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Consensus statement on unicompartmental knee replacement: A collaboration between BASK and EKS
Andrew Price1, Emmanuel Thienpont2, Fabio Catani2
1British Association for Surgery of the Knee (BASK); European Knee Society (EKS).
The Knee
|April 23, 2023
Summary
Consensus recommendations for unicompartmental knee arthroplasty (UKA) emphasize offering it as an alternative to total knee arthroplasty (TKA) for suitable patients. Surgeons should tailor patient consent, avoid low-volume procedures, and undergo specific training for optimal UKA outcomes.
Area of Science:
- Orthopedic Surgery
- Arthroplasty Research
- Clinical Practice Guidelines
Background:
- Establishment of consensus recommendations for the clinical practice of unicompartmental knee arthroplasty (UKA).
- Addressing the need for standardized guidelines in UKA procedures.
Framework:
- Joint meeting of the British Association for Surgery of the Knee (BASK) and European Knee Society (EKS).
- Formal consensus process utilizing a multiple-round Delphi exercise.
- Achieved consensus based on a threshold of 80% agreement among 80 delegates.
Implementation:
- Five consensus statements developed covering indications, patient consent, surgeon volume, evidence-based practice, and training.
- UKA recommended as a successful alternative to total knee arthroplasty (TKA) for indicated patients.
- Emphasis on tailored patient consent, surgeon training, and avoiding low-volume UKA.
Implications:
- These BASK-EKS consensus statements provide a contemporary basis for optimal UKA patient care.
- Recommendations are expected to inform future training programs and service developments in knee arthroplasty.
- Promoting evidence-based practice and standardized training to optimize UKA outcomes.
