Skip to main content
SpringerLink
Log in

Le protesi monocompartimentali

  • Chapter
La protesi di ginocchio di primo impianto

  • 480 Accesses

Estratto

Le protesi monocompartimentali di ginocchio sono state utilizzate nella pratica clinica nell’ultimo quarto di secolo [1]. Nonostante questo, il loro utilizzo è ancora controverso. Le prime serie hanno ottenuto risultati scoraggianti. Con il miglioramento degli impianti, della tecnica chirurgica, del materiale delle componenti e della loro fissazione, i risultati delle protesi monocompartimentali riportati recentemente in letteratura sono quasi paragonabili a quelli delle protesi totali di ginocchio [2, 4]. Tra il 1996 e il 1997 negli Stati Uniti sono state impiantate solo 2500 protesi monocompartimentali. Alla Mayo Clinic negli anni ’90, su 8500 artroprotesi totali di ginocchio sono state realizzate solo 3 protesi monocompartimentali. Nonostante continue controversie c’è un nuovo interesse nei confronti di queste componenti protesiche [2]. Non si è infatti assistito alla progressione dell’artrosi negli altri compartimenti secondo quanto riportato in letteratura. I tempi di ricovero e il costo delle protesi monocompartimentali sono minori rispetto alle protesi totali di ginocchio [5, 6] e alcuni Centri eseguono questo tipo di intervento in regime ambulatoriale. Inoltre, i risultati clinici delle protesi monocompartimentali sono preferibili per i pazienti, rispetto a quelli delle protesi totali di ginocchio.

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

Access this chapter

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 109.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliografia

  1. Marmor L (1988) Unicompartmental knee arthroplasty. Ten-to 13-year follow-up study. Clin Orthop (294):14–20

    Google Scholar 

  2. Berger RA, Nedeff DD, Barden RM et al (1999) Unicompartmental knee arthroplasty. Clinical experience at 6-to 10-year follow-up. Clin Orthop 367:50–60

    PubMed  Google Scholar 

  3. 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  CAS  Google Scholar 

  4. Tabor OB Jr, Tabor OB (1994) Unicompartmental arthroplasty: a long-term follow-up study. J Arthroplasty 13:373–379

    Article  Google Scholar 

  5. Shakespeare D, Jeffcote B (2003) Unicondylar arthroplasty of the knee-cheap at half the price? Knee 10:357–361

    Article  PubMed  Google Scholar 

  6. Robertsson O, Borgquist L, Knutson K et al (1999) Use of unicompartmental instead of tricompartmental prostheses for unicompartmental arthrosis in the knee is a cost-effective alternative. Acta Orthop Scand 70:170–175

    PubMed  CAS  Google Scholar 

  7. Thornhill TS, Scott RD (1989) Unicompartmental total knee arthroplasty. Orthop Clin North Am 20:245–256

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  9. Ackroyd CE (2003) Medial compartment arthroplasty of the knee. J Bone Joint Surg Br 85:937–942

    Article  PubMed  CAS  Google Scholar 

  10. Goodfellow J, O’Connor J (1992) The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses. Clin Orthop 276:245–252

    PubMed  Google Scholar 

  11. Hendel D, Beloosesky Y, Garti A, Weisbort M (2003) Medial unicompartmental replacement for tricompartmental disease in the elderly. Knee 10: 363–365

    Article  PubMed  CAS  Google Scholar 

  12. Whitewood CN, MacDonald SJ (2002) Unicompartmental arthroplasty in the postmeniscectomy knee: the Oxford knee. Sports Med Arthrosc Rev 10:260–269

    Article  Google Scholar 

  13. Woods DA, Wallace DA, Woods CG et al (1995) Chondrocalcinosis and medial unicompartmental knee arthroplasty. Knee 2:117–119

    Article  Google Scholar 

  14. Robertsson O (2000) Unicompartmental arthroplasty. Results in Sweden 1986–1995. Orthopade 29:S6–S8

    Article  PubMed  Google Scholar 

  15. Tria AJ Jr (2002) Minimally invasive unicompartmental knee arthroplasty. Techniques in Knee Surg 1:60–71

    Article  Google Scholar 

  16. Stern SH, Becker MW, Insall JN (1993) Unicondylar knee arthroplasty. An evaluation of selection criteria. Clin Orthop 286:143–148

    PubMed  Google Scholar 

  17. Chesnut WJ (1991) Preoperative diagnostic protocol to predict candidates for unicompartmental arthroplasty. Clin Orthop 273:146–150

