Review
PDF Zotero Mendeley EndNote BibTex Cite

UNICONDYLAR KNEE ARTHROPLASTY: INDICATIONS, DIAGNOSIS, COMPLICATIONS

Year 2015, Volume 4, Issue 2, 111 - 116, 31.08.2015

Abstract

The knee is one of the most commonly involved area in osteoarthritis, the leading cause of morbidity especially in the elderly and medial compartment is more often affected. Hemiarthroplasty (unicondylar= unicompartmental=partial) replacement surgery of the knee joint was first described in the early 1950s. Towards the end of 1970's, quite different from each other and often unsuccesfull results have reduced interest in partial knee replacement(UKA). The developments in implant design, surgical techniques and instrumentation increased interest in UKA again. Folloing an appropriate patient selection and surgical technique quite good results of UKA have been published in the literature. UKA can be considered as the first replacement surgery for young active patients with single compartment osteoarthritis; and as the final prosthesis surgery for elderly patients.

References

  • 1. Hunter DJ, Sharma L, Skaife T. Alignment and osteoarthritisof the knee. JBJS AM 2009;91 Suppl 1;85-89
  • 2. Hakan Aslan ve ark.ları. Medial gonartrozda Oxford faz 3 unikondiler diz artroplastisinin orta dönem sonuçları. Acta Orthop Traumatol. Turc 2007;41:367-372
  • 3. Riddle DL, Jiranek WA, McGlynn FJ. Yearly incidence of unicompartmental knee arthroplasty in the United States. J Arthroplasty. 2008 Apr;23(3):408-12. doi: 10.1016/j.arth.2007.04.012. Epub 2007 Nov 26.
  • 4. Y. Tashiro , S. Matsuda , K. Okazaki , H. Mizu-uchi , U. Kuwashima ,Y. Iwamoto. The coronal alignment after medial unicompartmental knee arthroplasty can be predicted: usefulness of full-length valgus stress radiography for evaluating correctability. Knee Surg Sports Traumatol Arthrosc DOI 10.1007/s00167-014-3248-2. Published online: 26 August 2014
  • 5. Kozinn SC, Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg Am. 1989 Jan;71(1):145-50.
  • 6. Berend KR, Lombardi AV Jr, Adams JB. Obesity, young age, patellofemoral disease, and anterior knee pain: identifying the unicondylar arthroplasty patient in the United States. Orthopedics. 2007 May;30(5 Suppl):19-23.
  • 7. Pennington DW, Swienckowski JJ, Lutes WB, Drake GN. Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am. 2003 Oct;85-A(10):1968-73.
  • 8. Beard DJ, Pandit H, Ostlere S, Jenkins C, Dodd CA, Murray DW. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg Br. 2007 Dec;89(12):1602-7.
  • 9. B. U. Nwachukwu et al. Unicompartmental Knee Arthroplasty Versus High Tibial Osteotomy:United States Practice Patterns for the Surgical Treatment ofUnicompartmental Arthritis. The Journal of Arthroplasty 29 (2014) 1586–1589 .
  • 10. Kumar A, Fiddian NJ. Medial unicompartmental artroplasty of the knee. Knee1999;6:21-23
  • 11. Bert JM. Unicompartmental knee replacement. Orthop Clin North Am, 36(4): 513-22, 2005
  • 12. Goodfellow J, O’Connor J,Dodd C, Murray D. Unicompartmental Arthroplasty with The Oxford Knee. Pg:30-37. 2011.
  • 13. Gibson PH, Goodfellow JW. Stress radiography in degenerative arthtritis of the knee. J Bone Joint Surg[Br] 1986; 68-b:608-9.
  • 14. Sharpey I, Tyrrell PN, White SH. Magnetic resonance imaging assessment for UKA: A limited role. Knee 2001; 8:213-18.
  • 15. Fontboté R C, Nemtala U F, Contreras O O, Guerrero R. Rosenberg projection for the radiological diagnosis of knee osteoarthritis. Rev Med Chil. 2008 Jul;136(7):880-4.
  • 16. Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG. Results of unicompartmental knee arthroplasty at a minimum of 10 years of follow up. J Bone Joint Surg Am 2005;87(5):999-1006
  • 17. Emerson RH Jr, Hansborough T, Reidmann RD.Comparison of a mobile with a fixed bearing unicompartmental knee implant. Clin Orthop Relat Res. 2002;(404):62-70
