Skip to main content
SpringerLink
Log in

MIS Unicondylar Arthroplasty: The Bone-Sparing Technique

  • Reference work entry
  • First Online:
Minimally Invasive Surgery in Orthopedics

  • 94 Accesses

Abstract

Minimally invasive (MIS) unicondylar knee arthroplasty (UKA) and total knee arthroplasty (TKA) each have specific indications and distinctive roles in the senior author’s algorithm for the treatment of knee osteoarthritis (OA). MIS UKA is not a substitute for TKA, which is the procedure of choice for treatment of advanced stages of OA. This philosophy is supported by Thornhill and Scott, who assert that UKA should be considered in the “continuum of surgical options for the treatment of the osteoarthritic patient” [1]. In cases of earlier, nonadvanced OA, the two procedures may act in conjunction with one another, with MIS UKA serving as a supplement to future TKA. Together, these devices may be considered as a “knee prosthetic system” [2].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 899.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 1,199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Thornhill TS, Scott RD. Unicompartmental total knee arthroplasty. Orthop Clin N Am. 1989;20(2):245–56.

    CAS  Google Scholar 

  2. Repicci JA, Hartman JF. Minimally invasive unicondylar knee arthroplasty for the treatment of unicompartmental osteoarthritis: an outpatient arthritic bypass procedure. Orthop Clin N Am. 2004;35:201–16.

    Article  Google Scholar 

  3. Repicci JA, Hartman JF. Unicondylar knee replacement: the American experience. In: Fu FH, Browner BD, editors. Management of osteoarthritis of the knee: an international consensus. 1st ed. Rosemont: American Academy of Orthopaedic Surgeons; 2003. p. 67–79.

    Google Scholar 

  4. Repicci JA, Eberle RW. Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc. 1999;8(1):20–7.

    CAS  PubMed  Google Scholar 

  5. Fithian DC, Kelly MA, Mow VC. Material properties and structure function relationships in the menisci. Clin Orthop Relat Res. 1990;252:19–31.

    PubMed  Google Scholar 

  6. Grelsamer RP. Current concepts review. Unicompartmental osteoarthrosis of the knee. J Bone Joint Surg Am. 1995;77(2):278–92.

    CAS  PubMed  Google Scholar 

  7. Ihn JC, Kim SJ, Park IH. In vitro study of contact area and pressure distribution in the human knee after partial and total meniscectomy. Int Orthop. 1993;17(4):214–8.

    Article  CAS  PubMed  Google Scholar 

  8. Johnson RJ, Kettelkamp DB, Clark W, et al. Factors affecting late results after meniscectomy. J Bone Joint Surg Am. 1974;56(4):719–29.

    CAS  PubMed  Google Scholar 

  9. Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clin Orthop Relat Res. 1980;149:283–90.

    PubMed  Google Scholar 

  10. Shrive NG, O’Connor JJ, Goodfellow JW. Load-bearing in the knee joint. Clin Orthop Relat Res. 1978;131:279–87.

    PubMed  Google Scholar 

  11. Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop Relat Res. 1975;109:184–92.

    Article  PubMed  Google Scholar 

  12. Marmor L. Results of single compartment arthroplasty with acrylic cement fixation. A minimum follow–up of two years. Clin Orthop Relat Res. 1977;122:181–8.

    PubMed  Google Scholar 

  13. Bohm I, Landsiedl F. Revision surgery after failed unicompartmental knee arthroplasty. A study of 35 cases. J Arthroplasty. 2000;15(8):982–9.

    Article  CAS  PubMed  Google Scholar 

  14. Goodfellow JW, Kershaw CJ, Benson MK, et al. The Oxford knee for unicompartmental osteoarthritis. The first 103 cases. J Bone Joint Surg (Br). 1988;70(5):692–701.

    CAS  Google Scholar 

  15. Goodfellow JW, Tibrewal SB, Sherman KP, et al. Unicompartmental Oxford meniscal knee arthroplasty. J Arthroplasty. 1987;2(1):1–9.

    Article  CAS  PubMed  Google Scholar 

  16. Kennedy WR, White RP. Unicompartmental arthroplasty of the knee. Postoperative alignment and its influence on overall results. Clin Orthop Relat Res. 1987;221:278–85.

