Summary
The concept of unicompartmental knee arthroplasty (UKA) is not new. Although it was introduced in the 1960s, it did not gain popularity till the early 1990s. The new interest in UKA was attributed largely to the technological advances in biomaterial science, a refined surgical technique, and patient selection criteria with the introduction of a minimally invasive approach. UKA is performed using either resurfacing, resection, or mobile-bearing designs. The three designs share a common theme, which involves achieving ligament balance through bony resection. A novel technique was developed to pre-balance the knee joint and restore ligament tension prior to bony resection. This alternative approach minimizes bony resection and takes into consideration the fundamental differences between the basic principles of total knee arthroplasty and unicompartmental knee arthroplasty.
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References
Berger RA, Nedeff DD, Barden RM, Sheinkop MM, Jacobs JJ, Rosenberg AG, Galante JO (1999) Unicompartmental knee arthroplasty. Clinical experience at 6-to 10-year follow-up. Clin Orthop Rel Res 367:50–60
Bert JM (1991) Universal intramedullary instrumentation for unicompartmental total knee arthroplasty. Clin Orthop Rel Res 271:79–87
Cameron HU, Jung YB (1988) A comparison of unicompartmental knee replacement with total knee replacement. Orthop Rev 17:983–988
Cartier P (2000) Unicompartmental prosthetic replacement. In: Surgical techniques in orthopaedics and traumatology, pp 570-A–10. Editions Scientifiques et Medicales Elsevier SAS, Paris
Cartier P Sanouiller JL, Grelsamer RP (1996) Unicompartmental knee arthroplasty surgery: 10-year minimum follow-up period. J Arthroplasty 11:782–788
Coventry MB, Upshaw JE, Riley LH, Finerman GA, Turner RH (1973) Geometric total knee arthroplasty. I: Conception, design, indications, and surgical technic. Clin Orthop Rel Res 94:171–184
Deshmukh RV, Scott RD (2001) Unicompartmental knee arthroplasty: long-term results. [Review] [29 refs]. Clin Orthop Rel Res 392:272–278
Engelbrecht E (1971) Sliding prosthesis, a partial prosthesis in destructive processes of the knee joint [in German]. Chirurg 42:510–514
Grelsamer RP, Cartier P (1992) A unicompartmental knee replacement is not "half a total knee": five major differences. Orthop Rev 21:1350–1356
Gunston FH (1971) Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement. J Bone Joint Surg [Br] 53:272–277
Gunston FH (1973) Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement: interim report. Clin Orthop Rel Res 94:128–135
Gunston FH, MacKenzie RI (1976) Complications of polycentric knee arthroplasty. Clin Orthop Rel Res 120:11–17
Heck DA, Marmor L, Gibson A, Rougraff B (1993) T Unicompartmental knee arthroplasty. A multicenter investigation with long-term follow-up evaluation. Clin Orthop Rel Res 286:154–159
Hernigou P, Deschamps G (2004) Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop 432:161–165
Insall J, Aglietti P (1980) A five-to seven-year follow-up of unicondylar arthroplasty. J Bone Joint Surg [Am] 62:1329–1337
Insall J, Walker P (1976) Unicondylar knee replacement. Clin Orthop Rel Res 120:83–85
Johnell O, Sernbo I, Gentz CF (1985) Unicompartmental knee replacement in osteoarthritis: an 8-year follow-up. Arch Orthop Trauma Surg 103:371–374
Kozinn SC, Marx C, Scott RD (1989) Unicompartmental knee arthroplasty. A 4.5-to 6-year follow-up study with a metal-backed tibial component. J Arthroplasty 4[Suppl]:S1–10
Kozinn SC, Scott R (1989) Unicondylar knee arthroplasty. [Review] [24 refs]. J Bone Joint Surg [Am] 71:145–150
Laskin RS (1978) Unicompartmental tibiofemoral resurfacing arthroplasty. J Bone & Joint Surg [Am] 60:182–185
Laskin RS (2001) Unicompartmental knee replacement: some unanswered questions. [Review] [21 refs]. Clin Orthop Rel Res 392:267–271
Lewold S, Goodman S, Knutson K, Robertsson O, Lidgren L (1995) Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. A Swedish multicenter survival study. J Arthroplasty 10:722–731
MacIntosh DL, Hunter GA (1972) The use of the hemiarthroplasty prosthesis for advanced osteoarthritis and rheumatoid arthritis of the knee. J Bone Joint Surg [Br] 54:244–255
Marmor L (1973) The modular knee. Clin Orthop Rel Res 94:242–248
Marmor L (1977) Results of single compartment arthroplasty with acrylic cement fixation. A minimum follow-up of two years. Clin Orthop Rel Res 122:181–188
Marmor L (1988) Unicompartmental arthroplasty of the knee with a minimum ten-year follow-up period. Clin Orthop Rel Res 228:171–177
Marmor L (1988) Unicompartmental knee arthroplasty. Ten-to 13-year follow-up study. Clin Orthop Rel Res 226:14–20
McKeever DC (1960) Tibial plateau prosthesis. Clin Orthop 18:86–95
Mihalko WM, Whiteside LA, Krackow KA (2003) Comparison of ligamentbalancing techniques during total knee arthroplasty. J Bone Joint Surg [Am] 85[Suppl 4]:132–135
Murray DW (2000) Unicompartmental knee replacement: now or never? Orthopedics 23:979–980
Murray DW, Goodfellow JW, O’Connor JJ (1998) The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg [Br] 80:983–989
Psychoyios V, Crawford RW, O’Connor JJ, Murray DW (1998) Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg [Br] 80:976–982
Repicci JA, Eberle RW (1999) Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 8:20–27
Ridgeway SR, McAuley JP, Ammeen DJ, Engh GA (2002) The effect of alignment of the knee on the outcome of unicompartmental knee replacement. [erratum in J Bone Joint Surg [Br] 2002 84:1091]. J Bone Joint Surg [Br] 84:351–355
Scott RD, Santore RF (1981) Unicondylar unicompartmental replacement for osteoarthritis of the knee. J Bone Joint Surg [Am] 63:536–544
Spector BM, Ries MD, Bourne RB, Sauer WS, Long M, Hunter G (2001) Wear performance of ultra-high molecular weight polyethylene on oxidized zirconium total knee femoral components. J Bone Joint Surg [Am] 83 [Suppl 2, Pt 2]:80–86
Svard UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg [Br] 83:191–194
Weale AE, Murray DW, Baines J, Newman JH (2000) Radiological changes five years after unicompartmental knee replacement. J Bone Joint Surg [Br] 82:996–1000
White SE, Whiteside LA, McCarthy DS, Anthony M, Poggie RA (1994) Simulated knee wear with cobalt chromium and oxidized zirconium knee femoral components. Clin Orthop Rel Res 309:176–184
Whiteside LA (1999) Selective ligament release in total knee arthroplasty of the knee in valgus. Clin Orthop Rel Res 367:130–140
Whiteside LA (2002) Soft tissue balancing: the knee. J Arthroplasty 17:23–27
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Pinczewski, L., Kader, D., Connolly, C. (2005). Specific Issues in Surgical Techniques for Unicompartmental Knees. In: Bellemans, J., Ries, M.D., Victor, J.M. (eds) Total Knee Arthroplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27658-0_37
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DOI: https://doi.org/10.1007/3-540-27658-0_37
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