The 180° spin of meniscal bearing in unicompartmental knee arthroplasty

Mobile-bearing Oxford medial unicompartmental knee arthroplasty (UKA) has been widely used and has produced good results in the treatment of medial compartmental osteoarthritis. But it is associated with the potential risk of meniscal bearing dislocation. Symptoms caused by most meniscal bearing dislocations include acute pain, knee swelling, and locking. We report two unusual cases of meniscal bearing spinning of 180° without remarkable symptoms, which would have been easily missed if we had not watched carefully. Therefore, if there is sudden locking, pain, swelling, or a slight locking history, the possibility of meniscal bearing spin out as well as meniscal bearing dislocation should be considered and the direction of meniscal bearing markers should be confirmed, especially on lateral radiographs.