The Surgical Steps for Lateral Partial Knee Arthroplasty

  • C. Batailler
  • Jacob Haynes
  • C. Bankhead
  • Kevin Fricka
  • E. Servien
  • William Hamilton
  • S. Lustig


Unicompartmental tibiofemoral osteoarthritis generally affects the medial compartment of the knee, but in 10% of cases, the lateral compartment is primarily involved. A lateral unicompartmental knee arthroplasty is a potential solution, with a 10-year survivorship greater than 90% – rates comparable to total knee arthroplasty. The lateral unicompartmental knee arthroplasty requires specific indications due to the biomechanical differences between the medial and lateral compartments and remains a technically demanding surgery. Proper patient selection, correct implant size selection and position, and avoiding overcorrection of the preoperative valgus deformity are critically important in ensuring good patient outcomes. The lateral unicompartmental knee arthroplasty demonstrates equivocal or slightly superior implant survival and outcomes versus medial unicompartmental arthroplasty in the treatment of isolated compartment tibiofemoral arthritis.


Unicondylar Unicompartmental Lateral 


  1. 1.
    Servien E, Ait Si Selmi T, Neyret P, Verdonk P. How to select candidates for lateral unicompartmental prosthesis. Curr Orthop Pract. 2008;19:451–8.CrossRefGoogle Scholar
  2. 2.
    Swienckowski JJ, Pennington DW. Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am. 2004;86-A(Suppl 1):131–42.CrossRefGoogle Scholar
  3. 3.
    Lustig S, Lording T, Frank F, Debette C, Servien E, Neyret P. Progression of medial osteoarthritis and long term results of lateral unicompartmental arthroplasty: 10 to 18 year follow-up of 54 consecutive implants. Knee. 2014;21(Suppl 1):S26–32.CrossRefGoogle Scholar
  4. 4.
    Argenson JN, Chevrol-Benkeddache Y, Aubaniac JM. Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J Bone Joint Surg Am. 2002;84-A:2235–9.CrossRefGoogle Scholar
  5. 5.
    Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, et al. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am. 2005;87:999–1006.CrossRefGoogle Scholar
  6. 6.
    Ollivier M, Abdel MP, Parratte S, Argenson JN. Lateral unicondylar knee arthroplasty (UKA): contemporary indications, surgical technique, and results. Int Orthop. 2014;38:449–55.CrossRefGoogle Scholar
  7. 7.
    Rosenberg TD, Paulos LE, Parker RD, Coward DB, Scott SM. The forty-five-degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am. 1988;70(10):1479–83.CrossRefGoogle Scholar
  8. 8.
    Lustig S, Parratte S, Magnussen RA, Argenson JN, Neyret P. Lateral unicompartmental knee arthroplasty relieves pain and improves function in posttraumatic osteoarthritis. Clin Orthop Relat Res. 2012;470:69–76.CrossRefGoogle Scholar
  9. 9.
    Sah AP, Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach: surgical technique. J Bone Joint Surg Am. 2008;90(Suppl 2 Pt 2):195–205.CrossRefGoogle Scholar
  10. 10.
    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;21:13–7.CrossRefGoogle Scholar
  11. 11.
    Berend KR, Kolczun MC 2nd, George JW Jr, Lombardi AV Jr. Lateral unicompartmental knee arthroplasty through a lateral parapatellar approach has high early survivorship. Clin Orthop Relat Res. 2012;470:77–83.CrossRefGoogle Scholar
  12. 12.
    Servien E, Fary C, Lustig S, Demey G, Saffarini M, Chomel S, et al. Tibial component rotation assessment using CT scan in medial and lateral unicompartmental knee arthroplasty. Orthop Traumatol Surg Res. 2011;97:272–5.CrossRefGoogle Scholar
  13. 13.
    Griffin T, et al. Unicompartmental knee arthroplasty for the treatment of unicompartmental osteoarthritis: a systematic study. ANZ J Surg. 2007;77(4):214–21.CrossRefGoogle Scholar
  14. 14.
    Haas SB, et al. Venous thromboembolic disease after total hip and knee arthroplasty. J Bone Joint Surg Am. 2008;90(12):2764–80.PubMedGoogle Scholar
  15. 15.
    Liddle AD, Judge A, Pandit H, Murray DW. Adverse outcomes after total and unicompartmental knee replacement in 101,330 matched patients: a study of data from the National Joint Registry for England and Wales. Lancet. 2014 Oct 18;384(9952): 1437–45. Erratum in: Lancet. 2015 Feb 28;385(9970): 774.CrossRefGoogle Scholar
  16. 16.
    Fillingham YA, Crizer M, Culvern C, Bohl DD, Lonner JH, Della Valle CJ. Formal physical therapy may not be essential following unicompartmental knee arthroplasty: a randomized clinical trial. American association of hip and knee surgeons annual meeting, 2017. Podium Presentation: Paper #55.Google Scholar
  17. 17.
    Bertani A, et al. Unicompartmental-knee arthroplasty for treatment of lateral gonarthrosis: about 30 cases. Midterm results. Rev Chir Orthop Reparatrice Appar Mot. 2008;94(8):763–70.CrossRefGoogle Scholar
  18. 18.
    Kendrick BJ, et al. Polyethylene wear in Oxford unicompartmental knee replacement: a retrieval study of 47 bearings. J Bone Joint Surg Br. 2010;92(3):367–73.CrossRefGoogle Scholar
  19. 19.
    Worland RL, Jessup DE. Recurrent hemarthrosis after total knee arthroplasty. J Arthroplast. 1996;11(8):977–8.CrossRefGoogle Scholar
  20. 20.
    Asanuma K, et al. Recurrent hemarthrosis after unicompartmental knee arthroplasty. Orthopedics. 2011;34(9):e578–80.PubMedGoogle Scholar
  21. 21.
    Ohdera T, et al. Recurrent hemarthrosis after knee joint arthroplasty: etiology and treatment. J Arthroplast. 2004;19(2):157–61.CrossRefGoogle Scholar
  22. 22.
    Argenson JN, et al. Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res. 2008;466(11):2686–93.CrossRefGoogle Scholar
  23. 23.
    Engh GA. Orthopaedic crossfire – can we justify unicondylar arthroplasty as a temporizing procedure? in the affirmative. J Arthroplast. 2002;17(4 Suppl 1):54–5.CrossRefGoogle Scholar
  24. 24.
    Gacon G. Differences between lateral and medial unicompartmental prostheses. Eur J Orthop Surg Traumatol. 1995;5(3):223.CrossRefGoogle Scholar
  25. 25.
    Parratte S, et al. Unicompartmental knee arthroplasty for avascular osteonecrosis. Clin Orthop Relat Res. 2007;464:37–42.PubMedGoogle Scholar
  26. 26.
    Sah AP, Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach. Study with an average five-year follow-up. J Bone Joint Surg Am. 2007;89(9):1948–54.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • C. Batailler
    • 1
  • Jacob Haynes
    • 2
  • C. Bankhead
    • 3
  • Kevin Fricka
    • 2
  • E. Servien
    • 1
  • William Hamilton
    • 2
  • S. Lustig
    • 1
  1. 1.Centre Albert Trillat, Orthopedic SurgeryCroix-Rousse HospitalLyonFrance
  2. 2.Anderson Orthopaedic Research InstituteINOVA Mount Vernon HospitalAlexandriaUSA
  3. 3.University of New MexicoDepartment of Orthopaedic SurgeryAlbuquerqueUSA

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