Minimally Invasive Surgery for Unicondylar Knee Arthroplasty: The Intramedullary Technique

  • Richard A. BergerEmail author
  • Alfred J. Tria


Minimally invasive surgery (MIS) for unicondylar knee arthroplasty (UKA) was instituted in the early 1990s by John Repicci.1,2 While there had been a long history of UKA dating back to the early 1970s,3, 4, 5, 6 the techniques and surgical approaches were modeled after total knee arthroplasty (TKA). The results were not equal to TKA and many surgeons abandoned the procedure. The MIS approach introduced a new method to perform the surgery and helped to improve the results by emphasizing the differences between TKA and UKA. MIS forced the surgeon to consider UKA as a separate operation with its own techniques and its own principles.


Anterior Cruciate Ligament Total Knee Arthroplasty Femoral Component Tibial Plateau Minimally Invasive Surgery 
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  1. 1.
    Repicci JA, Eberle RW. Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 8(1): 20–27, 1999PubMedGoogle Scholar
  2. 2.
    Romanowski MR, Repicci JA. Minimally invasive unicondylar arthroplasty, eight year follow-up. J Knee Surg 15(1): 17–22, 2002PubMedGoogle Scholar
  3. 3.
    Marmor L. Marmor modular knee in unicompartmental disease. Minimum four-year follow-up. J Bone Joint Surg Am 61A(3): 347–353, 1979Google Scholar
  4. 4.
    Insall J, Walker P. Unicondylar knee replacement. Clin Orthop Relat Res ; (120): 83–85, 1976 OctPubMedGoogle Scholar
  5. 5.
    Laskin RS Unicompartment tibiofemoral resurfacing arthroplasty. J Bone Joint Surg Am 60A: 182–185, 1978Google Scholar
  6. 6.
    Goodfellow J, O’connor J. The mechanics of the knee and prosthesis design. J Bone Joint Surg Br 60B: 358–369, 1978Google Scholar
  7. 7.
    Goodfellow JW, Kershaw CJ, Benson MK, O’Connor JJ. The Oxford knee for unicompartmental osteoarthritis. The first 103 cases. J Bone Joint Surg Br 70: 692–701, 1988PubMedGoogle Scholar
  8. 8.
    Stern SH, Becker MW, Insall J. Unicompartmental knee arthroplasty. An evaluation of selection criteria. Clin Orthop Relat Res 286: 143–148, 1993PubMedGoogle Scholar
  9. 9.
    Berger RA, Nedeff DD, Barden RN, Sheinkop MN, Jacobs JJ, Rosenberg AG, Galante JO. Unicompartmental knee arthroplasty. Clin Orthop Relat Res 367: 50–60, 1999CrossRefPubMedGoogle Scholar
  10. 10.
    Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, Galante JO. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am 87: 999–1006, 2005CrossRefPubMedGoogle Scholar
  11. 11.
    Price AJ, Webb J, Topf H, Dodd CAF, Goodfellow JW, Murray DW, Oxford Hip and Knee Group. Rapid recovery after Oxford unicompartmental arthroplasty through a short incision. J Arthroplasty 16: 970–976, 2001CrossRefPubMedGoogle Scholar
  12. 12.
    Gesell MW, Tria AJ, Jr. MIS unicondylar knee arthroplasty: surgical approach and early results. Clin Orthop Relat Res 428: 53–60, 2004CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Department of Orthopedic SurgeryRush–Presbyterian–St. Luke’s Medical CenterChicagoUSA

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