Partial Knee Replacement Surgery in Bristol

Sven Putnis provides expert partial knee replacement surgery in Bristol, offering rapid pain relief, faster recovery, and preserved joint function for osteoarthritis.

Overview

The knee joint consists of three distinct compartments: the inside (medial), the outside (lateral), and the front (patellofemoral). Osteoarthritis is when the protective cartilage wears away. If this occurs in just one of these areas, it causes severe, localised pain. A partial knee replacement (unicompartmental knee arthroplasty or UKA) is an advanced, targeted surgical procedure designed to replace only the damaged section of the joint. By preserving the healthy bone, cartilage, and crucial stabilising ligaments, Sven Putnis provides patients with a faster recovery, superior joint function, and a rapid return to an active lifestyle compared to traditional total knee replacement surgery.

Partialkneereplacement Enhanced (1)

The Procedure

  • Initial consultation and detailed x-ray assessment, occasionally an MRI is required
  • Confirmation of isolated, single-compartment osteoarthritis
  • Minimally invasive surgical approach to access the damaged compartment
  • Precise resurfacing of the arthritic bone ends
  • Implantation of metal alloy components and a hardened plastic bearing
  • Meticulous preservation of all healthy cartilage and cruciate ligaments

Benefits

  • Significantly faster recovery and shorter hospital stay
  • Less post-operative pain, surgical trauma and complication rates
  • Preserves natural cruciate ligaments for normal joint mechanics
  • The knee feels more natural than a total joint replacement
  • Allows for a return to higher levels of physical activity
  • Lower risk of post-operative complications (e.g., infection, DVT)
  • Smaller surgical incision and improved cosmetic outcome
  • Improved implant positioning and materials now leads to a low revision (re-do) rate
  • Now often the definitive life-long solution to compartment specific osteoarthritis

Who Is This For?

  • Patients with osteoarthritis confined to be in the majority single knee compartment
  • Individuals experiencing severe, localised knee pain (most commonly the inside of the knee)
  • Those who have exhausted non-operative treatments (physiotherapy, injections)
  • Patients without severe inflammatory conditions like rheumatoid arthritis
  • Individuals seeking a faster recovery and return to active hobbies

Recovery Timeline

  • First 2 weeks

    The most important aspects of the initial recovery are controlling swelling in the knee, preventing muscle wasting, and working towards regaining full range of knee motion

    • Full weight bearing as tolerated with crutches
    • Knee elevation up to the level of the heart and full ankle movements to activate calf muscles
    • Cryotherapy such as ice and cold presses to reduce inflammation, pain and swelling
    • Bulky dressing can be reduced the next day, the adhesive dressing is splashproof for careful washing/showering. Dressings can be touched and surrounding tissue massaged
    • Start to work towards regaining full range of movement
    • Activate the quadriceps muscles to try and lift the leg and push the knee out straight
    • Work through the exercise physiotherapy instruction sheets
  • Weeks 2-6
    • The dressing should have been removed by 2 weeks. After this a face-to-face physiotherapy session can be useful
    • Swelling is still expected so continue elevation and cryotherapy
    • Continue to regain full range of movement, especially once swelling has settled, and ensure that you are getting the knee as fully straight as possible and bending beyond 90 degrees
    • Scar massage and multidirectional patella mobilisation can help to prevent adherence
    • It is likely you will need crutches throughout this period but once normal gait (walking without a limp) has been achieved these can be stopped, ensure core strength and gluteal muscles are controlling pelvic tilt and stability
    • The earliest to drive a car safely is after 4 weeks; you need to ensure you are off strong pain medication and have demonstrated safety to a responsible passenger
  • Weeks 6-12
    • Clinical review in Outpatient Clinic with Sven Putnis
    • You should start to notice the clear benefit of the partial knee replacement
    • Hydrotherapy or light swimming
    • Exercise bike – initially resistance free and gradually build from there
    • Gym type strengthening activities based on your own level of function and goals
  • 3-12 months
    • You can expect ongoing improvement throughout the first post-operative year. Optimal range of knee motion is expected by approximately 6 months, dependent on a number of factors and is directly related to your pre-operative knee movement.
    • It is safe to build up your level of activities and test out your knee replacement but it makes sense to avoid activities that cause pain, and those that have an increased risk of falls as bone fractures or ligament ruptures can occur around a knee replacement.
    • It is routine but not essential to have a one-year surgical follow-up with a baseline x-ray.
  • 1-year and onwards
    • Be guided by your knee replacement and the level of function that you want to do in life.
    • There is no current evidence that having a high physical activity level after a partial knee replacement increases your risk of needing revision surgery when studied during the first 12 years after surgery.

Frequently Asked Questions

Am I a candidate for a partial knee replacement?

Suitability depends on the location and severity of your osteoarthritis. You may be a candidate if your arthritis is confined to a single compartment, you have largely intact knee ligaments, and you do not have severe inflammatory arthritis (such as rheumatoid arthritis). A thorough history, clinical examination and imaging will confirm your eligibility.

Modern partial knee replacements are highly durable. Clinical data indicates that good or excellent functional outcomes can be expected in over 80% of patients, with a National Joint Registry (NJR) survivorship rate of approximately 93% at 15 years with the most common medial implant that Sven Putnis uses (cemented, fixed bearing UKA)

While the goal is to provide a long-lasting solution, osteoarthritis can occasionally progress to the preserved compartments of the knee over time. With accurate diagnosis and modern balancing techniques unworn areas should not worsen. If this occurs and becomes symptomatic, the partial replacement can be successfully revised to a primary total knee replacement.

Because the surgery is less invasive than a total knee replacement, post-operative pain is generally much lower. Mobilisation is quicker and that can prevent secondary pain generators. Sven Putnis utilises advanced pain management protocols, and most patients find their discomfort is well-controlled with standard oral medications during the early recovery phase.

Patients can typically resume low-impact sports, such as swimming and cycling, within 6 to 12 weeks. A return to more dynamic activities should be guided by your physiotherapist, but the preserved natural biomechanics of the knee often allow for a higher level of sporting function than a total knee replacement. If desired, a specialist physiotherapy return to running programme can be arranged.

Treatment Details

Recovery Time

3–6 weeks (for normal daily activities)

Success Rate

High (91% survivorship at mid-term follow-up)

Ready to Get Started?

Book a consultation to discuss if this treatment is right for you.

  • 15+ years specialist experience
  • Commitment to joint preservation whenever clinically possible
  • Expertise in medial, lateral, and patellofemoral replacements
  • Advanced pain management protocols for rapid rehabilitation
  • Focused on getting the maximum function from intact areas of the knee

Ready to Take the Next Step?

Book your consultation today and begin your journey to recovery with expert knee care in Bristol.