    PubMed  Google Scholar 

  18. MacIntosh D (1958) Hemiarthroplasty of the knee using a space occupying prosthesis for painful varus and valgus deformities. J Bone Joint Surg Am 40:1431

    Google Scholar 

  19. McKeever DC (1960) Tibial plateau prosthesis. Clin Orthop 192:86–95

    Google Scholar 

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

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  22. Marmor L (1979) Modular knee in unicompartmental disease. Minimum four-year follow-up. J Bone Joint Surg Am 61:347–353

    PubMed  CAS  Google Scholar 

  23. Engelbrecht E, Siegel A, Rottger J et al (1976) Statistics of total knee replacement: partial and total knee replacement, design St. Georg: a review of a 4-year observation. Clin Orthop 120:54–64

    PubMed  Google Scholar 

  24. Barnes CL, Scott RD (1993) Unicompartmental knee arthroplasty. Instr Course Lect 42:309–314

    PubMed  CAS  Google Scholar 

  25. Goodfellow J, O’Connor J (1978) The mechanics of the knee and prosthesis design. J Bone Joint Surg Br 60:358–369

    PubMed  Google Scholar 

  26. Murray DW (2001) Unicompartmental knee replacement. Relazione presentata al Canadian Orthopaedic Association Annual Meeting, June 1–4, London

    Google Scholar 

  27. Psychoyios V, Crawford RW, O’Connor JJ et al (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  PubMed  CAS  Google Scholar 

  28. Hyldahl HC, Regnér L, Carlsson L et al (2001) Does metal backing improve fixation of tibial component in unicondylar knee arthroplasty? A randomized radiostereometric analysis. J Arthroplasty 16:174–179

    Article  PubMed  CAS  Google Scholar 

  29. Rosa RA, Bert JM, Warwick B et al (2002) An evaluation of all-ultra-high molecular weight polyethylene unicompartmental tibial component cement-fixation mechanisms. J Bone Joint Surg Am 84:102–104

    PubMed  Google Scholar 

  30. Deshmukh RV, Scott RD (2001) Unicompartmental knee arthroplasty: long-term results. Clin Orthop (392):272–278

    Article  PubMed  Google Scholar 

  31. Scott R (2000) Unicompartmental total knee arthroplasty. In: Insall JN (ed) Surgery of the knee. Churchill Livingstone, Philadelphia, pp 1621–1628

    Google Scholar 

  32. Hernigou P, Deschamps G (2004) Posterior slope of the tibial implant and the outcome of unicompartmental knee arthroplasty. J Bone Joint Surg Am 86:506–511

    PubMed  Google Scholar 

  33. Pagnano M, Rand JA (2003) Unicompartmental knee arthroplasty. In: Morrey B (ed) Joint replacement arthroplasty. Churchill Livingstone, Philadelphia, pp 1002–1012

    Google Scholar 

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

    PubMed  Google Scholar 

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

    PubMed  CAS  Google Scholar 

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

    PubMed  CAS  Google Scholar 

  37. Robertsson O, Knutson K, Lewold S et al (2001) The routine of surgical management reduces failure after unicompartmental knee arthroplasty. J Bone Joint Surg Br 83:45–49

    Article  PubMed  CAS  Google Scholar 

  38. 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  CAS  Google Scholar 

  39. Lewold S, Goodman S, Knutson K et al (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  CAS  Google Scholar 

  40. Robertsson O, Borgquist L, Knutson K et al (1999) Use of unicompartmental instead of tricompartmental prostheses for unicompartmental arthrosis in the knee is a cost-effective alternative. Acta Orthop Scand 70:170–175

    PubMed  CAS  Google Scholar 

  41. Robertsson O, Dunbar MJ, Knutson K, Lidgren L (2000) Patient satisfaction after knee arthroplasty: a report on 27 372 knees operated on between 1981 and 1995 in Sweden. Acta Orthop Scand 71:262–267

    Article  PubMed  CAS  Google Scholar 

  42. Rougraff BT, Heck DA, Gibson AE (1991) A comparison of tricompartmental and unicompartmental arthroplasty for the treatment of gonarthrosis. Clin Orthop (273):157–164

    PubMed  Google Scholar 

  43. Laurencin CT, Zelicof SB, Scott RD (1991) Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop (273):151–156

    PubMed  Google Scholar 

  44. Cobb AG, Kozinn SC, Scott RD (1990) Unicondylar or total knee replacement: a patient preference. J Bone Joint Surg Br 72:166

