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Lateral unicompartmental knee arthroplasty: a review

  • Knee Arthroplasty
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Abstract

Lateral unicondylar knee arthroplasty (UKA) has been utilized as a treatment for isolated lateral tibiofemoral osteoarthritis (OA) since the first description of UKA in the 1970s. To date, there remains some controversy on UKA procedures. As indications for lateral UKA are usually rare, surgeon experience seems to be the key factor for a successful intervention. Better understanding of biomechanics of the knee joint, recent developments in prosthesis design, surgical techniques and indications may add to improved outcomes of lateral UKA. Alternatives that are applied to treat lateral tibiofemoral OA include arthroscopic interventions, osteotomies and total knee arthroplasty (TKA). In comparison with TKA, potential advantages of UKA include a minimally or less invasive approach, less bone resection, preservation of the cruciate ligaments, preservation of the medial tibiofemoral and the patellofemoral compartments, shorter rehabilitation, and physiological knee kinematics. This review aims to summarize the current concepts of implant designs as well as indications and contraindications for lateral UKA. The literature will be presented and discussed as well as results and realistic expectations on both the surgeon’s and the patient’s side. Alternative treatments and future concepts for lateral UKA will be presented.

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Acknowledgments

We thank Dr. Philippe Cartier for his excellence in teaching and performing unicondylar knee arthroplasty in the last decades. This work was inspired by his philosophy on knee surgery.

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  1. Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse, 35043, Marburg, Germany

    Thomas J. Heyse

  2. Sporthopaedicum Straubing, Straubing, Germany

    Carsten O. Tibesku

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Correspondence to Thomas J. Heyse.

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Heyse, T.J., Tibesku, C.O. Lateral unicompartmental knee arthroplasty: a review. Arch Orthop Trauma Surg 130, 1539–1548 (2010). https://doi.org/10.1007/s00402-010-1137-9

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