  • 18. Confalonieri N, Manzotti A, Pullen C. Comparison of a mobile with fixed tibial bearing in unicompartmental knee prosthesis: A prospective randomized trial using a detected outcome score. Knee 2004;11 (5):357-62
  • 19. Tuncay İ. Medial Kompartman Gonartrozunda Unikompartmental Diz Protezi (UDP). Türk Ortopedi ve Travmatoloji Birliği Derneği) Dergisi 2006 Cilt 5 (3-4);111-117.
  • 20. Dettoni F, Bonasia DE, Castoldi F, Bruzzone M, Blonna D, Rossi R. High tibial osteotomy versus unicompartmental knee arthroplasty for medial compartment arthrosis of the knee: a review of the literature. Iowa Orthop J. 2010;30:131-40.
  • 21. Fu D1, Li G, Chen K, Zhao Y, Hua Y, Cai Z. Comparison of high tibial osteotomy and unicompartmental knee arthroplasty in the treatment of unicompartmental osteoarthritis: a meta-analysis. J Arthroplasty. 2013 May;28(5):759-65. doi: 10.1016/j.arth.2013.02.010. Epub 2013 Mar 15.
  • 22. Spahn G, Hofmann GO, von Engelhardt LV, Li M, Neubauer H, Klinger HM. The impact of a high tibial valgus osteotomy and unicondylar medial arthroplasty on the treatment for knee osteoarthritis: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):96-112. doi: 10.1007/s00167-011-1751-2. Epub 2011 Nov 11.
  • 23. Callaghan JJ Unicompartmental knee replacement. Introduction: where have we been? Where are we now?Where are we going? Clin Orthop Relat Res. 2004, 430: 272-273.
  • 24. Zambianchi F, Digennaro V, Giorgini A, Grandi G, Fiacchi F, Mugnai R, Catani F. Surgeon's experience influences UKA survivorship: a comparative study between all-poly and metal back designs. Knee Surg Sports Traumatol Arthrosc. 2014 Mar 30. [Epub ahead of print]
  • 25. Swienckowski JJ, Pennington DW. Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am. 2004 Sep;86-A Suppl 1(Pt 2):131-42.
  • 26. Felts E et al. Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger. Orthop Traumatol Surg Res. 2010 Dec;96(8):861-7. doi: 10.1016/j.otsr.2010.05.012. Epub 2010 Nov 18.
  • 27. Baker PN et al. Revision for unexplained pain following unicompartmental and total knee replacement. JBJS Am 2012; 94 (17):
  • 28. Dahl A et al. Unicompartmental knee arthroplasty in patients aged less than 65. Acta Orthop 2010, 81(1):90-4.
  • 29. Bonutti PM et al. Outcomes of unicompartmental knee arthroplasty stratified by body mass index. J Arthroplasty. 2011 Dec;26(8):1149-53. doi:10.1016/j.arth.2010.11.001. Epub 2011 Jan 21
  • 30. Xing Z et al. Unicompartmental knee arthroplasty: factors influencing the outcome. J Knee Surg. 2012 Nov;25(5):369-73. doi: 10.1055/s-0031-1299666. Epub 2012 May 3.
  • 31. Berend KR. At al. Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity. Clin Orthop Relat Res. 2005 Nov;440:60-6.
  • 32. Murray DW et al. Does body mass index affect the outcome of unicompartmental knee replacement? Knee. 2013 Dec;20(6):461-5. doi: 10.1016/j.knee.2012.09.017. Epub 2012 Oct 27.
  • 33. Tabor OB Jr, Tabor OB, Bernard M, Wan JY. Unikompartmental knee arthroplasty: Long term success in middle aged and obese patients. J Surg Orthop Adv 2005;14:59-63
  • 34. Plancher KD, Dunn AS, Petterson SC. The anterior cruciate ligament-deficient knee and unicompartmental arthritis. Clin Sports Med. 2014 Jan;33(1):43-55.
  • 35. Plancher KD, Dunn AS, Petterson SC. Clin Sports Med. 2014 Jan;33(1):43-55. doi: 10.1016/j.csm.2013.08.006.
  • 36. Beard DJ et al. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg Br. 2007 Dec;89(12):1602-7.
  • 37. Jung KA, Lee SC, Hwang SH.pseudomeniscal synovial impingement after unicondylar knee arthroplasty. Orthopedics 2009:32(5):361.
  • 38. Pandit H. Murray DW. Dodd CA. Medial tibia plateau fracture and the Oxford unicompartmantel knee. Orthopedics 2007;30(5 Suppl):28-31