    Google Scholar 

  45. Machner A, Pap G, Awiszus F (2002) Evaluation of quadriceps strength and voluntary activation after unicompartmental arthroplasty for medial osteoarthritis of the knee. J Orthop Res 20:108–111

    Article  PubMed  Google Scholar 

  46. Hassaballa MA, Porteous AJ, Newman JH, Rogers CA (2003) Can knees kneel? Kneeling ability after total, unicompartmental and patellofemoral knee arthroplasty. Knee 10:155–160

    Article  PubMed  CAS  Google Scholar 

  47. Fuchs S, Frisse D, Tibesku CO et al (2002) Proprioceptive function, clinical results, and quality of life after unicondylar sledge prostheses. Am J Phys Med Rehabil 81:478–482

    Article  PubMed  CAS  Google Scholar 

  48. Naudie D, Bourne RB, Rorabeck CH, Bourne TJ (1999) The Install Award. Survivorship of the high tibial valgus osteotomy. A 10-to 22-year follow-up study. Clin Orthop (367):18–27

    PubMed  Google Scholar 

  49. Broughton NS, Newman JH, Baily RA (1986) Unicompartmental replacement and high tibial osteotomy for osteoarthritis of the knee. A comparative study after 5–10 years’ follow-up. J Bone Joint Surg Br 68:447–452

    PubMed  CAS  Google Scholar 

  50. Weale AE, Newman JH (1994) Unicompartmental arthroplasty and high tibial osteotomy for osteoarthrosis of the knee. A comparative study with a 12-to 17-year follow-up period. Clin Orthop(302):134–137

    PubMed  Google Scholar 

  51. Weale AE, Newman JH (1994) Unicompartmental arthroplasty and high tibial osteotomy for osteoarthrosis of the knee. A comparative study with a 12-to 17-year follow-up period. Clin Orthop(302):134–137

    PubMed  Google Scholar 

  52. Stukenborg-Colsman C, Wirth CJ, Lazovic D (2001) High tibial osteotomy versus unicompartmental joint replacement in unicompartmental knee joint osteoarthritis: 7–10-year follow-up prospective randomised study. Knee 8:187–194

    Article  PubMed  CAS  Google Scholar 

  53. Ivarsson I, Gillquist J (1991) Rehabilitation after high tibial osteotomy and unicompartmental arthroplasty. A comparative study. Clin Orthop (266):139–144

    PubMed  Google Scholar 

  54. Schai PA, Suh JT, Thornhill TS et al (1998) Unicompartmental knee arthroplasty in middle-aged patients: a 2-to 6-year follow-up evaluation. J Arthroplasty 13:365–372

    Article  PubMed  CAS  Google Scholar 

  55. Padgett DE, Stern SH, Insall JN (1991) Revision total knee arthroplasty for failed unicompartmental replacement. J Bone Joint Surg Am 73:186–190

    PubMed  CAS  Google Scholar 

  56. Barrett WP, Scott RD (1987) Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg Am 69:1328–1335

    PubMed  CAS  Google Scholar 

  57. Chakrabarty G, Newman JH, Ackroyd CE (1998) Revision of unicompartmental arthroplasty of the knee. Clinical and technical considerations. J Arthroplasty 13:191–196

    Article  PubMed  CAS  Google Scholar 

  58. McAuley JP, Engh GA, Ammeen DJ (2001) Revision of failed unicompartmental knee arthroplasty. Clin Orthop (392):279–282

    Article  PubMed  Google Scholar 

  59. Levine WN, Ozuna RM, Scott RD (1995) Conversion of failed modern unicompartmental arthroplasty or high tibial osteotomy. Clin Orthop (321):10–18

    Google Scholar 

  60. Miller M, Benjamin JB, Marson B, Hollstien S (2002) The effect of implant constraint on results of conversion of unicompartmental knee arthroplasty to total knee arthroplasty. Orthopedics 25:1353–1357

    PubMed  Google Scholar 

  61. Lewold S, Robertsson O, Knutson K, Lidgren L (1998) Revision of unicompartmental knee arthroplasty: outcome in 1135 cases from the Swedish Knee Arthroplasty study. Acta Orthop Scand 69:469–474

    PubMed  CAS  Google Scholar 

  62. Weale AE, Murray DW, Crawford R et al (1999) Does arthritis progress in the retained compartments after ‘Oxford’ medial unicompartmental arthroplasty? A clinical and radiological study with a minimum ten-year follow-up. J Bone Joint Surg Br 81:783–789

