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Bi-compartmental and Bi-unicondylar Knee Arthroplasty

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Surgical Management of Knee Arthritis

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Abstract

Gonarthrosis commonly occurs as a consequence of excessive varus load. This form of gonarthrosis commonly starts anteromedially, but may not present until some patellofemoral wear has developed [1]. In a recent systematic review, we reported that wear precipitated by medial meniscal failure is the most common pattern of presentation accounting for 27% of all cases, while wear affecting both the medial and patella-femoral joints is the second most common at 23% (Fig. 11.1) [2]. Tri-compartmental damage is only seen in 17% of cases. Altogether, a third of knees present with two compartments affected in this study. Others have put the figure higher: 59% of those presenting with gonarthrosis [3] in one study, while 40% of patients over 50 years old with knee pain had radiographic evidence of combined medial compartment and PFJ wear. It is thus fair to conclude that the majority of patients undergoing total knee arthroplasty (TKA) have at least one healthy compartment excised.

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Abbreviations

ACL:

Anterior cruciate ligament

BCA-L:

Bi-compartmental knee arthroplasty (medial)

BCA-M:

Bi-compartmental knee arthroplasty (lateral)

Bi-UKA:

Bi-unicondylar knee arthroplasty

CPKA:

Combined partial knee arthroplasty

EQ-5D:

EuroQol-5D index of quality of life

OKS :

Oxford knee score

PFA:

Patellofemoral joint arthroplasty

PFJ:

Patellofemoral joint

PKA:

Partial knee arthroplasty

TCA:

Tricompartmental knee arthroplasty

TKA :

Total knee arthroplasty

UKA :

Uni-compartmental knee arthroplasty

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Authors and Affiliations

  1. Advanced Musculoskeletal Research and Treatment, Imperial College London, London, UK

    Amy Garner & Justin Cobb

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  1. Amy Garner
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  2. Justin Cobb
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Correspondence to Justin Cobb .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital For Joint Diseases, New York, NY, USA

    Ajit J. Deshmukh

  2. University Clinical Center of Kosovo, Pristina, Kosovo

    Bujar H. Shabani

  3. Orthopedic Clinic Paulinenhilfe, Diakonie Klinikum, Stuttgart, Germany

    Wenzel Waldstein

  4. Department of Orthopedic Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA

    Julius K. Oni

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Garner, A., Cobb, J. (2023). Bi-compartmental and Bi-unicondylar Knee Arthroplasty. In: Deshmukh, A.J., Shabani, B.H., Waldstein, W., Oni, J.K. (eds) Surgical Management of Knee Arthritis. Springer, Cham. https://doi.org/10.1007/978-3-031-47929-8_11

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  • DOI: https://doi.org/10.1007/978-3-031-47929-8_11

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