aim

Management

Aim

 

Stable, shoe-able plantigrade foot

 

Multidisciplinary approach

 

Multidisciplinary foot clinics (MDFC) 1st established UK 1980s

- shown to significantly reduce rate of diabetic amputations

- involve:

 

Endocrinologist +/- diabetic nurse

- glycaemic control crucial

 

Podiatrist

- non-surgical debridement

- orthoses

Background

AimUKA Oxford AP

 

UKA is intended to be load sharing

- correct to neutral or slight varus

 

HTO is a load-shifting / load-sparing procedure

- over correct into valgus

 

UKA v TKR

 

Advantages UKA

 

1.  Rapid rehabilation

 

Templating

AimTHR Templating

 

Reproduce the normal anatomical centre of rotation

Restore femoral offset 

Maintain equal leg lengths 

 

Usually template off normal hip

 

Template

 

1. LLD

2. Offset

3. Femoral component

4. Acetabular component

5. Osteotomy / femoral seating