Advertisement

Lateral Unicompartmental Knee Arthroplasty: Indications and Technique

  • Vasili KarasEmail author
  • Richard A. Berger
Chapter

Abstract

Isolated lateral arthritis of the knee is a pattern of degeneration that will present to every surgeon that treats patients with knee pain. Although this is a less common condition than medial or tricompartmental disease, the diagnosis and treatment of lateral arthritis is an important component of treating the arthritic knee. With proper patient selection, the use of modern techniques and implants, lateral unicompartmental knee arthroplasty (UKA) is a safe and viable option and shows equivalent outcomes to medial UKA.

Keywords

Lateral unicompartmental arthroplasty Isolated lateral gonarthrosis Correctable valgus Lateral; Osteoarthritis 

References

  1. 1.
    Leyland KM, Hart DJ, Javaid MK, et al. The natural history of radiographic knee osteoarthritis: a fourteen-year population-based cohort study. Arthritis Rheum. 2012;64(7):2243–51.CrossRefGoogle Scholar
  2. 2.
    Berend KR, Turnbull NJ, Howell RE, Lombardi AV. The current trends for lateral unicondylar knee arthroplasty. Orthop Clin North Am [Internet]. 2015;46(2):177–84. Available from:  https://doi.org/10.1016/j.ocl.2014.10.001 CrossRefGoogle Scholar
  3. 3.
    Heyse TJ, Khefacha A, Peersman G, Cartier P. Survivorship of UKA in the middle-aged. Knee [Internet]. 2012;19(5):585–91. Available from:  https://doi.org/10.1016/j.knee.2011.09.002 CrossRefGoogle Scholar
  4. 4.
    Pennington DW, Swienckowski JJ, Lutes WB, Drake GN. Lateral unicompartmental knee arthroplasty: survivorship and technical considerations at an average follow-up of 12.4 years. J Arthroplast. 2006;21(1):13–7.CrossRefGoogle Scholar
  5. 5.
    Baker PN, Jameson SS, Deehan DJ, Gregg PJ, Porter M, Tucker K. Mid-term equivalent survival of medial and lateral unicondylar knee replacement: an analysis of data from a National Joint Registry. Bone Joint J [Internet]. 2012;94–B(12):1641–8. Available from: http://www.bjj.boneandjoint.org.uk/cgi/doi/10.1302/0301-620X.94B12.29416 Google Scholar
  6. 6.
    Liddle AD, Pandit H, Judge A, Murray DW. Optimal usage of unicompartmental knee arthroplasty: a study of 41 986 cases from the national joint registry for England and Wales. Bone Joint J. 2015;97B(11):1506–11.CrossRefGoogle Scholar
  7. 7.
    Kurtz S, Ong K, Lau E, Mowat F, Halpern M. Projections of primary and revision hip and knee arthroplasty in the United States from 2005 to 2030. J Bone Joint Surg Am. 2007;89:780–5.PubMedGoogle Scholar
  8. 8.
    Gunther TV, Murray DW, Miller R, et al. Lateral unicompartmental arthroplasty with the Oxford meniscal knee. Knee. 1996;3(1–2):33–9.Google Scholar
  9. 9.
    Lustig S, Elguindy A, Servien E, et al. 5- to 16-year follow-up of 54 consecutive lateral unicondylar knee arthroplasties with a fixed-all polyethylene bearing. J Arthroplasty [Internet]. 2011;26(8):1318–25. Available from:  https://doi.org/10.1016/j.arth.2011.01.015 CrossRefGoogle Scholar
  10. 10.
    van der List JP, Chawla H, Zuiderbaan HA, Pearle AD. Patients with isolated lateral osteoarthritis: unicompartmental or total knee arthroplasty? Knee [Internet]. 2016;23(6):968–74. Available from:  https://doi.org/10.1016/j.knee.2016.06.007 CrossRefGoogle Scholar
  11. 11.
    Lustig S, Paillot JL, Servien E, Henry J, Ait Si Selmi T, Neyret P. Cemented all polyethylene tibial insert unicompartimental knee arthroplasty: a long term follow-up study. Orthop Traumatol Surg Res. 2009;95(1):12–21.CrossRefGoogle Scholar
  12. 12.
    Ashraf T, Newman JH, Evans RL, Ackroyd CE. Lateral unicompartmental knee replacement: survivorship and clinical experience over 21 years. J Bone Joint Surg Br. 2002;84(8):1126–30.CrossRefGoogle Scholar
  13. 13.
    Argenson JNA, Parratte S, Bertani A, Flecher X, Aubaniac JM. Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res. 2008;466(11):2686–93.CrossRefGoogle Scholar
  14. 14.
    van der List JP, Chawla H, Villa JC, Pearle AD. Different optimal alignment but equivalent functional outcomes in medial and lateral unicompartmental knee arthroplasty. Knee [Internet]. 2016;23(6):987–95. Available from:  https://doi.org/10.1016/j.knee.2016.08.008 CrossRefGoogle Scholar
  15. 15.
    Foran JRH, Brown NM, Della Valle CJ, Berger RA, Galante JO. Long-term survivorship and failure modes of unicompartmental knee arthroplasty knee. Clin Orthop Relat Res. 2013;471(1):102–8.CrossRefGoogle Scholar
  16. 16.
    van der List JP, McDonald LS, Pearle AD. Systematic review of medial versus lateral survivorship in unicompartmental knee arthroplasty. Knee [Internet]. 2015;22(6):454–60. Available from:  https://doi.org/10.1016/j.knee.2015.09.011 CrossRefGoogle Scholar
  17. 17.
    Cameron H, GA H, Welsh R, WH B. Unicompartmental knee replacement. Clin Orthop Relat Res. 2005;36(C):513–22.Google Scholar
  18. 18.
    Scott RD, Santore RF. Unicondylar unicompartmental replacement for osteoarthritis of the knee. J Bone Joint Surg Am. 1981;63(4):536–44.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Orthopaedic SurgeryHip and Knee Replacement and Reconstruction, Chicago Orthopaedics and Sports MedicineChicagoUSA
  2. 2.Adult Reconstruction Division, Department of Orthopaedic SurgeryRush University Medical CenterChicagoUSA

Personalised recommendations