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Partial Knee Replacement in Thailand Your guide to cost, top specialists & hospitals

Most arthritic knees are only worn in one place. Resurfacing that one compartment leaves the rest of your own joint where it is.

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What Is Partial Knee Replacement?

Also known as: Partial Knee Replacement · Unicompartmental Knee Arthroplasty

Partial knee replacement is surgery that treats arthritis in one part of the knee by resurfacing only that worn compartment and leaving the rest of the joint alone. Surgeons call it unicompartmental knee arthroplasty, or UKA. The knee has three compartments, the inner side, the outer side and the area behind the kneecap, and in many people only one of them has worn out. A partial replacement caps the damaged surfaces there with metal and plastic, keeping your own ligaments and the healthy cartilage next door. It usually takes one to two hours, under spinal or general anaesthesia.

Because less of the knee is disturbed, recovery tends to be quicker and the joint often feels more like your own than a total replacement does. That trade comes with a condition. It only works when the arthritis really is confined to one compartment, which your surgeon reads off weight-bearing X-rays and confirms once the joint is open.

Not everyone who wants a partial is a candidate for one, and being told so is a good sign rather than a setback.

It can address a range of concerns, including:

Knee pain concentrated on one side of the joint, usually the inner side, rather than across the whole knee
Pain that has stopped responding to physiotherapy, weight management and anti-inflammatories
Losing distance on your feet and starting to plan the day around the knee
Wanting to avoid a total knee replacement while the rest of the joint is still sound
Quick Facts
Cost from $11,800
Anaesthesia Spinal or General
Procedure 1–2 hours
Hospital stay 3 nights for one knee, 4 nights for both
Recovery Walking within days; most daily activity by 6 weeks
Minimum stay 12–14 days

Am I a Good Candidate for Partial Knee Replacement?

Candidacy for a partial is narrower than for a total, and that is the whole point of the operation. The X-ray decides it, not the preference.

A partial only works when the wear is genuinely confined to one part of the joint.

One compartment, clearly worn: Weight-bearing X-rays need to show bone-on-bone change in a single compartment with the others reasonably preserved.

Ligaments intact: An intact anterior cruciate ligament is what allows the knee to keep its own mechanics after a partial, and its absence usually points to a total.

Deformity that corrects: A bow or knock in the leg that straightens when the surgeon moves the knee is correctable; one that does not is a fixed deformity and rules a partial out.

Surgeons expect the simpler things to have been given a proper run before an implant goes in.

Weight and strength: Load reduction and quadriceps strengthening change knee pain more than most people expect, and they also improve recovery afterwards.

Medication and injections: Anti-inflammatories and a steroid injection settle flares, though they treat inflammation rather than the worn surface, so relief is temporary.

Osteotomy for the younger patient: Realigning the shin bone to unload the worn compartment is a genuine alternative for younger active people and is worth raising if that is you.

A smaller implant in a smaller footprint is less tolerant of heavy loading, so these factors carry more weight than usual.

Body weight: Every kilogram is amplified through the knee, and higher weight raises the risk of loosening over the years.

Smoking and dental health: Both affect infection risk around an implant, and both are fixable before you travel.

Fit for anaesthesia: Stable general health for a spinal or general anaesthetic, with any heart, lung or diabetes issues optimised first.

The honest trade in this operation is a better-feeling knee now against a higher chance of further surgery later.

Faster, more natural recovery: Most people bend well early and describe the knee as feeling like their own within weeks to a few months.

Higher revision rate than a total: Registries consistently show partials are revised more often, usually because arthritis progresses in the compartments left alone.

No impact sport: Walking, cycling, swimming and golf are usually fine. Running and jumping are generally advised against for the life of the implant.

Who is not suitable for partial knee replacement?

  • Arthritis involving more than one compartment on weight-bearing X-rays
  • A deficient or ruptured anterior cruciate ligament
  • A fixed deformity that does not correct when the knee is manipulated
  • Inflammatory arthritis such as rheumatoid disease, which affects the whole joint
  • Active infection anywhere, including untreated dental infection, until it is cleared
  • Severe uncorrected cardiac or respiratory disease unfit for anaesthesia

Pricing

How Much Will Partial Knee Replacement Cost in Thailand?

