Efficiency and safety of sliding osteotomy of the lateral femoral condyle in total knee arthroplasty in patients with fixed valgus deformity (Krackow type III)

Стафеев, Д. В.; Чугаев, Д. В.; Lasunsky, S. A.; Корнилов, Николай Николаевич; Sineoky, A. D.

doi:10.18019/1028-4427-2017-23-3-314-322

Cited by 3 publications

(1 citation statement)

References 15 publications

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“…The limitations of this surgical intervention are the small number of profiled patients in the gonarthrosis population, possible technical difficulties, concomitant perioperative risks, and the wary attitude of doctors to the intervention, because it is much less practiced than TKA. Among other things, the difficulties of treating patients with lateral gonarthrosis are also associated with the features of valgus deformity, which causes difficulties in performing soft tissue balance, using connected structures or using special surgical techniques during surgery [7,72]. Under the conditions of early observation, lateral unicondylar endoprosthesis using a modified surgical technique and an implant specially designed for the lateral department is a reliable method of treatment of isolated lateral femoral-tibial arthrosis in the presence of certain indications [73,74].…”

Section: Features Of Uka In Lateral Gonarthrosismentioning

confidence: 99%

Unicondylar Knee Arthroplasty — Pros and Cons (Literature Review)

Baburkina,

Ovchynnikov,

Bludova

et al. 2023

OTP

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In the modern world, despite the increased availability of hightech orthopedic care, the number of patients with gonarthrosis does not decrease, and thanks to public awareness, more and more people turn to orthopedists for surgical help. Due to its high efficiency, the leading role in the treatment of terminal gonarthrosis has been firmly occupied by total knee arthroplasty for more than four decades. Unicondylar knee arthroplasty in patients with unilateral arthrosis allows to largely preserve physiological kinematics, to achieve minimal bone and soft tissue traumatization during surgery and, as a result, to obtain a higher functional result. The objective of the work is to analyze the data of the world literature regarding unicondylar knee arthroplasty, its advantages and disadvantages. Material and methods. The authors analyzed the publications devoted to single-condylar knee arthroplasty from the Google search engine, scientific and metric electronic databases PubMed, Medline and other relevant sources of scientific and medical information. Correct patient selection is vital to ensure a successful outcome with OEKS. The main indication for OEKS is deforming arthrosis of the II–III century. with a predominant lesion of the internal part of the knee joint and varus deformation of the lower limb or with a more pronounced pathology of the external part of the knee joint and valgus deformation of the lower limb. Results. The authors analyzed the literature sources on single-condylar endoprosthesis of the knee joint. Indications, contraindications, biomechanical features, type of endoprosthesis fixation, type of endoprosthesis platform, features of lateral gonarthrosis, and complications of single-condylar knee arthroplasty are determined. Conclusions. The analysis of selected literary sources showed that single-condylar arthroplasty of the knee joint is an effective means of preserving the bone. However, careful patient selection and precision of surgical technique remain the key to a successful outcome.

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Section: Features Of Uka In Lateral Gonarthrosismentioning

confidence: 99%

Unicondylar Knee Arthroplasty — Pros and Cons (Literature Review)

Baburkina,

Ovchynnikov,

Bludova

et al. 2023

OTP

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Outcomes of lateral femoral sliding osteotomy in primary total knee arthroplasty for type two fixed valgus deformity

Palanisami,

Dhanasekaran,

Kanugula

et al. 2023

International Orthopaedics (SICOT)

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Lateral Unicompartmental Knee Arthroplasty in Structure of Modern Knee Replacement: Is It «Woe From Wit» or a Viable Go-To Method?

Чугаев¹,

Корнилов²,

Карпухин³

et al. 2020

Traumatology and Orthopedics of Russia

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Background. Results of numerous contemporary studies indicate that medial and lateral unicompartmental knee arthroplasty (UKA) are almost equally effective both in clinical and functional aspects with no statistically significant difference in most cases. Furthermore, both operations tend to reach the effectiveness of total knee arthroplasty (TKA), despite the common opinion that any UKA is a more complex and skill challenging surgery with a less predictable outcome. The purpose — to asses if UKA in the patients with end-stage lateral unicompartmental osteoarthritis is an effective surgical intervention that may allow obtaining good and excellent medium-term functional results, that are comparable to the results of the medial unicompartmental arthroplasty, and to see if there are any benefits in comparison to the total knee arthroplasty (TKA). Materials and Methods. 140 middle-aged and elderly adults with end-stage osteoarthritis underwent knee arthroplasty at Vreden National Medical Research Center of Traumatology and Cheboksary Federal Center of Traumatology, Orthopedics and Arthroplasty. Group I (lateral UKA) (the main ) consisted of 15 patients with knee arthritis and type I Krakow valgus knee deformity, who underwent the lateral UKA with a fixed all-polyethylene tibial component. Group II (medial UKA) included 58 patients with end-stage medial unicompartmental osteoarthritis, who underwent the medial UKA using an endoprosthesis of a similar design. Group III (TKA) was represented by 67 patients with gonarthrosis accompanied by type II Krackow valgus knee deformity, who underwent the total knee arthroplasty with cruciate retaining (CR) prosthesis. The comparison between the groups was carried out regarding the achieved range of motion, functional result (using Oxford Knee Score and Forgotten Joint Score), as well as the rate of different types of complications. Results. During the study, two main objectives were set. The first was to compare the outcomes of the lateral and medial UKA. It was revealed that the lateral UKA allowed the patients to obtain good function of the operated knee, with the best results among the compared groups on the Forgotten Joint Score. The second objective was to compare the results of the lateral UKA and TKA in the patients with type II Krackow knee valgus deformity. Here, our study revealed that the group of UKA (group I) compared to the TKA had better results according to Forgotten Joint Score (71.5±5.3 vs 65.2±7; p = 0.9) and had a slightly lower range of motion according to Oxford Knee Score (34.6±2.3 versus 35.9±2.2; p = 0.7). It is worth noting that in both cases the difference was not statistically significant. Conclusion. Despite the fact that the lateral UKA made it possible to achieve a good functional outcome, the integral score was the same as in the groups with the medial UKA and the total knee arthroplasty. The older patients were more satisfied with the results of the partial arthroplasty than with the results of the total.

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Efficiency and safety of sliding osteotomy of the lateral femoral condyle in total knee arthroplasty in patients with fixed valgus deformity (Krackow type III)

Cited by 3 publications

References 15 publications

Unicondylar Knee Arthroplasty — Pros and Cons (Literature Review)

Unicondylar Knee Arthroplasty — Pros and Cons (Literature Review)

Outcomes of lateral femoral sliding osteotomy in primary total knee arthroplasty for type two fixed valgus deformity

Lateral Unicompartmental Knee Arthroplasty in Structure of Modern Knee Replacement: Is It «Woe From Wit» or a Viable Go-To Method?

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