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Archives of Orthopaedic and Trauma Surgery

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01-12-2010 | Knee Arthroplasty

Lateral unicompartmental knee arthroplasty: a review

Authors: Thomas J. Heyse, Carsten O. Tibesku

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2010

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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Title: Lateral unicompartmental knee arthroplasty: a review
Authors: Thomas J. Heyse
Carsten O. Tibesku
Publication date: 01-12-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1137-9

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Lateral unicompartmental knee arthroplasty: a review

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