Resurgence of Unicompartmental Knee Arthroplasty
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Published:
Sep 20, 2011
Keywords:
Unicompartmental Knee Arthroplasty Minimal Invasive Surgery UKA
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Abstract
During the 1970’s and 1980’s, Orthopaedic Surgeons began developing and using unicondylar knee arthroplasty (UKA) for treatment of unicompartmental osteoarthritis (OA) of the knee.1 High failure rates were reported, due to poor design (mostly due to the cement loosening and plastic wear), poor surgical technique, and improper patient selection.2-5
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1.
Khumrak S. Resurgence of Unicompartmental Knee Arthroplasty. BKK Med J [Internet]. 2011 Sep. 20 [cited 2024 Dec. 24];2(1):73. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/217764
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References
1. Repicci JA, Hartman JF. Minimally invasive unicondylar knee arthroplasty for the treatment of unicompartmental osteoarthritis: an outpatient arthritic bypass procedure. Clin Orthop N 2004;35:201-16.
2. Insall J, Aglietti P. A five- to seven-year follow-up of unicondylar arthroplasty. J Bone Joint Surg Am 1980;62 :1329-37.
3. Ackroyd CE, Whitehouse SL, Newman JH, et al. A comparative study of the medial St Georg sled and kinematic total knee arthroplasties. Ten year survivorship. J Bone Joint Surg Br 2002;84:667-72.
4. Barrett WP, Scott RD. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg Am 1987;69:1328-35.
5. Dennis DA, Clayton ML, O’Donnell S, et al. Posterior cruciate condylar total knee arthroplasty. Average 11-year follow-up evaluation. Clin Orthop 1992;281:168-76.
6. Ranawat CS, Boachie-Adjei O. Survivorship analysis and results of total condylar knee arthroplasty. Eight- to 11-year follow-up period. Clin Orthop 1988;226:6-13.
7. Ritter MA, Campbell E, Faris PM, et al. Long-term survival analysis of the posterior cruciate condylar total knee arthroplasty. A 10-year evaluation. J Arthroplasty 1989;4:293-6.
8. Scuderi GR, Insall JN, Windsor RE, et al. Survivorship of cemented knee replacements. J Bone Joint Surg Br 1989;71:798-803.
9. Stern SH, Insall JN. Posterior stabilized prosthesis.Results after follow-up of nine to twelve years. J Bone Joint Surg Am 1992;74:980-6.
10. Vince KG, Insall JN, Kelly MA. The total condylar prosthesis. 10- to 12-year results of a cemented knee replacement. J Bone Joint Surg Br 1989;71:793-7.
11. Hassaballa MA, Porteus AJ, Learmonth ID. Functional outcomes after different types of knee arthroplasty: Kneeling ability versus descending stairs. Med Sci Monit 2007;13:77-81.
12. Hassaballa MA, Porteus AJ, Newman JH, et al. Can knees kneel? Kneeling ability after total, unicompartmental and patellofemoral arthroplasty. Knee 2003; 10:155-60.
13. Laurencin CT, Zellicof SB, Scott RD, et al. Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res 1991;273:151-6.
14. Manzotti A, Confalonieri N, Pullen C. Unicompartmental versus computer-assisted total knee replacement for medial compartment knee arthritis: a matched pair study. Int Orthop 2007;31:315-9.
15. Walton NP, Jahromi I, Lewis PL, et al. Patientperceived outcomes and return to sport and work: TKA versus miniincision unicompartmental knee arthroplasty. J Knee Surg 2006;19:112-6.
16. Weale AE, Halabi OA, Jones PW, et al. Perceptions of outcomes after unicompartmental and total knee replacements: Clin Orthop Relat Res 2001;382:143-53.
17. Weale AE, Murray DW, Crawford R, et al. 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 1999;81:783-9.
18. Carlsson LV, Albrektsson BEJ. Minimally Invasive Surgery vs Conventional Exposure Using the Miller- Galante Unicompartmental Knee Arthroplasty, A Randomized Radiostereometric Study. The Journal of Arthroplasty 2006;21:151-16.
19. Newman JH, Ackrouyd CE, Shah NA. Unicompartmental or total knee replacement? Five-year results of a prospective, randomised trial of 102 osteoarthritic knees with unicompartmental arthritis. J Bone Joint Surg Br 1998;80:862.
