Skip to main content
SpringerLink
Log in
Book cover

Partial Knee Arthroplasty pp 49–61Cite as

The Surgical Steps for Lateral Partial Knee Arthroplasty

  • Chapter
  • First Online:

  • 814 Accesses

Abstract

Unicompartmental tibiofemoral osteoarthritis generally affects the medial compartment of the knee, but in 10% of cases, the lateral compartment is primarily involved. A lateral unicompartmental knee arthroplasty is a potential solution, with a 10-year survivorship greater than 90% – rates comparable to total knee arthroplasty. The lateral unicompartmental knee arthroplasty requires specific indications due to the biomechanical differences between the medial and lateral compartments and remains a technically demanding surgery. Proper patient selection, correct implant size selection and position, and avoiding overcorrection of the preoperative valgus deformity are critically important in ensuring good patient outcomes. The lateral unicompartmental knee arthroplasty demonstrates equivocal or slightly superior implant survival and outcomes versus medial unicompartmental arthroplasty in the treatment of isolated compartment tibiofemoral arthritis.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Servien E, Ait Si Selmi T, Neyret P, Verdonk P. How to select candidates for lateral unicompartmental prosthesis. Curr Orthop Pract. 2008;19:451–8.

    Article  Google Scholar 

  2. Swienckowski JJ, Pennington DW. Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am. 2004;86-A(Suppl 1):131–42.

    Article  Google Scholar 

  3. Lustig S, Lording T, Frank F, Debette C, Servien E, Neyret P. Progression of medial osteoarthritis and long term results of lateral unicompartmental arthroplasty: 10 to 18 year follow-up of 54 consecutive implants. Knee. 2014;21(Suppl 1):S26–32.

    Article  Google Scholar 

  4. Argenson JN, Chevrol-Benkeddache Y, Aubaniac JM. Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J Bone Joint Surg Am. 2002;84-A:2235–9.

    Article  Google Scholar 

  5. Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, et al. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am. 2005;87:999–1006.

    Article  Google Scholar 

  6. Ollivier M, Abdel MP, Parratte S, Argenson JN. Lateral unicondylar knee arthroplasty (UKA): contemporary indications, surgical technique, and results. Int Orthop. 2014;38:449–55.

    Article  Google Scholar 

  7. Rosenberg TD, Paulos LE, Parker RD, Coward DB, Scott SM. The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am. 1988;70(10):1479–83.

    Article  CAS  Google Scholar 

  8. Lustig S, Parratte S, Magnussen RA, Argenson JN, Neyret P. Lateral unicompartmental knee arthroplasty relieves pain and improves function in posttraumatic osteoarthritis. Clin Orthop Relat Res. 2012;470:69–76.

    Article  Google Scholar 

  9. Sah AP, Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach: surgical technique. J Bone Joint Surg Am. 2008;90(Suppl 2 Pt 2):195–205.

    Article  Google Scholar 

  10. Pennington DW, Swienckowski JJ, Lutes WB, Drake GN. Lateral unicompartmental knee arthroplasty: survivorship and technical considerations at an average follow-up of 12.4 years. J Arthroplast. 2006;21:13–7.

    Article  Google Scholar 

  11. Berend KR, Kolczun MC 2nd, George JW Jr, Lombardi AV Jr. Lateral unicompartmental knee arthroplasty through a lateral parapatellar approach has high early survivorship. Clin Orthop Relat Res. 2012;470:77–83.

    Article  Google Scholar 

  12. Servien E, Fary C, Lustig S, Demey G, Saffarini M, Chomel S, et al. Tibial component rotation assessment using CT scan in medial and lateral unicompartmental knee arthroplasty. Orthop Traumatol Surg Res. 2011;97:272–5.

    Article  CAS  Google Scholar 

  13. Griffin T, et al. Unicompartmental knee arthroplasty for the treatment of unicompartmental osteoarthritis: a systematic study. ANZ J Surg. 2007;77(4):214–21.

