Skip to main content
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 11/2008

01.11.2008 | Knee

Medial unicompartimental knee arthroplasty for osteonecrosis or osteoarthritis

verfasst von: E. Servien, P. C. M. Verdonk, S. Lustig, J. L. Paillot, A. D. Kara, P. Neyret

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 11/2008

Einloggen, um Zugang zu erhalten

Abstract

We report a prospective series of 33 unicompartmental knee arthroplasties (UKAs) operated for a spontaneous osteonecrosis of the knee (SPONK) compared with 35 UKAs operated for osteoarthritis (OA). The mean follow-up was 5 years. Preoperative functional score in the SPONK group was significantly lower than that in the OA group. The results were comparable in terms of pain, knee score and function. At the last follow-up, the survival rate was 92.8% for the SPONK group and 95.4% for the OA group. We found a higher rate of radiolucencies in the SPONK group, however, without any clinical symptoms. The UKA is a good option in the treatment of SPONK.
Literatur
1.
Zurück zum Zitat Ansari S, Newman JH, Ackroyd CE (1997) St. Georg sledge for medial compartment knee replacement. 461 arthroplasties followed for 4 (1–17) years. Acta Orthop Scand 68:430–434PubMedCrossRef Ansari S, Newman JH, Ackroyd CE (1997) St. Georg sledge for medial compartment knee replacement. 461 arthroplasties followed for 4 (1–17) years. Acta Orthop Scand 68:430–434PubMedCrossRef
2.
Zurück zum Zitat Argenson JN, Chevrol-Benkeddache Y, Aubaniac JM (2002) Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J Bone Joint Surg Am 84-A:2235–2239PubMed Argenson JN, Chevrol-Benkeddache Y, Aubaniac JM (2002) Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J Bone Joint Surg Am 84-A:2235–2239PubMed
3.
Zurück zum Zitat Assor M, Aubaniac JM (2006) Influence of rotatory malposition of femoral implant in failure of unicompartimental medial knee prosthesis. Rev Chir Orthop Reparatrice Appar Mot 92:473–484PubMed Assor M, Aubaniac JM (2006) Influence of rotatory malposition of femoral implant in failure of unicompartimental medial knee prosthesis. Rev Chir Orthop Reparatrice Appar Mot 92:473–484PubMed
4.
Zurück zum Zitat Barrett WP, Scott RD (1987) Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg Am 69:1328–1335PubMed Barrett WP, Scott RD (1987) Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg Am 69:1328–1335PubMed
5.
Zurück zum Zitat Berger R, Della Valle C, Jacobs JJ, Sheinkop MB, Rosenberg AG, Galante JO (2006) The progression of patellofemoral arthrosis after medial unicompartmental replacement: results at 11 to 15 years. Clin Orthop Relat Res 452:285–286PubMedCrossRef Berger R, Della Valle C, Jacobs JJ, Sheinkop MB, Rosenberg AG, Galante JO (2006) The progression of patellofemoral arthrosis after medial unicompartmental replacement: results at 11 to 15 years. Clin Orthop Relat Res 452:285–286PubMedCrossRef
6.
Zurück zum Zitat Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, Galante JO (2005) Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am 87:999–1006PubMedCrossRef Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, Galante JO (2005) Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am 87:999–1006PubMedCrossRef
7.
Zurück zum Zitat Cartier P, Gaggiotti G, Jully JL (1988) Primary osteonecrosis of the medial femoral condyle. Unicompartmental or total replacement? Int Orthop 12:229–235PubMedCrossRef Cartier P, Gaggiotti G, Jully JL (1988) Primary osteonecrosis of the medial femoral condyle. Unicompartmental or total replacement? Int Orthop 12:229–235PubMedCrossRef
8.
Zurück zum Zitat Hernigou P, Bove JC, Goutallier D (1988) Idiopathic osteonecrosis of the medial femoral condyle. Treatment with tibial osteotomy or unicompartmental arthroplasty. Rev Chir Orthop Reparatrice Appar Mot 74:232–237PubMed Hernigou P, Bove JC, Goutallier D (1988) Idiopathic osteonecrosis of the medial femoral condyle. Treatment with tibial osteotomy or unicompartmental arthroplasty. Rev Chir Orthop Reparatrice Appar Mot 74:232–237PubMed
