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Specific Issues in Surgical Techniques for Unicompartmental Knees

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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

  1. 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

    Article  Google Scholar 

  2. Bert JM (1991) Universal intramedullary instrumentation for unicompartmental total knee arthroplasty. Clin Orthop Rel Res 271:79–87

    Google Scholar 

  3. Cameron HU, Jung YB (1988) A comparison of unicompartmental knee replacement with total knee replacement. Orthop Rev 17:983–988

    PubMed  Google Scholar 

  4. Cartier P (2000) Unicompartmental prosthetic replacement. In: Surgical techniques in orthopaedics and traumatology, pp 570-A–10. Editions Scientifiques et Medicales Elsevier SAS, Paris

    Google Scholar 

  5. Cartier P Sanouiller JL, Grelsamer RP (1996) Unicompartmental knee arthroplasty surgery: 10-year minimum follow-up period. J Arthroplasty 11:782–788

    Article  PubMed  Google Scholar 

  6. 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

    Google Scholar 

  7. Deshmukh RV, Scott RD (2001) Unicompartmental knee arthroplasty: long-term results. [Review] [29 refs]. Clin Orthop Rel Res 392:272–278

    Google Scholar 

  8. Engelbrecht E (1971) Sliding prosthesis, a partial prosthesis in destructive processes of the knee joint [in German]. Chirurg 42:510–514

    PubMed  Google Scholar 

  9. Grelsamer RP, Cartier P (1992) A unicompartmental knee replacement is not "half a total knee": five major differences. Orthop Rev 21:1350–1356

    PubMed  Google Scholar 

  10. Gunston FH (1971) Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement. J Bone Joint Surg [Br] 53:272–277

    Google Scholar 

  11. Gunston FH (1973) Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement: interim report. Clin Orthop Rel Res 94:128–135

    Google Scholar 

  12. Gunston FH, MacKenzie RI (1976) Complications of polycentric knee arthroplasty. Clin Orthop Rel Res 120:11–17

    Google Scholar 

  13. 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

    Google Scholar 

  14. Hernigou P, Deschamps G (2004) Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop 432:161–165

    Google Scholar 

  15. Insall J, Aglietti P (1980) A five-to seven-year follow-up of unicondylar arthroplasty. J Bone Joint Surg [Am] 62:1329–1337

    PubMed  Google Scholar 

  16. Insall J, Walker P (1976) Unicondylar knee replacement. Clin Orthop Rel Res 120:83–85

    Google Scholar 

  17. Johnell O, Sernbo I, Gentz CF (1985) Unicompartmental knee replacement in osteoarthritis: an 8-year follow-up. Arch Orthop Trauma Surg 103:371–374

    Article  PubMed  Google Scholar 

  18. 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

    PubMed  Google Scholar 

  19. Kozinn SC, Scott R (1989) Unicondylar knee arthroplasty. [Review] [24 refs]. J Bone Joint Surg [Am] 71:145–150

    PubMed  Google Scholar 

  20. Laskin RS (1978) Unicompartmental tibiofemoral resurfacing arthroplasty. J Bone & Joint Surg [Am] 60:182–185

    Google Scholar 

  21. Laskin RS (2001) Unicompartmental knee replacement: some unanswered questions. [Review] [21 refs]. Clin Orthop Rel Res 392:267–271

    Google Scholar 

  22. 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

    Article  PubMed  Google Scholar 

  23. 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

    Google Scholar 

  24. Marmor L (1973) The modular knee. Clin Orthop Rel Res 94:242–248

    Google Scholar 

  25. 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

    Google Scholar 

  26. Marmor L (1988) Unicompartmental arthroplasty of the knee with a minimum ten-year follow-up period. Clin Orthop Rel Res 228:171–177

    Google Scholar 

  27. Marmor L (1988) Unicompartmental knee arthroplasty. Ten-to 13-year follow-up study. Clin Orthop Rel Res 226:14–20

    Google Scholar 

  28. McKeever DC (1960) Tibial plateau prosthesis. Clin Orthop 18:86–95

    Google Scholar 

  29. 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

    PubMed  Google Scholar 

  30. Murray DW (2000) Unicompartmental knee replacement: now or never? Orthopedics 23:979–980

    PubMed  Google Scholar 

  31. 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

    Article  PubMed  Google Scholar 

  32. 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

    Article  Google Scholar 

  33. Repicci JA, Eberle RW (1999) Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 8:20–27

    PubMed  Google Scholar 

  34. 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

    Article  Google Scholar 

  35. Scott RD, Santore RF (1981) Unicondylar unicompartmental replacement for osteoarthritis of the knee. J Bone Joint Surg [Am] 63:536–544

    PubMed  Google Scholar 

  36. 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

    PubMed  Google Scholar 

  37. 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

    Article  PubMed  Google Scholar 

  38. 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

    Article  Google Scholar 

  39. 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

    Google Scholar 

  40. Whiteside LA (1999) Selective ligament release in total knee arthroplasty of the knee in valgus. Clin Orthop Rel Res 367:130–140

    Article  Google Scholar 

  41. Whiteside LA (2002) Soft tissue balancing: the knee. J Arthroplasty 17:23–27

    Article  PubMed  Google Scholar 

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© 2005 Springer Medizin Verlag Heidelberg

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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

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20242-4

  • Online ISBN: 978-3-540-27658-6

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