PARSİYEL DİZ PROTEZİ: ENDİKASYONLAR, HASTA SEÇİMİ, KOMPLİKASYONLAR

Year 2015, Volume 4, Issue 2, 111 - 116, 31.08.2015

Abstract

Osteoartritin en yaygın tutulum bölgelerinden biri olan diz, özellikle yaşlılarda önde gelen morbidite nedenidir ve sıklıkla medial kompartman etkilenir. Diz ekleminde hemiartroplasti (unikondiler = unikompartmantal = parsiyel), ilk kez 1950’lerin başında tanımlanmıştır. 1970’ lerin sonlarına doğru, birbirinden oldukça farklı ve çoğunlukla başarısız sonuçların olması parsiyel diz protezine (PDP) ilgiyi azaltmıştır. Protez tasarımları, cerrahi teknik ve enstrumantasyondaki gelişmeler ilgiyi tekrar arttırmıştır. Uygun hasta seçimi ve doğru cerrahi teknikle uygulanan PDP’ler sonrası literatürde oldukça iyi sonuçlar yayınlanmıştır. PDP aktivasyon düzeyi çok olmayan genç hastaların tek kompartman osteoartriti için ilk protez ameliyatı, yaşlı hastalar için son protez ameliyatı olarak düşünülebilir.