20. Price AJ, Webb J, Topf H, et al. Rapid recovery after Oxford unicompartmental arthroplasty through a short inscision. J Arthroplasty 2001;16:970.
21. Beard DJ, Murray DW, Rees JL, et al. Accelerated recovery for unicompartmental knee replacement feasibility study. Knee 2002;9:221.
22. Robertsson O, Borgqvist L, Knutsson K, et al. Use of unicompartmental instead of tricompartmental prostheses for unico partmental arthrosis in the knee is a cost-effective alternative. 15,437 primary tricompartmental pros theses were compared with 10,624 primary medial or lateral unicompartmental prostheses. Acta Orthop Scand 1999;70:170.
23. Deschamps G. Unicompartmental knee arthroplasty Technical princles. Osteoarthrisis of the knee. France: Spinger 2008:113-24.
24. Bonutti P, Marker D, Ulrich S, et al. Evaluation of an all-polyethylene tibial component design in unicompart mental knee arthroplasty. AAOS: San Francisco (Calif);2008.
25. Small SR, Berend ME, Ritter MA. Metal Backing Significantly Decreases Tibial Strains in a Medial Unicompartmental Knee Arthroplasty Model. The Journal of Arthroplasty 2010;10:771-6.
26. Price A, Wait J, Svärd U. Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Rel Res 2005:171-80.
27. Vorlat P, Putzeys G, Cottenie D, et al. The Oxford unicompartmental knee prosthesis: an independent 10-year survival analysis. Knee Surg Sports Traumatol Arthrosc 2005;14:40-5.
28. Kozinn SC and Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg 1989;71:145-50.
29. Cameron HU, Hunter GA, Welsh RP, et al. Unicompartmental knee replacement. Clin Orthop 1981;160:109-13.
30. Repicci JA and Ebrle RW. Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 1999;8:20-7.
31. Romanowski MR and Repicci JA. Minimally invasive unicondylar arthroplasty (eight-year follow-up). J Knee Surg 2002;15:17-22.
32. Lindstrand A, Stenstrom A, Ryd L, et al. The introduction period of unicompartmental knee arthroplasty is critical. J Arthroplasty 2000;15:608-16.
33. Keys GW. The reduced invasive approach for medial Oxford II meniscal bearing replacement. J Bone Joint Surg Br 2000;82 (Suppl 1):24-5.
34. Price AJ, Webb J, Topf H, et al. Rapid recovery after Oxford uni-compartmental arthroplasty through a short incision. J Arthroplasty 2001;16:970-97.
35. Engh GA. Orthopaedic crossfire-can we justify unicondylar arthroplasty as a temporizing procedure? In the affirmative. J Arthroplasty 2002;17 [Suppl 1]:54-5.
36. Mont MA, Stuchin SA, Paley D, et al. Different surgical options for monocompartmental osteoarthritis of the knee: high tibial osteotomy versus unicompartmental knee arthroplasty versus total knee arthroplasty: indications, techniques, results, and controversies. Instr Course Lect 2004; 53:265-83.
37. Padgett DE, Stern SH, Insall JN. Revision total knee arthroplasty for failed unicompartmental replacement. J Bone Joint Surg Am 1991;73:186-90.
38. Inglis GS. Unicompartmental arthroplasty of the knee: a follow up of 3 to 9 years. J Bone Joint Surg Br 1984;66: 682-84.
39. Price AJ and Svard U: A Second Decade Lifetable Survival Analysis of the Oxford Unicompartmental Knee Arthroplasty. Clin Orthop Relat Res 2010; 382:143-53.
40. Keblish PA and Briard JL: Mobile Bearing Unicompartmental Knee Arthroplasty, A 2-Center Study With an 11-Year (Mean) Follow-Up : The Journal of Arthroplasty 2004;19(Suppl.2):87-94.
41. Lombardi AV, Berend KR, Walter CA, et al. Is Recovery Faster for Mobile-bearing Unicompartmental than Total Knee Arthroplasty?: Clin Orthop Relat Res 2009; 467:1450-7.
42. Muller PE, Pellengahr C, Witt M, et al. Influence of Minimally Invasive Surgery on Implant Positioning and the Functional Outcome for Medial Unicompartmental Knee Arthroplasty. The Journal of Arthroplasty 2004; 19:296-301.