    Article  Google Scholar 

  14. Haas SB, et al. Venous thromboembolic disease after total hip and knee arthroplasty. J Bone Joint Surg Am. 2008;90(12):2764–80.

    PubMed  Google Scholar 

  15. Liddle AD, Judge A, Pandit H, Murray DW. Adverse outcomes after total and unicompartmental knee replacement in 101,330 matched patients: a study of data from the National Joint Registry for England and Wales. Lancet. 2014 Oct 18;384(9952): 1437–45. Erratum in: Lancet. 2015 Feb 28;385(9970): 774.

    Article  Google Scholar 

  16. Fillingham YA, Crizer M, Culvern C, Bohl DD, Lonner JH, Della Valle CJ. Formal physical therapy may not be essential following unicompartmental knee arthroplasty: a randomized clinical trial. American association of hip and knee surgeons annual meeting, 2017. Podium Presentation: Paper #55.

    Google Scholar 

  17. Bertani A, et al. Unicompartmental-knee arthroplasty for treatment of lateral gonarthrosis: about 30 cases. Midterm results. Rev Chir Orthop Reparatrice Appar Mot. 2008;94(8):763–70.

    Article  CAS  Google Scholar 

  18. Kendrick BJ, et al. Polyethylene wear in Oxford unicompartmental knee replacement: a retrieval study of 47 bearings. J Bone Joint Surg Br. 2010;92(3):367–73.

    Article  CAS  Google Scholar 

  19. Worland RL, Jessup DE. Recurrent hemarthrosis after total knee arthroplasty. J Arthroplast. 1996;11(8):977–8.

    Article  CAS  Google Scholar 

  20. Asanuma K, et al. Recurrent hemarthrosis after unicompartmental knee arthroplasty. Orthopedics. 2011;34(9):e578–80.

    PubMed  Google Scholar 

  21. Ohdera T, et al. Recurrent hemarthrosis after knee joint arthroplasty: etiology and treatment. J Arthroplast. 2004;19(2):157–61.

    Article  Google Scholar 

  22. Argenson JN, et al. Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res. 2008;466(11):2686–93.

    Article  Google Scholar 

  23. Engh GA. Orthopaedic crossfire – can we justify unicondylar arthroplasty as a temporizing procedure? in the affirmative. J Arthroplast. 2002;17(4 Suppl 1):54–5.

    Article  Google Scholar 

  24. Gacon G. Differences between lateral and medial unicompartmental prostheses. Eur J Orthop Surg Traumatol. 1995;5(3):223.

    Article  CAS  Google Scholar 

  25. Parratte S, et al. Unicompartmental knee arthroplasty for avascular osteonecrosis. Clin Orthop Relat Res. 2007;464:37–42.

    PubMed  Google Scholar 

  26. Sah AP, Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach. Study with an average five-year follow-up. J Bone Joint Surg Am. 2007;89(9):1948–54.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Centre Albert Trillat, Orthopedic Surgery, Croix-Rousse Hospital, Lyon, France

    C. Batailler, E. Servien & S. Lustig

  2. Anderson Orthopaedic Research Institute, INOVA Mount Vernon Hospital, Alexandria, VA, USA

    Jacob Haynes, Kevin Fricka & William Hamilton

  3. University of New Mexico, Department of Orthopaedic Surgery, Albuquerque, NM, USA

    C. Bankhead

Authors
  1. C. Batailler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jacob Haynes
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Bankhead
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Kevin Fricka
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. E. Servien
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. William Hamilton
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. S. Lustig
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institute for Locomotion, Aix-Marseille University, Marseille, France

    Jean-Noël A. Argenson

  2. University of Maryland St. Joseph Medical Center, Towson, MD, USA

    David F. Dalury

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Batailler, C. et al. (2019). The Surgical Steps for Lateral Partial Knee Arthroplasty. In: Argenson, JN., Dalury, D. (eds) Partial Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-94250-6_6

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-94250-6_6

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94249-0

  • Online ISBN: 978-3-319-94250-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation