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Protesi bi-compartimentali di ginocchio: trend di utilizzo e analisi della letteratura

  • Andrea FarnetiEmail author
  • Fabio Luigi Perrone
  • Marco Breccia
  • Barbara Rossi
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Bi-compartmental knee arthroplasty: trend of use and literature review

Abstract

Minimally invasive surgery in knee arthroplasty has been a challenge since the 1950s, when the first mono-compartmental knee prostheses were implanted. The challenge was to treat the different osteoarthritis areas of the knee independently, saving soft tissue and healthy bones. Theoretically, bicompartmental knee arthroplasty (BKA) provides more physiological knee movement and the feeling of a “natural knee” compared to total knee replacement (TKA). Several prosthetic designs have been used with controversial results in the literature: although some authors have shown good functional results using BKA, a greater number of failures and complications have been detected than with TKA. In fact, to date, BKA is not recommended as a routine procedure, owing to the heterogeneity of studies and the lack of long-term follow-up studies. The purpose of this article was to clarify the use of bicompartmental knee arthroplasty (BKA). We have carried out a systematic literature review that includes 2 meta-analyses, 2 randomised controlled trials, 5 prospective controlled trials and international arthroplasty registries.

Notes

Conflitto di interesse

Gli autori Andrea Farneti, Fabio Luigi Perrone, Marco Breccia e Barbara Rossi dichiarano di non avere alcun conflitto di interesse.

Consenso informato e conformità agli standard etici

Tutte le procedure descritte nello studio e che hanno coinvolto esseri umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.

Human and Animal Rights

L’articolo non contiene alcuno studio eseguito su esseri umani e su animali da parte degli autori.

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Copyright information

© Società Italiana Ortopedici Traumatologi Ospedalieri d’Italia 2019

Authors and Affiliations

  • Andrea Farneti
    • 1
    Email author
  • Fabio Luigi Perrone
    • 1
  • Marco Breccia
    • 2
  • Barbara Rossi
    • 3
  1. 1.Nuovo Ospedale San Giovanni BattistaFolignoItalia
  2. 2.Ospedale San Camillo de LellisRietiItalia
  3. 3.Ospedale G.B. Grassi, Ostia LidoRomaItalia

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