43. Price AJ, Webb J, Topf H, et al. Rapid Recovery After Oxford Unicompartmental Arthroplasty Through a Short Incision. The Journal of Arthroplasty 2001;16 :970-6.
44. Barrett W and Scott R. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg 1987;69:1328-35.
45. Collier MB, Eickmann TH, Sukezaki F, et al. Patient, implant, and alignment factors associated with revision of medial compartment unicondylar arthroplasty. The Journal of Arthroplasty Annual AAHKS Meeting, November 2005 Scientific Program 2006;21:108-15.
46. Kennedy WR and White RP. Unicompartmental arthroplasty of the knee. Postoperative alignment and its influence on overall results. Clin Orthop Relat Res 1987;221:278-85.
47. Aleto TJ, Berend ME, Ritter MA, et al. Early failure of unicompartmental knee arthroplasty leading to revision. J Arthroplasty 2008;23:159-63.
48. Barrett W, Scott R. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone JointSurg 1987; 69:1328-35.
49. Berger RA, Nedeff DD, Barden RM, et al. Unicompartmental knee arthroplasty: clinical experience at 6- to 10-year followup. Clin Orthop 1999; 367:50.
50. Vince KG, Cyran LT: Unicompartmental knee arthroplasty New Indications, More complications? J Arthroplasty 2004;19:12.
51. Yang KY, Yeo SJ, Lo NN. Stress fracture of the medial tibial plateau after minimally invasive unicompartmental knee arthroplasty: a report of 2 cases. J Arthroplasty 2008;18:801.
52. Brumby SA, Carrington R, Zayontz S, et al: Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes. J Arthroplasty 2003;18:809.
53. Song MH, Kim BH, Ahn SJ , et al. Early Complications After Minimally Invasive Mobile-Bearing Medial Unicompartmental Knee Arthroplasty. The Journal of Arthroplasty 2009; 248:1281-4.
54. Lewold S, Knutsom K, Robertssom O, et al. Oxford Meniscal Bearing Knee versus the Marmor Knee in Unicompartmental Arthroplasty for Arthrosis (A Swedish Multicenter Survival Study). The Journal of Arthroplasty 1995;10:722-31.
55. Bert JM. 10-Year Survivorship of Metal Backed Unicompartmental Arthroplasty. The Journal of Arthroplasty 1998;13:901-5.
56. Hernigou P and Deschamps G. Alignment Influences Wear in the Knee after Medial Unicompartmental Arthroplasty. Clinical Orthopaedics and Related Research 2004;423:161-5.
2. Insall J, Aglietti P. A five- to seven-year follow-up of unicondylar arthroplasty. J Bone Joint Surg Am 1980;62 :1329-37.
3. Ackroyd CE, Whitehouse SL, Newman JH, et al. A comparative study of the medial St Georg sled and kinematic total knee arthroplasties. Ten year survivorship. J Bone Joint Surg Br 2002;84:667-72.
4. Barrett WP, Scott RD. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg Am 1987;69:1328-35.
5. Dennis DA, Clayton ML, O’Donnell S, et al. Posterior cruciate condylar total knee arthroplasty. Average 11-year follow-up evaluation. Clin Orthop 1992;281:168-76.
6. Ranawat CS, Boachie-Adjei O. Survivorship analysis and results of total condylar knee arthroplasty. Eight- to 11-year follow-up period. Clin Orthop 1988;226:6-13.
7. Ritter MA, Campbell E, Faris PM, et al. Long-term survival analysis of the posterior cruciate condylar total knee arthroplasty. A 10-year evaluation. J Arthroplasty 1989;4:293-6.
8. Scuderi GR, Insall JN, Windsor RE, et al. Survivorship of cemented knee replacements. J Bone Joint Surg Br 1989;71:798-803.
9. Stern SH, Insall JN. Posterior stabilized prosthesis.Results after follow-up of nine to twelve years. J Bone Joint Surg Am 1992;74:980-6.
10. Vince KG, Insall JN, Kelly MA. The total condylar prosthesis. 10- to 12-year results of a cemented knee replacement. J Bone Joint Surg Br 1989;71:793-7.