    PubMed  Google Scholar 

  17. Kozinn SC, Scott R. Unicondylar knee arthroplasty. J Bone Joint Surg Am. 1989;71(1):145–50.

    CAS  PubMed  Google Scholar 

  18. Laskin RS. Unicompartmental tibiofemoral resurfacing arthroplasty. J Bone Joint Surg Am. 1978;60(2):182–5.

    CAS  PubMed  Google Scholar 

  19. Marmor L. Marmor modular knee in unicompartmental disease. Minimum four year follow-up. J Bone Joint Surg Am. 1979;61(3):347–53.

    CAS  PubMed  Google Scholar 

  20. Marmor L. Unicompartmental knee arthroplasty. Ten- to 13-year follow-up study. Clin Orthop Relat Res. 1988;226:14–20.

    PubMed  Google Scholar 

  21. Murray DW, Goodfellow JW, O’Connor JJ. The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg (Br). 1998;80(6):983–9.

    Article  CAS  Google Scholar 

  22. Squire MW, Callaghan JJ, Goetz DD, et al. Unicompartmental knee replacement. A minimum 15 year follow-up study. Clin Orthop Relat Res. 1999;367:61–72.

    Article  PubMed  Google Scholar 

  23. Stockelman RE, Pohl KP. The long-term efficacy of unicompartmental arthroplasty of the knee. Clin Orthop Relat Res. 1991;271:88–95.

    PubMed  Google Scholar 

  24. Swank M, Stulberg SD, Jiganti J, et al. The natural history of unicompartmental arthroplasty. An eight-year follow-up study with survival analysis. Clin Orthop Relat Res. 1993;286:130–42.

    PubMed  Google Scholar 

  25. Tabor Jr OB, Tabor OB. Unicompartmental arthroplasty: a long-term follow-up study. J Arthroplasty. 1998;13(4):373–9.

    Article  PubMed  Google Scholar 

  26. Brown A. The Oxford unicompartmental knee replacement for osteoarthritis. Issues Emerg Health Technol. 2001;23:1–4.

    PubMed  Google Scholar 

  27. Deshmukh RV, Scott RD. Unicompartmental knee arthroplasty: long-term results. Clin Orthop Relat Res. 2001;392:272–8.

    Article  PubMed  Google Scholar 

  28. Keys GW. Reduced invasive approach for Oxford II medial unicompartmental knee replacement-a preliminary study. Knee. 1999;6(3):193–6.

    Article  Google Scholar 

  29. Murray DW. Unicompartmental knee replacement: now or never? Orthopedics. 2000;23(9):979–80.

    CAS  PubMed  Google Scholar 

  30. Price A, Webb J, Topf H, et al. Oxford unicompartmental knee replacement with a minimally invasive technique. J Bone Joint Surg (Br). 2000;82 Suppl 1:24.

    Google Scholar 

  31. Romanowski MR, Repicci JA. Minimally invasive unicondylar arthroplasty. Eight-year follow-up. Am J Knee Surg. 2002;15(1):17–22.

    Google Scholar 

  32. Price AJ, Webb J, Topf H, Dodd CA, Goodfellow JW, Murray DW. Rapid recovery after Oxford unicompartmental arthroplasty through a short incision. J Arthroplasty. 2001;16(8):970–6.

    Article  CAS  PubMed  Google Scholar 

  33. Barrett WP, Scott RD. Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Joint Surg Am. 1987;69(9):1328–35.

    CAS  PubMed  Google Scholar 

  34. Padgett DE, Stern SH, Insall JN. Revision total knee arthroplasty for failed unicompartmental replacement. J Bone Joint Surg Am. 1991;73(2):186–90.

    CAS  PubMed  Google Scholar 

  35. Insall J, Dethmers DA. Revision of total knee arthroplasty. Clin Orthop Relat Res. 1982;170:123–30.

    PubMed  Google Scholar 

  36. Lai CH, Rand JA. Revision of failed unicompartmental total knee arthroplasty. Clin Orthop Relat Res. 1993;287:193–201.

    PubMed  Google Scholar 

  37. Rand JA, Bryan RS. Results of revision total knee arthroplasties using condylar prostheses. A review of fifty knees. J Bone Joint Surg Am. 1988;70(5):738–45.

    CAS  PubMed  Google Scholar 

  38. Kozinn SC, Scott RD. Surgical treatment of unicompartmental degenerative arthritis of the knee. Rheum Dis Clin N Am. 1988;14(3):545–64.