What partial knee replacement costs at accredited hospitals in Thailand, and what your final quote depends on.

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Typical prices in Thailand

Typical ranges based on recent hospital quotes. Your exact price depends on the hospital and how complex your case is, and is confirmed at your teleconsultation.

Partial Knee Replacement

Only the one worn compartment of the knee is resurfaced with metal and plastic, leaving the healthy cartilage and both cruciate ligaments in place.

Robotic partial knee replacement, one knee 3 nights Implant included in the package price $11,800 ฿402,000
Robotic partial knee replacement, both knees 4 nights Implant included in the package price $19,300 ฿655,000

Typically not included

  • ICU care or extra hospital nights beyond the three or four in the package
  • Physiotherapy after you leave the ward. The package covers a pre-operative rehabilitation assessment, not a course of post-operative rehab
  • Laboratory tests and imaging, including the planning CT if it is not done on site
  • Pre-operative medical clearance
  • Specialist consultant fees where your case needs another department involved

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Hospitals Trusted for Partial Knee Replacement

From internationally accredited flagships to dedicated specialist hospitals, these are the kinds of facilities where international patients have this procedure.

Vejthani Hospital

Vejthani Hospital

JCI since 2010 Bangkok

Orthopaedic-focused tertiary hospital with a high-volume joint replacement and spine programme.

View hospital profile
Bumrungrad International Hospital

Bumrungrad International Hospital

JCI since 2002 Bangkok

Tertiary hospital with over 1,200 physicians treating 520,000+ international patients a year.

View hospital profile
Bangkok Hospital

Bangkok Hospital

JCI accredited Bangkok

BDMS flagship tertiary campus with standalone heart, cancer, and neuro-orthopaedic hospitals.

View hospital profile
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The complete guide to Partial Knee Replacement in Thailand

Everything below is for readers who want the full detail: costs broken down, types and techniques, recovery, risks and safety, and planning your trip.

Knee Surgeons and Hospitals in Thailand

Partial knee replacement is a lower-volume operation than total replacement almost everywhere, and outcomes track surgeon experience more closely as a result. That makes the questions you ask more specific than usual.

Accredited Joint Replacement Centres

Our partner hospitals run dedicated joint replacement units with laminar-flow theatres, in-house imaging, on-site physiotherapy departments and the internationally recognised implant systems. Several operate robotic platforms for knee arthroplasty, which is what the published robotic partial package refers to. These are high-volume orthopaedic programmes rather than occasional services, which matters most when something needs managing in-house.

Fellowship-Trained Arthroplasty Surgeons

Our partner knee surgeons hold Thai board certification in orthopaedic surgery with further fellowship training in adult joint reconstruction, many of them at centres in the United States, United Kingdom, Europe, Japan or Australia. Partial knee replacement is a subspecialty interest within arthroplasty rather than something every joint surgeon does regularly, and you should be told plainly how often yours performs it.

What to Ask Before You Commit

Ask how many partial knee replacements the surgeon does each year, not how many knee replacements. Ask what proportion of their knee replacements are partials, since a surgeon who reaches for a partial in a very high or very low share of cases is worth a second question either way. Ask which implant design they use and why. Ask what their plan is if the compartments look worse than expected once the joint is open, because that decision is made in theatre and you want to have heard the answer in advance.

Understanding Your Results

A partial replacement is judged on two things that pull in different directions, how the knee feels and how long it lasts. Both are worth understanding before you choose between a partial and a total.

What the Evidence Shows

Well-selected partial knee replacements give substantial pain relief and are consistently reported as producing a more natural-feeling knee, better bend and a faster early recovery than total replacement, because the cruciate ligaments and the healthy compartments stay in place3. Against that, national joint registries consistently show a higher revision rate for partials than for totals, driven mainly by arthritis progressing elsewhere in the joint. Patient selection is what moves those numbers, which is why candidacy dominates the conversation.