    Article  PubMed  CAS  Google Scholar 

  63. Hernigou P, Deschamps G (2004) Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop (423):161–165

    Article  PubMed  Google Scholar 

  64. Douglas N, Guerin J, Parker DA et al (2004) Medial unicompartmental knee arthroplasty with the Miller-Galante Prosthesis. J Bone Joint Surg Am 86:1931–1935

    Google Scholar 

  65. Hopgood P, Martin CP, Rae PJ (2004) The effect of tibial implant size on post-operative alignment following medial unicompartmental knee replacement. Knee 11:385–388

    Article  PubMed  CAS  Google Scholar 

  66. McGovern TF, Ammeen DJ, Collier JP et al (2002) Rapid polyethylene failure of unicondylar tibial components sterilized with gamma irradiation in air and implanted after a long shelf life. J Bone Joint Surg Am 84:901–906

    PubMed  Google Scholar 

  67. Collier MB, Engh CA Jr, Engh GA (2004) Shelf age of the polyethylene tibial component and outcome of unicondylar knee arthroplasty. J Bone Joint Surg Am 86:763–769

    PubMed  Google Scholar 

  68. Psychoyios V, Crawford RW, O’Connor JJ (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  PubMed  CAS  Google Scholar 

  69. Blunn GW, Joshi AB, Minns RJ et al (1997) Wear in retrieved condylar knee arthroplasties. A comparison of wear in different designs of 280 retrieved condylar knee prostheses. J Arthroplasty 12:281–290

    Article  PubMed  CAS  Google Scholar 

  70. Ryd L, Lindstrand A, Stenström A, Selvik G (1992) The influence of metal backing in unicompartmental tibial component fixation. An in vivo roentgen stereophotogrammetric analysis of micromotion. Arch Orthop Trauma Surg 1111:148–154

    Article  Google Scholar 

  71. Gunther T, Murray DW, Miller R (1996) Lateral unicompartmental arthroplasty with the Oxford meniscal knee. Knee 3:33–39

    Article  Google Scholar 

  72. Robinson BJ, Rees JL, Price AJ et al (2002) Dislocation of the bearing of the Oxford lateral unicompartmental arthroplasty. A radiological assessment. J Bone Joint Surg Br 84:653–657

    Article  PubMed  CAS  Google Scholar 

  73. Hernigou P, Deschamps G (2002) Patellar impingement following unicompartmental arthroplasty. J Bone Joint Surg Am 84:1132–1137

    PubMed  Google Scholar 

  74. Howe DJ, Taunton OD Jr, Engh GA (2004) Retained cement after unicondylar knee arthroplasty. A report of four cases. J Bone Joint Surg Am 86:2283–2286

    PubMed  Google Scholar 

  75. Romanowski MR, Repicci JA (2002) Minimally invasive unicondylar arthroplasty in the post-menisectomy knee: Repicci knee. Sports Med Arthrosc Rev 10:253–259

    Article  Google Scholar 

  76. Romanowski MR, Repicci JA (2002) Minimally invasive unicondylar arthroplasty. eight-year follow-up. J Knee Surg 15:17–22

    PubMed  Google Scholar 

  77. Price AJ, Webb J, Topf H et al (2001) Rapid recovery after Oxford unicompartmental arthroplasty through a short incision. J Arthroplasty 16:970–976

    Article  PubMed  CAS  Google Scholar 

  78. Müller PE, Pellengahr C, Witt M et al (2004) Influence of minimally invasive surgery on implant positioning and the functional outcome for medial unicompartmental knee arthroplasty. J Arthroplasty 19:296–301

    Article  PubMed  Google Scholar 

  79. Rees JL, Price AJ, Beard DJ et al (2004) Minimally invasive Oxford unicompartmental knee arthroplasty: functional results at 1 year and the effect of surgical inexperience. Knee 11:363–367

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Toronto, Canada

    G. Maistrelli & S. Riaz

Authors
  1. G. Maistrelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Riaz
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag Italia, Milano

About this chapter

Cite this chapter

Maistrelli, G., Riaz, S. (2005). Le protesi monocompartimentali. In: La protesi di ginocchio di primo impianto. Springer, Milano. https://doi.org/10.1007/88-470-0379-2_19

Download citation

  • DOI: https://doi.org/10.1007/88-470-0379-2_19

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-0315-6

  • Online ISBN: 978-88-470-0379-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation