Abstract
All biological tissues contain matrix, cells, and water. In articular cartilage the matrix is a complex structure within which the chondrocytes are distributed in a recognisable pattern. The matrix contains principally type II collagen bundles with attached and unattached proteoglycan complexes. The latter contain aggrecan (proteoglycan) and glycosaminoglycan (GAG). Aggrecan comprises a hyaluronan molecule which is linked through keratin and chondroitin sulphate molecules to form a series of “bottle-brushes” on either side of the hyaluronan chain. Aggrecan is extremely hydrophilic, attracting water. This increases tissue tension and the water is contained by the large-diameter collagen bundles. The arrangement of the bundles is shown schematically in Fig. 1 [8].
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ashraf T, Newman JH, Evans RL et al (2002) Lateral unicompartmental knee replacement. Survivorship and clinical experience over 21 years. J Bone Joint Surg Br 84-B: 1126–1130
Berger R, Meneghini RM, Jacobs JJ (2005) Results of unicompartmental arthroplasty at a minimum of 10 year follow-up. J Bone Joint Surg Am 87-A:999–1006
Berger R, Nedeff D, Barden R et al (1999) Unicompartmental Knee Arthroplasty: clinical experience at 6 to 10 year follow-up. Clin Orthop 367:50
Cartier P, Khefacha A (2005) Fixed-bearing unicompartmental knee arthroplasty. In: Bellemans J, Ries M, Victor JMK (eds) Total knee arthroplasty: a guide to better performance. Springer, Berlin, pp 317–321
Cartier P, Sanouillet JL, Grelsamer RP (1996) Unicompartmental knee arthroplasty after 10-year minimum follow-up period. J Arthroplasty 11:782–788
Deschamps G (2005) Results at 6 years minimum follow-up of a continuous series of 122 HLS Uni. Communication ISAKOS meeting, Miami, FL
Deshmukh RV, Scott RD (2001) Unicompartmental knee arthroplasty: long-term results. Clin Orthop 392:272–278
Donell ST (2006) Alternatives to knee replacement in unicompartmental disease. In: La Prothèse du Genou. 12èmes Journées Lyonnaises de Chirurgie du Genou. Sauramps Médical, Montpellier France, pp 341–347
Goodfellow J, O’ Connor J, Dodd C, Murray D (eds) (2006) Unicompartmental arthroplasty with the Oxford knee. Oxford University Press, USA
Griffin TT et al (2005) Unicompartmental knee arthroplasty for unicompartmental osteoarthritis: a systematic review. ASERNIP-S Report No. 44. Adelaide, ASERNIP-S, South Australia
Lewold S, Goodman S, Knutson K, Robertsson O, Lidgren L (1995) Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. ASedish multicenter survival study. J Arthroplasty 10:722–731
Murray DG (2005) Mobile-bearing unicompartmental knee arthroplasty. In: Bellemans J, Ries M, Victor JMK (eds) Total knee arthroplasty: a guide to better performance. Springer, Berlin, pp 322–325
Murray DW, Goodfellow JW, O’Connor JJ (1998) The Oxford medial unicompartmental arthroplasty. A ten year survival study. J Bone Joint Surg Br 80-B:983–989
Pennington DW, Swienckowski JJ, Lutes WB et al (2006) Lateral unicompartmental knee arthroplasty. Survivorship and technical considerations at an average follow-up of 12.4 years. J Arthroplasty 21:13–17
Price AJ, Waite JC, Svard U (2005) Long-term clinical results of the Oxford unicompartmental knee arthroplasty. Clin Orthop 435:171–180
Tabor OB Jr, Tabor OB (1998) Unicompartmental knee Arthroplasty: long-term follow-up study. J Arthroplasty 13:373
Weale AE, Murray DW, Crawford R et al (1999) Does arthritis progress in the retained compartments after Oxford medial UKA? A clinical and radiological study with a minimum 10 year follow-up. J Bone Joint Surg Br 81-B: 783–789
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 EFORT
About this chapter
Cite this chapter
Donell, S.T. (2010). Unicompartmental Knee Arthroplasty. In: Bentley, G. (eds) European Instructional Lectures. European Instructional Lectures, vol 10. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-11832-6_15
Download citation
DOI: https://doi.org/10.1007/978-3-642-11832-6_15
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-11831-9
Online ISBN: 978-3-642-11832-6
eBook Packages: MedicineMedicine (R0)