What You Can Reasonably Expect

Expect the arthritic pain in the treated compartment to be substantially better, often early. Expect a knee that bends well and feels more like your own than an artificial joint. Expect to walk without a stick indoors within a few weeks and to be doing most normal daily things by six weeks. Do not expect a knee that tolerates running or impact sport, and do not expect a guarantee about how many years it will last, because that depends on your weight, your activity and how the rest of the joint behaves. Results vary, and any surgeon who promises a number is guessing.

Partial Knee Replacement Cost in Thailand

What the Published Package Costs

Our partner hospital publishes a fixed fly-in package for robotic partial knee replacement at ฿402,000 for one knee with three nights in hospital, and ฿655,000 for both knees with four nights, valid to 31 December 2026. These are one hospital's published rates rather than a national Thai price. Fees vary considerably between Thai hospitals and between branches of the same group, so treat this as one accredited provider's published figure and get your own case quoted.

The Implant Is Inside This Price

Most surgical packages in Thailand exclude the implant, which matters because implant cost is one of the largest single line items in any joint replacement and no hospital publishes what it charges for one. This package is one of the exceptions. The knee components are included in the quoted figure, which makes it a far more meaningful number than a package of the same headline price with the implant stripped out. It is worth confirming in writing when you book, because it is the difference between a comparable quote and an incomplete one.

What Still Sits Outside the Package

Pre-operative medical clearance, specialist consultant fees where another department is involved, pathology, laboratory tests and imaging, medication for conditions you already take, and any ICU care or hospital nights beyond the stated stay are all outside the figure. Physiotherapy after you leave the ward is also outside it. The published package includes a pre-operative rehabilitation assessment, which is not the same as a course of rehab, so ask what ongoing physiotherapy would cost before you travel.

What to Try Before a Partial Replacement

Single-compartment arthritis responds to non-surgical care for longer than most people expect. Losing weight takes load off the inner side of the knee directly, and strengthening the quadriceps and hip muscles changes how the joint is loaded through each step. Anti-inflammatory medication, activity modification and a well-fitted walking aid all buy time. A steroid injection settles a painful flare, though it treats inflammation rather than the worn surface, so relief is usually measured in weeks or months.

There is one surgical alternative worth knowing about. A high tibial osteotomy cuts and realigns the shin bone to shift load off the worn compartment onto the healthy one, leaving the joint surfaces alone entirely. It suits younger, more active people with isolated inner-compartment wear who want to delay any implant, and it has a longer, more demanding recovery than a partial replacement. Most surgeons will raise it if you are in that group and will not if you are not.

Replacement becomes the right step when the pain has stopped responding, the X-ray shows bone rubbing on bone in one compartment, and daily life has narrowed around the knee. At that point the honest question is not whether to have surgery but which operation the joint actually needs, which is what the rest of this page covers.

Types of Partial Knee Replacement

The knee is not one joint surface but three, and which one has worn decides which partial replacement is possible. Your surgeon works this out from weight-bearing X-rays before proposing anything.

Medial Unicompartmental Replacement

The inner compartment of the knee carries most of the load in walking and is where arthritis usually begins, so this is by far the most common partial replacement. The worn inner surfaces of the thigh bone and shin bone are resurfaced and the outer compartment, the kneecap joint and both cruciate ligaments are left untouched.

  • The most frequently performed partial knee replacement
  • Preserves both cruciate ligaments, so the knee keeps its own mechanics
  • Smaller incision and less bone removed than a total replacement
  • Best for: arthritis limited to the inner compartment with a correctable deformity

Lateral Unicompartmental Replacement

The outer compartment wears less often, so lateral partials are a much smaller share of cases. The operation is technically different because the outer side of the knee moves more, and surgeons who do them regularly are worth seeking out for that reason.

  • Less common, which makes surgeon volume more relevant than usual
  • Different bearing behaviour from the inner side, so implant choice differs
  • Same bone-preserving principle as a medial partial
  • Best for: isolated arthritis of the outer compartment, often after an old injury

Patellofemoral Replacement

When the wear sits behind the kneecap rather than on either side of the joint, the surface of the groove the kneecap runs in is resurfaced along with the back of the kneecap. It is a smaller operation again, and it suits a specific pattern of pain, usually worse on stairs and when standing up from sitting.