References

  • 1. Hunter DJ, Sharma L, Skaife T. Alignment and osteoarthritisof the knee. JBJS AM 2009;91 Suppl 1;85-89
  • 2. Hakan Aslan ve ark.ları. Medial gonartrozda Oxford faz 3 unikondiler diz artroplastisinin orta dönem sonuçları. Acta Orthop Traumatol. Turc 2007;41:367-372
  • 3. Riddle DL, Jiranek WA, McGlynn FJ. Yearly incidence of unicompartmental knee arthroplasty in the United States. J Arthroplasty. 2008 Apr;23(3):408-12. doi: 10.1016/j.arth.2007.04.012. Epub 2007 Nov 26.
  • 4. Y. Tashiro , S. Matsuda , K. Okazaki , H. Mizu-uchi , U. Kuwashima ,Y. Iwamoto. The coronal alignment after medial unicompartmental knee arthroplasty can be predicted: usefulness of full-length valgus stress radiography for evaluating correctability. Knee Surg Sports Traumatol Arthrosc DOI 10.1007/s00167-014-3248-2. Published online: 26 August 2014
  • 5. Kozinn SC, Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg Am. 1989 Jan;71(1):145-50.
  • 6. Berend KR, Lombardi AV Jr, Adams JB. Obesity, young age, patellofemoral disease, and anterior knee pain: identifying the unicondylar arthroplasty patient in the United States. Orthopedics. 2007 May;30(5 Suppl):19-23.
  • 7. Pennington DW, Swienckowski JJ, Lutes WB, Drake GN. Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am. 2003 Oct;85-A(10):1968-73.
  • 8. Beard DJ, Pandit H, Ostlere S, Jenkins C, Dodd CA, Murray DW. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg Br. 2007 Dec;89(12):1602-7.
  • 9. B. U. Nwachukwu et al. Unicompartmental Knee Arthroplasty Versus High Tibial Osteotomy:United States Practice Patterns for the Surgical Treatment ofUnicompartmental Arthritis. The Journal of Arthroplasty 29 (2014) 1586–1589 .
  • 10. Kumar A, Fiddian NJ. Medial unicompartmental artroplasty of the knee. Knee1999;6:21-23
  • 11. Bert JM. Unicompartmental knee replacement. Orthop Clin North Am, 36(4): 513-22, 2005
  • 12. Goodfellow J, O’Connor J,Dodd C, Murray D. Unicompartmental Arthroplasty with The Oxford Knee. Pg:30-37. 2011.
  • 13. Gibson PH, Goodfellow JW. Stress radiography in degenerative arthtritis of the knee. J Bone Joint Surg[Br] 1986; 68-b:608-9.
  • 14. Sharpey I, Tyrrell PN, White SH. Magnetic resonance imaging assessment for UKA: A limited role. Knee 2001; 8:213-18.
  • 15. Fontboté R C, Nemtala U F, Contreras O O, Guerrero R. Rosenberg projection for the radiological diagnosis of knee osteoarthritis. Rev Med Chil. 2008 Jul;136(7):880-4.
  • 16. Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG. Results of unicompartmental knee arthroplasty at a minimum of 10 years of follow up. J Bone Joint Surg Am 2005;87(5):999-1006
  • 17. Emerson RH Jr, Hansborough T, Reidmann RD.Comparison of a mobile with a fixed bearing unicompartmental knee implant. Clin Orthop Relat Res. 2002;(404):62-70
  • 18. Confalonieri N, Manzotti A, Pullen C. Comparison of a mobile with fixed tibial bearing in unicompartmental knee prosthesis: A prospective randomized trial using a detected outcome score. Knee 2004;11 (5):357-62
  • 19. Tuncay İ. Medial Kompartman Gonartrozunda Unikompartmental Diz Protezi (UDP). Türk Ortopedi ve Travmatoloji Birliği Derneği) Dergisi 2006 Cilt 5 (3-4);111-117.
  • 20. Dettoni F, Bonasia DE, Castoldi F, Bruzzone M, Blonna D, Rossi R. High tibial osteotomy versus unicompartmental knee arthroplasty for medial compartment arthrosis of the knee: a review of the literature. Iowa Orthop J. 2010;30:131-40.
  • 21. Fu D1, Li G, Chen K, Zhao Y, Hua Y, Cai Z. Comparison of high tibial osteotomy and unicompartmental knee arthroplasty in the treatment of unicompartmental osteoarthritis: a meta-analysis. J Arthroplasty. 2013 May;28(5):759-65. doi: 10.1016/j.arth.2013.02.010. Epub 2013 Mar 15.
  • 22. Spahn G, Hofmann GO, von Engelhardt LV, Li M, Neubauer H, Klinger HM. The impact of a high tibial valgus osteotomy and unicondylar medial arthroplasty on the treatment for knee osteoarthritis: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):96-112. doi: 10.1007/s00167-011-1751-2. Epub 2011 Nov 11.
  • 23. Callaghan JJ Unicompartmental knee replacement. Introduction: where have we been? Where are we now?Where are we going? Clin Orthop Relat Res. 2004, 430: 272-273.
  • 24. Zambianchi F, Digennaro V, Giorgini A, Grandi G, Fiacchi F, Mugnai R, Catani F. Surgeon's experience influences UKA survivorship: a comparative study between all-poly and metal back designs. Knee Surg Sports Traumatol Arthrosc. 2014 Mar 30. [Epub ahead of print]
  • 25. Swienckowski JJ, Pennington DW. Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am. 2004 Sep;86-A Suppl 1(Pt 2):131-42.
  • 26. Felts E et al. Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger. Orthop Traumatol Surg Res. 2010 Dec;96(8):861-7. doi: 10.1016/j.otsr.2010.05.012. Epub 2010 Nov 18.
  • 27. Baker PN et al. Revision for unexplained pain following unicompartmental and total knee replacement. JBJS Am 2012; 94 (17):
  • 28. Dahl A et al. Unicompartmental knee arthroplasty in patients aged less than 65. Acta Orthop 2010, 81(1):90-4.
  • 29. Bonutti PM et al. Outcomes of unicompartmental knee arthroplasty stratified by body mass index. J Arthroplasty. 2011 Dec;26(8):1149-53. doi:10.1016/j.arth.2010.11.001. Epub 2011 Jan 21
  • 30. Xing Z et al. Unicompartmental knee arthroplasty: factors influencing the outcome. J Knee Surg. 2012 Nov;25(5):369-73. doi: 10.1055/s-0031-1299666. Epub 2012 May 3.
  • 31. Berend KR. At al. Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity. Clin Orthop Relat Res. 2005 Nov;440:60-6.
  • 32. Murray DW et al. Does body mass index affect the outcome of unicompartmental knee replacement? Knee. 2013 Dec;20(6):461-5. doi: 10.1016/j.knee.2012.09.017. Epub 2012 Oct 27.
  • 33. Tabor OB Jr, Tabor OB, Bernard M, Wan JY. Unikompartmental knee arthroplasty: Long term success in middle aged and obese patients. J Surg Orthop Adv 2005;14:59-63
  • 34. Plancher KD, Dunn AS, Petterson SC. The anterior cruciate ligament-deficient knee and unicompartmental arthritis. Clin Sports Med. 2014 Jan;33(1):43-55.
  • 35. Plancher KD, Dunn AS, Petterson SC. Clin Sports Med. 2014 Jan;33(1):43-55. doi: 10.1016/j.csm.2013.08.006.
  • 36. Beard DJ et al. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg Br. 2007 Dec;89(12):1602-7.
  • 37. Jung KA, Lee SC, Hwang SH.pseudomeniscal synovial impingement after unicondylar knee arthroplasty. Orthopedics 2009:32(5):361.
  • 38. Pandit H. Murray DW. Dodd CA. Medial tibia plateau fracture and the Oxford unicompartmantel knee. Orthopedics 2007;30(5 Suppl):28-31

