will resume at the same point in the module.
- Once you have completed each quiz you will need to feedback on the module first then click “submit” and your paper will be marked.
The pass mark is 75%.
- If you fall below this level you will be directed back to re-read the slides where you’ve tripped up.
- Once these have been read you can re-do just the questions you failed on.
- Once you have passed the quiz you can return at a future stage & resit .
Welcome to the Professional Development question section. The objective of taking these tests is to demonstrate that you have understood all aspects of the assessment and management of patients requiring surgical intevention. On successful completion you will receive a certificate accredited by both the Royal College of Surgeons of both England and Edinburgh as well as the British Orthopaedic Association.
Our content is designed for both Surgeons in independent practice and Surgeons in training.