  • Targets pain behind the kneecap rather than on the joint line
  • Leaves both main weight-bearing compartments alone
  • Can be converted to a total replacement later if the rest of the joint wears
  • Best for: isolated wear behind the kneecap, often after long-standing maltracking

Total Knee Replacement as the Alternative

If more than one compartment is worn, or the ligaments are not intact, a total knee replacement is the right operation rather than a compromise. It resurfaces the whole joint and is the more predictable choice when the disease is widespread. Knowing when a partial stops being appropriate is part of choosing a surgeon.

  • Resurfaces all the worn surfaces rather than one
  • More predictable where arthritis involves several compartments
  • Longer recovery and a knee that feels more artificial to most people
  • Best for: multi-compartment arthritis, fixed deformity or ligament deficiency

Partial Knee Replacement Techniques

A partial implant sits in a smaller space with less margin for error than a total, so how accurately it is positioned matters more. That is the reason robotic assistance has taken hold in this operation in particular.

Robotic-Arm Assisted Replacement

A CT scan of your knee is turned into a three-dimensional plan before the day. During surgery the robotic arm holds the cutting tool inside the boundaries of that plan, so the surgeon removes the bone that was planned and no more. The surgeon still performs the operation and makes the judgement calls; the arm constrains where the instrument can go. The published partial knee package at our partner hospital is the robotic one.

  • Pre-operative CT plan built around your own anatomy
  • Constrains bone removal to the plan rather than relying on eye and jig alone
  • Allows soft-tissue balance to be measured through the range of movement
  • Why it matters: a partial implant is less forgiving of small positioning errors than a total

Conventional Instrumented Technique

The long-established approach uses mechanical jigs and alignment rods to guide the bone cuts, with the surgeon judging balance by feel and by trial components. In experienced hands it produces good results and remains the standard in many centres. It is generally quicker in theatre and does not need a pre-operative CT.

  • Proven approach with decades of published outcomes behind it
  • No pre-operative CT scan and no additional radiation
  • Depends more heavily on the individual surgeon's volume and judgement
  • Best for: straightforward medial partials with a surgeon who does them routinely

Fixed Versus Mobile Bearing Implants

The plastic bearing between the metal parts is either locked to the shin component or allowed to glide on it. A mobile bearing spreads contact over a larger area and may wear more slowly, but it can dislocate. A fixed bearing cannot dislocate but concentrates load in a smaller patch. Neither is universally better and surgeons tend to have a settled preference.

  • Mobile bearings distribute load over a wider contact area
  • Fixed bearings remove the small risk of bearing dislocation
  • Ligament balance requirements differ between the two designs
  • Why it matters: it is a fair question to ask your surgeon and to hear a reasoned answer to

Partial Knee Replacement Recovery Timeline

Days 1–3

You are usually up on the leg with a frame or sticks on the day of surgery or the morning after. Pain is managed with a combination of medicines rather than one strong drug. The ward team works on bending the knee, straightening it fully, and getting on and off a bed and a chair safely. Most people going home with one knee done leave the hospital after the third night.

Days 4–10

You move to your accommodation and keep walking short distances several times a day, swapping sticks for one stick as balance allows. Swelling peaks in this window and settles with elevation and ice. A wound check confirms healing. Sleep is often the thing people find hardest in the first fortnight, and it improves.

Weeks 2–6

Walking distance builds steadily and most people are off walking aids indoors within two to four weeks. Bend usually reaches a functional range early because the ligaments were left alone. Desk work is realistic from around two to three weeks. Driving resumes once you can brake sharply without hesitating, which your surgeon confirms.

Weeks 6–12

This is where a partial tends to pull ahead of a total, with many people describing the knee as feeling like their own again rather than like an implant. Strength work continues under a physiotherapist at home. Cycling, swimming and long walking are usually back on by three months. Impact sport is generally advised against for the life of the implant.

