Abstract
Degenerative joint disease is characterized in joint structure changes leading to functional failure. Several treatment options are available in treatment of knee osteoarthritis. Most important factor in premature osteoarthritis is initial trauma. Joint unloading concept has become more popular recently especially in younger patients. Unicompartmental knee unloading device AtlasĀ® is a new tool in treating medial knee osteoarthritis. Clinical scores provide proof that this treatment provides good results comparable to high tibial osteotomy. Other devices such as iliotibial spoon can overload knee compartments.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Luyten FP, Bierma-Zeinstra S, DellāAccio F, Kraus VB, Nakata K, Sekiya I, Arden NK, Lohmander LS. Toward classification criteria for early osteoarthritis of the knee. Semin Arthritis Rheum. 2017. pii: S0049-0172(17)30098-7. https://doi.org/10.1016/j.semarthrit.2017.08.006. [Epub ahead of print].
Blagojevic M, Jinks C, Jeffery A, Jordan KP. Risk factors for onset of osteoarthritis of the knee in older adults: a systematic review and meta-analysis. Osteoarthr Cartil. 2010;18:24ā33.
Cattano NM, Barbe MF, Massicotte VS, Sitler MR, Balasubramanian E, Tierney R, Driban JB. Joint trauma initiates knee osteoarthritis through biochemical and biomechanical processes and interactions. OA Musculoskeletal Medicine. 2013;1(1):3ā8.
Moorman T, Kirwan T, Share J, Vannabouathong C. Patient preferences regarding surgical interventions for knee osteoarthritis. Clin Med Insights Arthritis Musculoskelet Disord. 2017;10:1ā12.
Parvizi J, Nunley RM, Berend KR, et al. High level of residual symptoms in young patients after Total knee arthroplasty. Clin Orthop Relat Res. 2014;472:133ā7.
Lee PY, Winfield TG, Harris SR, Storey E, Chandratreya A. Unloading knee brace is a cost-effective method to bridge and delay surgery in unicompartmental knee arthritis. BMJ Open Sport Exerc Med. 2017;2(1):e000195. https://doi.org/10.1136/bmjsem-2016-000195. eCollection 2016
Jackson JP, Waugh W. Tibial osteotomy for osteoarthritis of the knee. Proc R Soc Med. 1960;53(10):888.
Coventry MB. Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. A preliminary report. J Bone Joint Surg Am. 1965;47:984ā90.
Coventry MB. Upper tibial osteotomy. Clin Orthop Relat Res. 1984;182:46ā52.
Coventry MB, Ilstrup DM, Wallrichs SL. Proximal tibial osteotomy. A critical long-term study of eighty-seven cases. J Bone Joint Surg Am. 1993;75(2):196ā201.
Becher C, Huelsmann J, Ettinger M, Fleischer B, Niemeyer P, Bode G. Comparing established and emerging surgical options for load reduction of the medial knee: a biomechanical study. Knee Surg Sports Traumatol Arthrosc. 2016;24(Supp 1):S4āS114.
Gomoll AH, Angele P, Condello V, Madonna V, Madry H, Randelli P, Shabshin N, Verdonk P, Verdonk R. Load distribution in early osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2016;24(6):1815ā25.
Bode G, Kloos F, Feucht MJ, Fleischer B, SĆ¼dkamp N, Niemeyer P, Becher C. Comparison of the efficiency of an extra-articular absorber system and high tibial osteotomy for unloading the medial knee compartment: an in vitro study. Knee Surg Sports Traumatol Arthrosc. 2016 Oct 19. [Epub ahead of print].
Miller LE, Sode M, Fuerst T, Block JE. Joint unloading implant modifies subchondral bone trabecular structure in medial knee osteoarthritis: 2-year outcomes of a pilot study using fractal signature analysis. Clin Interv Aging. 2015;10:351ā7. https://doi.org/10.2147/CIA.S76982. eCollection 2015
Slynarski K, Lipinski L. Treating early knee osteoarthritis with the atlasĀ® Unicompartmental knee system in a 26-year-old ex-professional basketball player: a case study. Case Rep Orthop. 2017;2017:5020619.
Slynarski K, Walawski J, Smigielski R, van der Merwe W. Feasibility of the atlas unicompartmental knee system load absorber in improving pain relief and function in patients needing unloading of the medial compartment of the knee: 1-year follow-up of a prospective, multicenter, single-arm pilot study (PHANTOM high flex trial). Clin Med Insights Arthritis Musculoskelet Disord. 2017;10:1ā9.
Madonna V, Condello V, Piovan G, Screpis D, Zorzi C. Use of the KineSpring system in the treatment of medial knee osteoarthritis: preliminary results. Joints. 2016;3(3):129ā35. https://doi.org/10.11138/jts/2015.3.3.129. eCollection 2015 Jul-Sep
Shenoy VN, Gifford HS III, Kao JT. A novel implant system for unloading the medial compartment of the knee by lateral displacement of the iliotibial band. Orthop J Sports Med. 2017; 5(3): 2325967117693614.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
Ā© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Slynarski, K., Lipinski, L. (2018). Unloading Devices. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, Cham. https://doi.org/10.1007/978-3-319-77152-6_29
Download citation
DOI: https://doi.org/10.1007/978-3-319-77152-6_29
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-77151-9
Online ISBN: 978-3-319-77152-6
eBook Packages: MedicineMedicine (R0)