11. Hassaballa MA, Porteus AJ, Learmonth ID. Functional outcomes after different types of knee arthroplasty: Kneeling ability versus descending stairs. Med Sci Monit 2007;13:77-81.
12. Hassaballa MA, Porteus AJ, Newman JH, et al. Can knees kneel? Kneeling ability after total, unicompartmental and patellofemoral arthroplasty. Knee 2003; 10:155-60.
13. Laurencin CT, Zellicof SB, Scott RD, et al. Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res 1991;273:151-6.
14. Manzotti A, Confalonieri N, Pullen C. Unicompartmental versus computer-assisted total knee replacement for medial compartment knee arthritis: a matched pair study. Int Orthop 2007;31:315-9.
15. Walton NP, Jahromi I, Lewis PL, et al. Patientperceived outcomes and return to sport and work: TKA versus miniincision unicompartmental knee arthroplasty. J Knee Surg 2006;19:112-6.
16. Weale AE, Halabi OA, Jones PW, et al. Perceptions of outcomes after unicompartmental and total knee replacements: Clin Orthop Relat Res 2001;382:143-53.
17. Weale AE, Murray DW, Crawford R, et al. 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 1999;81:783-9.
18. Carlsson LV, Albrektsson BEJ. Minimally Invasive Surgery vs Conventional Exposure Using the Miller- Galante Unicompartmental Knee Arthroplasty, A Randomized Radiostereometric Study. The Journal of Arthroplasty 2006;21:151-16.
19. Newman JH, Ackrouyd CE, Shah NA. Unicompartmental or total knee replacement? Five-year results of a prospective, randomised trial of 102 osteoarthritic knees with unicompartmental arthritis. J Bone Joint Surg Br 1998;80:862.
20. Price AJ, Webb J, Topf H, et al. Rapid recovery after Oxford unicompartmental arthroplasty through a short inscision. J Arthroplasty 2001;16:970.
21. Beard DJ, Murray DW, Rees JL, et al. Accelerated recovery for unicompartmental knee replacement feasibility study. Knee 2002;9:221.
22. Robertsson O, Borgqvist L, Knutsson K, et al. Use of unicompartmental instead of tricompartmental prostheses for unico partmental arthrosis in the knee is a cost-effective alternative. 15,437 primary tricompartmental pros theses were compared with 10,624 primary medial or lateral unicompartmental prostheses. Acta Orthop Scand 1999;70:170.
23. Deschamps G. Unicompartmental knee arthroplasty Technical princles. Osteoarthrisis of the knee. France: Spinger 2008:113-24.
24. Bonutti P, Marker D, Ulrich S, et al. Evaluation of an all-polyethylene tibial component design in unicompart mental knee arthroplasty. AAOS: San Francisco (Calif);2008.
25. Small SR, Berend ME, Ritter MA. Metal Backing Significantly Decreases Tibial Strains in a Medial Unicompartmental Knee Arthroplasty Model. The Journal of Arthroplasty 2010;10:771-6.
26. Price A, Wait J, Svärd U. Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Rel Res 2005:171-80.
27. Vorlat P, Putzeys G, Cottenie D, et al. The Oxford unicompartmental knee prosthesis: an independent 10-year survival analysis. Knee Surg Sports Traumatol Arthrosc 2005;14:40-5.
28. Kozinn SC and Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg 1989;71:145-50.
29. Cameron HU, Hunter GA, Welsh RP, et al. Unicompartmental knee replacement. Clin Orthop 1981;160:109-13.
30. Repicci JA and Ebrle RW. Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 1999;8:20-7.
31. Romanowski MR and Repicci JA. Minimally invasive unicondylar arthroplasty (eight-year follow-up). J Knee Surg 2002;15:17-22.
32. Lindstrand A, Stenstrom A, Ryd L, et al. The introduction period of unicompartmental knee arthroplasty is critical. J Arthroplasty 2000;15:608-16.
33. Keys GW. The reduced invasive approach for medial Oxford II meniscal bearing replacement. J Bone Joint Surg Br 2000;82 (Suppl 1):24-5.
34. Price AJ, Webb J, Topf H, et al. Rapid recovery after Oxford uni-compartmental arthroplasty through a short incision. J Arthroplasty 2001;16:970-97.
35. Engh GA. Orthopaedic crossfire-can we justify unicondylar arthroplasty as a temporizing procedure? In the affirmative. J Arthroplasty 2002;17 [Suppl 1]:54-5.