Pain Relief in the Treated Compartment Most appropriately selected patients get substantial relief of the arthritic pain that brought them in
A Knee That Moves Like Yours Keeping the ligaments and healthy cartilage tends to preserve more natural movement than a total replacement
Options Left Open A partial can be revised to a total replacement later if the rest of the joint wears

When Can You Fly Home After a Partial Knee Replacement?

Most people are cleared to fly around 12 to 14 days after surgery, once the wound is healed and the clot risk has been assessed. Book an aisle seat, stand and walk the cabin every hour or so, keep the ankle moving and stay hydrated. Your surgeon provides a fitness-to-fly letter and advises on compression stockings and any clot prevention medication for the journey.

When Can You Return to Work and Exercise?

Desk work is realistic from around two to three weeks and often sooner if you can work from home with the leg elevated. Standing or walking-heavy jobs take six to twelve weeks. Cycling on a stationary bike starts early as a range-of-movement exercise, swimming once the wound is fully healed, and longer walks build through the first three months. Running and impact sport are generally advised against for the life of the implant.

When Will the Knee Feel Normal?

The arthritic pain often goes early, sometimes within the first fortnight, which surprises people. What takes longer is swelling, strength and confidence, and those improve over three to six months. Many people describe the knee as feeling like their own again somewhere between six weeks and three months. Small aches after a long day can persist into the first year and are not a sign that anything is wrong.

Anaesthesia for Partial Knee Replacement

Most partial knee replacements are done under spinal anaesthesia, where an injection in the lower back numbs you from the waist down while you stay awake or lightly sedated. General anaesthesia is used where a spinal is unsuitable or where you would simply rather be asleep. A consultant anaesthetist stays with you throughout and monitors you continuously.

Spinal anaesthesia is often preferred for knee replacement because it tends to mean less nausea afterwards, less blood loss and an earlier return to eating and drinking. It is usually combined with a nerve block or local anaesthetic placed around the knee at the end of the operation, which carries the first several hours of pain relief and lets you stand up sooner.

Before you are cleared, you have a pre-operative assessment covering blood tests, a review of your current medicines and a check that anything affecting anaesthesia is stable. That clearance sits outside the published package price, so ask for it to be quoted separately. Afterwards, pain is controlled with a structured combination of medicines rather than one strong opioid, which is what allows the ward team to get you walking on the first day.

Risks and Safety of Partial Knee Replacement

A partial replacement removes less bone and disturbs less soft tissue than a total, and the general surgical risks are correspondingly lower. The risk that is genuinely higher is the one specific to it, which is the chance of needing further surgery later.

  • Infection in the joint, uncommon with antibiotic prophylaxis but serious when it happens1
  • Blood clots in the leg or lung, reduced by early walking and clot prevention medication1,2
  • Continuing pain despite a technically sound implant, sometimes from a compartment that was not the real source
  • Progression of arthritis in the compartments that were left alone
  • Loosening of the implant over years, more likely with higher body weight and heavier loading
  • Bearing dislocation, a specific and uncommon issue with mobile-bearing designs
  • Fracture of the shin bone below the implant, rare and usually related to bone quality
  • Stiffness or persistent swelling that takes longer than expected to settle

The trade-off that defines this operation is revision. A partial replacement is more likely than a total to need further surgery within its lifetime, usually because arthritis progresses in the compartments that were left in place rather than because the implant itself failed3. Converting a partial to a total is a well-established operation and is generally more straightforward than revising a failed total. Weighed against that is a quicker recovery and a knee that most people say feels more like their own. Neither answer is wrong, and a surgeon who lays out both sides before you decide is doing the job properly.

Is Partial Knee Replacement Safe in Thailand?

Accredited Thai hospitals perform joint replacement at high volume with fellowship-trained arthroplasty surgeons, laminar-flow theatres, the same implant systems used in Europe and North America, and robotic platforms in the centres that publish robotic packages. Ask any hospital how many partial knee replacements it performs a year rather than how many knee replacements in total, because those are different numbers and only one of them answers the question.