9.
Zurück zum Zitat Hernigou P, Deschamps G (2002) Patellar impingement following unicompartmental arthroplasty. J Bone Joint Surg Am 84-A:1132–1137PubMed Hernigou P, Deschamps G (2002) Patellar impingement following unicompartmental arthroplasty. J Bone Joint Surg Am 84-A:1132–1137PubMed
10.
Zurück zum Zitat Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed
11.
Zurück zum Zitat Langdown AJ, Pandit H, Price AJ, Dodd CA, Murray DW, Svard UC, Gibbons CL (2005) Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee. Acta Orthop 76:688–692PubMedCrossRef Langdown AJ, Pandit H, Price AJ, Dodd CA, Murray DW, Svard UC, Gibbons CL (2005) Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee. Acta Orthop 76:688–692PubMedCrossRef
12.
Zurück zum Zitat Marmor L (1988) Unicompartmental arthroplasty of the knee with a minimum ten-year follow-up period. Clin Orthop Relat Res 228:171–177PubMed Marmor L (1988) Unicompartmental arthroplasty of the knee with a minimum ten-year follow-up period. Clin Orthop Relat Res 228:171–177PubMed
13.
Zurück zum Zitat Marmor L (1988) Unicompartmental knee arthroplasty. Ten- to 13-year follow-up study. Clin Orthop Relat Res 226:14–20PubMed Marmor L (1988) Unicompartmental knee arthroplasty. Ten- to 13-year follow-up study. Clin Orthop Relat Res 226:14–20PubMed
14.
Zurück zum Zitat Marmor L (1993) Unicompartmental arthroplasty for osteonecrosis of the knee joint. Clin Orthop Relat Res 294:247–253PubMed Marmor L (1993) Unicompartmental arthroplasty for osteonecrosis of the knee joint. Clin Orthop Relat Res 294:247–253PubMed
15.
Zurück zum Zitat Myers TG, Cui Q, Kuskowski M, Mihalko WM, Saleh KJ (2006) Outcomes of total and unicompartmental knee arthroplasty for secondary and spontaneous osteonecrosis of the knee. J Bone Joint Surg Am 88:76–82PubMedCrossRef Myers TG, Cui Q, Kuskowski M, Mihalko WM, Saleh KJ (2006) Outcomes of total and unicompartmental knee arthroplasty for secondary and spontaneous osteonecrosis of the knee. J Bone Joint Surg Am 88:76–82PubMedCrossRef
16.
Zurück zum Zitat Parratte S, Argenson JN, Dumas J, Aubaniac JM (2007) Unicompartmental knee arthroplasty for avascular osteonecrosis. Clin Orthop Relat Res 464:37–42PubMed Parratte S, Argenson JN, Dumas J, Aubaniac JM (2007) Unicompartmental knee arthroplasty for avascular osteonecrosis. Clin Orthop Relat Res 464:37–42PubMed
17.
Zurück zum Zitat Robertsson O, Dunbar M, Pehrsson T, 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 71:262–267PubMedCrossRef Robertsson O, Dunbar M, Pehrsson T, 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 71:262–267PubMedCrossRef
18.
Zurück zum Zitat Robertsson O (2000) Unicompartmental arthroplasty. Results in Sweden 1986–1995. Orthopade 29:6–8CrossRef Robertsson O (2000) Unicompartmental arthroplasty. Results in Sweden 1986–1995. Orthopade 29:6–8CrossRef
19.
Zurück zum Zitat Rougraff BT, Heck DA, Gibson AE (1991) A comparison of tricompartmental and unicompartmental arthroplasty for the treatment of gonarthrosis. Clin Orthop Relat Res 273:157–164PubMed Rougraff BT, Heck DA, Gibson AE (1991) A comparison of tricompartmental and unicompartmental arthroplasty for the treatment of gonarthrosis. Clin Orthop Relat Res 273:157–164PubMed
Metadaten
Titel
Medial unicompartimental knee arthroplasty for osteonecrosis or osteoarthritis
verfasst von
E. Servien
P. C. M. Verdonk
S. Lustig
J. L. Paillot
A. D. Kara
P. Neyret
Publikationsdatum
01.11.2008
Verlag
Springer-Verlag
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 11/2008
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-008-0617-8

Weitere Artikel der Ausgabe 11/2008

Knee Surgery, Sports Traumatology, Arthroscopy 11/2008 Zur Ausgabe

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen. 
» Jetzt entdecken

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.