36. Mont MA, Stuchin SA, Paley D, et al. Different surgical options for monocompartmental osteoarthritis of the knee: high tibial osteotomy versus unicompartmental knee arthroplasty versus total knee arthroplasty: indications, techniques, results, and controversies. Instr Course Lect 2004; 53:265-83.
37. Padgett DE, Stern SH, Insall JN. Revision total knee arthroplasty for failed unicompartmental replacement. J Bone Joint Surg Am 1991;73:186-90.
38. Inglis GS. Unicompartmental arthroplasty of the knee: a follow up of 3 to 9 years. J Bone Joint Surg Br 1984;66: 682-84.
39. Price AJ and Svard U: A Second Decade Lifetable Survival Analysis of the Oxford Unicompartmental Knee Arthroplasty. Clin Orthop Relat Res 2010; 382:143-53.
40. Keblish PA and Briard JL: Mobile Bearing Unicompartmental Knee Arthroplasty, A 2-Center Study With an 11-Year (Mean) Follow-Up : The Journal of Arthroplasty 2004;19(Suppl.2):87-94.
41. Lombardi AV, Berend KR, Walter CA, et al. Is Recovery Faster for Mobile-bearing Unicompartmental than Total Knee Arthroplasty?: Clin Orthop Relat Res 2009; 467:1450-7.
42. Muller PE, Pellengahr C, Witt M, et al. Influence of Minimally Invasive Surgery on Implant Positioning and the Functional Outcome for Medial Unicompartmental Knee Arthroplasty. The Journal of Arthroplasty 2004; 19:296-301.
43. Price AJ, Webb J, Topf H, et al. Rapid Recovery After Oxford Unicompartmental Arthroplasty Through a Short Incision. The Journal of Arthroplasty 2001;16 :970-6.
44. Barrett W and Scott R. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg 1987;69:1328-35.
45. Collier MB, Eickmann TH, Sukezaki F, et al. Patient, implant, and alignment factors associated with revision of medial compartment unicondylar arthroplasty. The Journal of Arthroplasty Annual AAHKS Meeting, November 2005 Scientific Program 2006;21:108-15.
46. Kennedy WR and White RP. Unicompartmental arthroplasty of the knee. Postoperative alignment and its influence on overall results. Clin Orthop Relat Res 1987;221:278-85.
47. Aleto TJ, Berend ME, Ritter MA, et al. Early failure of unicompartmental knee arthroplasty leading to revision. J Arthroplasty 2008;23:159-63.
48. Barrett W, Scott R. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone JointSurg 1987; 69:1328-35.
49. Berger RA, Nedeff DD, Barden RM, et al. Unicompartmental knee arthroplasty: clinical experience at 6- to 10-year followup. Clin Orthop 1999; 367:50.
50. Vince KG, Cyran LT: Unicompartmental knee arthroplasty New Indications, More complications? J Arthroplasty 2004;19:12.
51. Yang KY, Yeo SJ, Lo NN. Stress fracture of the medial tibial plateau after minimally invasive unicompartmental knee arthroplasty: a report of 2 cases. J Arthroplasty 2008;18:801.
52. Brumby SA, Carrington R, Zayontz S, et al: Tibial plateau stress fracture: a complication of unicompartmental knee arthroplasty using 4 guide pinholes. J Arthroplasty 2003;18:809.
53. Song MH, Kim BH, Ahn SJ , et al. Early Complications After Minimally Invasive Mobile-Bearing Medial Unicompartmental Knee Arthroplasty. The Journal of Arthroplasty 2009; 248:1281-4.
54. Lewold S, Knutsom K, Robertssom O, et al. Oxford Meniscal Bearing Knee versus the Marmor Knee in Unicompartmental Arthroplasty for Arthrosis (A Swedish Multicenter Survival Study). The Journal of Arthroplasty 1995;10:722-31.
55. Bert JM. 10-Year Survivorship of Metal Backed Unicompartmental Arthroplasty. The Journal of Arthroplasty 1998;13:901-5.
56. Hernigou P and Deschamps G. Alignment Influences Wear in the Knee after Medial Unicompartmental Arthroplasty. Clinical Orthopaedics and Related Research 2004;423:161-5.