    CAS  Google Scholar 

  39. Ahlback S. Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Diagn. 1968;277(Suppl):7–72.

    Google Scholar 

  40. Romanowski MR, Repicci JA. Unicondylar knee surgery: development of the minimally invasive surgical approach. In: Scuderi GR, Tria Jr AJ, editors. MIS of the hip and the knee: a clinical prospective. New York: Springer; 2004. p. 123–51.

    Chapter  Google Scholar 

  41. Sisto DJ, Blazina ME, Heskiaoff D, et al. Unicompartmental arthroplasty for osteoarthrosis of the knee. Clin Orthop Relat Res. 1993;286:149–53.

    PubMed  Google Scholar 

  42. Carr A, Keyes G, Miller R, et al. Medial unicompartmental arthroplasty. A survival study of the Oxford meniscal knee. Clin Orthop Relat Res. 1993;295:205–13.

    PubMed  Google Scholar 

  43. Jackson RW. Surgical treatment. Osteotomy and unicompartmental arthroplasty. Am J Knee Surg. 1998;11(1):55–7.

    CAS  PubMed  Google Scholar 

  44. Marmor L. Unicompartmental knee arthroplasty of the knee with a minimum ten-year follow-up period. Clin Orthop Relat Res. 1988;228:171–7.

    PubMed  Google Scholar 

  45. Cartier P, Sanouiller JL, Grelsamer RP. Unicompartmental knee arthroplasty surgery. 10-year minimum follow-up period. J Arthroplasty. 1996;11(7):782–8.

    Article  CAS  PubMed  Google Scholar 

  46. Christensen NO. Unicompartmental prosthesis for gonarthrosis. A nine-year series of 575 knees from a Swedish hospital. Clin Orthop Relat Res. 1991;273:165–9.

    PubMed  Google Scholar 

  47. Voss F, Sheinkop MB, Galante JO, et al. Miller-Galante unicompartmental knee arthroplasty at 2- to 5-year follow-up evaluations. J Arthroplasty. 1995;10(6):764–71.

    Article  CAS  PubMed  Google Scholar 

  48. Berger RA, Nedeff DD, Barden RM, et al. Unicompartmental knee arthroplasty. Clinical experience at 6- to 10-year follow-up. Clin Orthop Relat Res. 1999;367:50–60.

    Article  PubMed  Google Scholar 

  49. Bert JM. 10-year survivorship of metal-backed, unicompartmental arthroplasty. J Arthroplasty. 1998;13(8):901–5.

    Article  CAS  PubMed  Google Scholar 

  50. Capra Jr SW, Fehring TK. Unicondylar arthroplasty. A survivorship analysis. J Arthroplasty. 1992;7(3):247–51.

    Article  PubMed  Google Scholar 

  51. Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients’ preferences. Med Care. 2001;39:206–16.

    Article  CAS  PubMed  Google Scholar 

  52. Knutson K, Lewold S, Robertsson O, et al. The Swedish knee arthroplasty register. A nation-wide study of 30,003 knees 1976–1992. Acta Orthop Scand. 1994;65:375–86.

    Article  CAS  PubMed  Google Scholar 

  53. Scott RD, Cobb AG, McQueary FG, et al. Unicompartmental knee arthroplasty. Eight- to 12-year follow-up evaluation with survivorship analysis. Clin Orthop Relat Res. 1991;271:96–100.

    PubMed  Google Scholar 

  54. Keblish PA. The case for unicompartmental knee arthroplasty. Orthopedics. 1994;17:853–5.

    CAS  PubMed  Google Scholar 

  55. Repicci JA, Hartman JF. Minimally invasive surgery for unicondylar knee arthroplasty: the bone-sparing technique. In: Scuderi GR, Tria Jr AJ, Berger RA, editors. MIS techniques in orthopedics. New York: Springer Science + Business Media; 2006. p. 193–213.

    Chapter  Google Scholar 

  56. Kapandji IA. The physiology of the joints, vol. 2. 5th ed. New York: Churchill Livingstone; 1987.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Joint Reconstruction Orthopedic Center, 4510 Main Street, Buffalo, NY, 14226, USA

    John A. Repicci & Jodi F. Hartman

Authors
  1. John A. Repicci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jodi F. Hartman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to John A. Repicci .

Editor information

Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this entry

Cite this entry

Repicci, J.A., Hartman, J.F. (2016). MIS Unicondylar Arthroplasty: The Bone-Sparing Technique. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_50

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-34109-5_50

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

  • eBook Packages: MedicineReference Module Medicine

Publish with us

Policies and ethics

Search

Navigation