Details

Primary Language Turkish
Subjects Health Care Sciences and Services
Journal Section Derlemeler
Authors

Mehmet ERDURAN This is me
Dokuz Eylül Üniversitesi Hastanesi Tıp Fakültesi, Ortopedi Ve Travmatoloji Ana Bilim Dalı, İzmir


Nihat Demirhan DEMİRKIRAN This is me
Dokuz Eylül Üniversitesi Hastanesi Tıp Fakültesi, Ortopedi Ve Travmatoloji Ana Bilim Dalı, İzmir


Levent HOROZ This is me
Dokuz Eylül Üniversitesi Hastanesi Tıp Fakültesi, Ortopedi Ve Travmatoloji Ana Bilim Dalı, İzmir

Publication Date August 31, 2015
Application Date November 21, 2014
Acceptance Date February 5, 2015
Published in Issue Year 2015, Volume 4, Issue 2

Cite

APA Erduran, M. , Demirkıran, N. D. & Horoz, L. (2015). PARSİYEL DİZ PROTEZİ: ENDİKASYONLAR, HASTA SEÇİMİ, KOMPLİKASYONLAR . Balıkesir Sağlık Bilimleri Dergisi , 4 (2) , 111-116 . Retrieved from https://dergipark.org.tr/en/pub/balikesirsbd/issue/38435/452326

Balıkesir Sağlık Bilimleri Dergisi - BAUN Sağ Bil Derg Online-ISSN: 2147-2238 - Copyright holder Balıkesir  Health Sciences Journal-BAUN Health Sci J

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.



https://www.ithenticate.com/



https://app.trdizin.gov.tr/dergi/TWpFM05EUT0/e-balikesir-saglik-bilimleri-dergisi-bsbd-