The Current Trends for Lateral Unicondylar Knee Arthroplasty

Berend, Keith R.; Turnbull, Nathan J; Howell, Robert E.; Lombardi, Adolph V.

doi:10.1016/j.ocl.2014.10.001

Cited by 14 publications

(2 citation statements)

References 30 publications

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“…The disadvantages include the difficulty of converting to TKA if the surgeon is unfamiliar with this approach and the tendency to externally rotate the tibial component if the patellar tendon is not properly retracted [ 62 ]. Thus, some authors have proposed making an additional trans-patellar incision through which the saw plate can pass to properly make an internally rotated tibial cut [ 63 ].…”

Section: Discussionmentioning

confidence: 99%

Unicompartmental knee replacement: controversies and technical considerations

Albishi,

AbuDujain,

Aldhahri

et al. 2024

Arthroplasty

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Background Unicompartmental knee replacement (UKR) is one of the effective interventions for the treatment of symptomatic knee osteoarthritis. Moreover, it has multiple advantages over total knee arthroplasty (TKA), including reduced intraoperative blood loss, decreased risk of transfusion, and faster recovery. This study aimed to discuss critical technical considerations regarding UKR and some of the controversies and updates. Methods We conducted a review to provide an overview of the controversies and technical considerations about UKR in several aspects. Only peer-reviewed articles were included, up to December 2023 using PubMed, Google Scholar, ERIC, and Cochrane database for systematic reviews databases. Result UKR is associated with superior patient-reported clinical and functional outcomes, as well as shorter hospital stays, fewer postoperative complications, and revealed favorable outcomes in patients’ return to sport. The choice between mobile- and fixed-bearing prostheses depends, in part, on the surgeon’s preference. The mobile-bearing UKR is a less constrained prosthesis and can potentially result in less wear, but it is more technically demanding. While no significant difference between mobile-bearing versus fixed-bearing prostheses, cementless is superior to cemented design. Furthermore, UKR can be a good alternative for high tibial osteotomy (HTO) and still can be considered after a failed HTO. Lastly, recent reviews have shown a revision rate comparable to that of TKA. This is probably influenced by Improved comprehension of the best indications, patient selection criteria, as well as of the design, materials, and technological advances. Conclusion UKR treatment for unicompartmental knee osteoarthritis is secure and effective. Based on clinical and functional outcomes, decreased morbidity and mortality, and cost-effectiveness, long-term studies suggest that UKR is superior to TKA. Further investigation in this area is warranted.

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Section: Discussionmentioning

confidence: 99%

Unicompartmental knee replacement: controversies and technical considerations

Albishi,

AbuDujain,

Aldhahri

et al. 2024

Arthroplasty

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“…It is difficult to evaluate the effectiveness of unicondylar arthroplasty of the lateral part of the knee joint, because there are very few patients for whom orthopedists choose partial arthroplasty for the surgical treatment of gonar-throsis combined with valgus deformity. According to literature sources, only 1 % of the number of patients undergo lateral UKA during replacement of the joint with an artificial one [68][69][70][71]. When evaluating patients of this category, it is very important to consider that osteoarthritis of the lateral part of the knee joint often has a post-traumatic etiology (damage to the external meniscus, fractures of the lateral condyle of the tibia or femur) and less often, unlike the medial one, it is idiopathic [6].…”

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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Lateral Unicompartmental Knee Arthroplasty: Indications and Technique

Karas

Berger

2019

Unicompartmental Knee Arthroplasty

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The Current Trends for Lateral Unicondylar Knee Arthroplasty

Cited by 14 publications

References 30 publications

Unicompartmental knee replacement: controversies and technical considerations

Unicompartmental knee replacement: controversies and technical considerations

Unicondylar Knee Arthroplasty — Pros and Cons (Literature Review)

Lateral Unicompartmental Knee Arthroplasty: Indications and Technique

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