How to Reduce Your Own Risk

Stop smoking well before surgery, since it impairs wound healing and raises infection risk. Get dental problems treated first, because an infected tooth is a route for bacteria to reach a new joint. Lose weight if you can, as every kilogram is amplified through the knee. Build quadriceps strength beforehand, since people who arrive stronger recover faster. Bring recent weight-bearing X-rays so the compartment pattern can be confirmed before you fly.

What Happens if the Arthritis Spreads?

Arthritis progressing in the compartments left alone is the commonest reason a partial needs further surgery, and it is a known part of the deal rather than a complication of the operation. When it happens, the partial is converted to a total knee replacement. That conversion is a well-established procedure and is generally more straightforward than revising a failed total replacement, which is one of the arguments surgeons make for choosing a partial in the first place.

Planning Your Trip to Thailand for a Partial Knee Replacement

Plan on around two weeks. The stay is shaped less by the operation itself than by the wound healing and clot risk that determine when it is safe to sit on a long flight.

How Long to Stay

Allow 12 to 14 days for one knee. The first day or two cover consultation, imaging review, blood tests and the pre-operative rehabilitation assessment, followed by surgery and three nights on the ward. The remaining days are spent walking daily, attending a wound check and a follow-up review, and getting your fitness-to-fly clearance. Having both knees done means four nights in hospital and, for most people, a slightly longer stay before flying.

How the Trip Is Organised

Your care coordinator handles scheduling, hospital admission, interpreting where needed and follow-up appointments. Send your weight-bearing X-rays and any MRI before you travel so candidacy can be assessed rather than assumed on arrival. Flights and accommodation are arranged separately, and it is worth choosing somewhere close to the hospital with a lift and a walk-in shower.

What to Bring

Bring recent weight-bearing knee X-rays and any MRI on disc or shared electronically, a full list of your medicines and supplements, and any report from a previous knee surgery. Loose clothing that goes on over a swollen knee, shoes you can put on without bending far, and a pair of walking sticks or the confidence to buy some locally all help. Compression stockings for the flight home are worth packing in advance.

Common Questions About Partial Knee Replacement

Everything you need to know before your procedure

A total knee replacement resurfaces the whole joint. A partial resurfaces only the compartment that has worn out and leaves the other surfaces, the cartilage and both cruciate ligaments in place. That is why recovery is quicker and why most people say a partial feels more like their own knee. The catch is that it only works if the arthritis really is confined to one compartment, so a partial is not a lighter version of a total that anyone can choose.

It comes down to weight-bearing X-rays. The worn compartment needs to be clearly the problem, the other compartments need to be reasonably preserved, the anterior cruciate ligament needs to be intact and any deformity needs to correct when the surgeon moves the knee. Inflammatory arthritis such as rheumatoid disease usually rules a partial out because it tends to involve the whole joint. Send your X-rays before you book a flight so this is settled in advance.

Our partner hospital publishes a fixed fly-in package at ฿402,000 for one knee with three nights in hospital, and ฿655,000 for both knees with four nights, valid to 31 December 2026. That is roughly $11,800 and $19,300 at current rates. Unusually for a joint replacement, the implant is inside that figure rather than quoted on top of it. It is one accredited hospital's published figure rather than a Thai national price, and fees vary between hospitals and even between branches of the same group. Ask for your own case to be quoted.

In this package, yes, and that is unusual. Most surgical packages in Thailand exclude the implant, and no Thai hospital publishes what it charges for one, so a package that excludes it is an incomplete number by design. Confirm inclusion in writing when you book. Pre-operative medical clearance, specialist consultant fees, pathology, laboratory tests and imaging, medication for other conditions and any stay beyond the stated nights all remain outside the price.
Nick Peplow

Nick Peplow

EDITORIAL REVIEW

Founder & Lead Coordinator

Last reviewed: July 23, 2026

Medical References

  1. Unicompartmental (Partial) Knee Replacement (OrthoInfo, AAOS)
  2. Knee replacement (NHS)
  3. Arthritis of the Knee (OrthoInfo, AAOS)

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Medical disclaimer: Content on this site is provided for informational purposes and should not be treated as medical advice. Outcomes, timelines, and eligibility differ from person to person. Consult a qualified medical professional before making any decisions about surgery or treatment.

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