Acta Scientific Orthopaedics (ISSN: 2581-8635)

Review Article Volume 5 Issue 9

Unicompartmental Knee Arthroplasty in the ACL Deficient Knee

Tuesday F Fisher*

Assistant Professor of Surgery, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, USA

*Corresponding Author: Tuesday F Fisher, Assistant Professor of Surgery, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, USA.

Received: July 18, 2022; Published: August 16, 2022

Abstract

Unicompartmental osteoarthritis in young, active patients with concomitant ACL deficiency is controversial problem. Several different operative treatment options exist including unicompartmental knee arthroplasty, high tibial osteotomy (HTO), and total knee arthroplasty [1]. Total knee arthroplasty (TKA) has a very high success rate and is a comprehensive procedure that would address knee pain as well as instability related to ACL insufficiency [2,3]. However, contemporary literature benefits of UKA over TKA including preservation of bone stalk, physiologic knee kinematics, lower perioperative morbidity and accelerated rehabilitation [4-9]. TKA may also impart unacceptable activity restrictions in a physiologically young patient with specific physical demands. As an alternative, UKA and HTO have been used with or without concomitant ACL reconstruction. Early results for UKA have been most promising; however, controversy still remains as to its role in the treatment of this population.

 

Keywords: Unicompartmental; Knee; Arthroplasty; ACL Deficient

References

  1. Williams RJ., et al. “Management of unicompartmental arthritis in the anterior cruciate ligament-deficient knee”. The American Journal of Sports Medicine5 (2000): 749-760.
  2. Meding JB., et al. “Pain relief and functional improvement remain 20 years after knee arthroplasty”. Clinical Orthopaedics and Related Research1 (2012): 144-149.
  3. Font-Rodriguez DE., et al. “Survivorship of cemented total kneerthroplasty”. Clinical Orthopaedics and Related Research 345 (1997): 79-86.
  4. Newman JH., et al. “Unicompartmental or total knee replacement? Five-year results of a prospective, randomised trial of 102 osteoarthritic knees with unicompartmental arthritis”. The Journal of Bone and Joint Surgery 80 (1998): 862-865.
  5. Parratte S., et al. “No long-term difference between fixed and mobile medial unicompartmental arthroplasty”. Clinical Orthopaedics and Related Research1 (2012): 61-68..
  6. Noticewala MS., et al. “Unicompartmental knee arthroplasty relieves pain and improves function more than total knee arthroplasty”. The Journal of Arthroplasty8 (2012): 99-105.
  7. Cartier P., et al. “Unicompartmental knee arthroplasty surgery. 10-year minimum follow-up period”. The Journal of Arthroplasty7 (1996): 782-788.
  8. Naudie D., et al. “Medial unicompartmental knee arthroplasty with the Miller-Galante prosthesis”. The Journal of Bone and Joint Surgery9 (2004): 1931-1935.
  9. Berger RA., et al. “Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up”. The Journal of Bone and Joint Surgery5 (2005): 999-1006.
  10. Kozinn SC and Scott R. “Unicondylar knee arthroplasty”. The Journal of Bone and Joint Surgery 1 (1989): 145-150.
  11. Ritter MA., et al. “Intra-operative findings in varus osteoarthritis of the knee: An analysis of preoperative alignment in potential candidates for unicompartmental arthroplasty”. The Journal of Bone and Joint Surgery 86 (2004): 43-47.
  12. Oral E., et al. “Increasing irradiation temperature maximizes vitamin E grafting and wear resistance of ultrahigh molecular weight polyethylene”. Journal of Biomedical Materials Research Part B: Applied Biomaterials3 (2013): 436-440.
  13. Pennington DW., et al. “Unicompartmental knee arthroplasty in patients sixty years of age or younger”. The Journal of Bone and Joint Surgery10 (2003): 1968-1973.
  14. Tabor OB., et al. “Unicompartmental knee arthroplasty: long-term success in middle-age and obese patients”. Journal of Surgical Orthopaedic Advances2 (2005): 59-63.
  15. Price AJ., et al. “Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty”. Clinical Orthopaedics and Related Research 435 (2005): 171-180.
  16. Keblish PA and Briard JL. “Mobile-bearing unicompartmental knee arthroplasty: A 2-center study with an 11-year (mean) follow-up”. The Journal of Arthroplasty 7-2 (2004): 87-94.
  17. Argenson JN., et al. “Modern unicompartmental knee arthroplasty with cement: A three to ten-year follow-up study”. The Journal of Bone and Joint Surgery12 (2002): 2235-2239.
  18. Argenson JN., et al. “Modern unicompartmental knee arthroplasty with cement: a concise follow-up, at a mean of twenty years, of a previous report”. The Journal of Bone and Joint Surgery 10 (2013): 905-909.
  19. Swienckowski JJ and Pennington DW. “Unicompartmental knee arthroplasty in patients sixty years of age or younger”. The Journal of Bone and Joint Surgery1Pt2 (2004): 131-142.
  20. Deschamps G and Lapeyre B. “Rupture of the anterior cruciate ligament: A frequently unrecognized cause of failure of unicompartmental knee prostheses Apropos of a series of 79 Lotus prostheses with a follow-up of more than 5 years”. Revue de Chirurgie Orthopédique et Réparatrice de l Appareil Moteur 7 (1987): 544-551.
  21. Goodfellow J and O’Connor J. “The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses”. Clinical Orthopaedics and Related Research 276 (1992): 245-252.
  22. Böhm I and Landsiedl F. “Revision surgery after failed unicompartmental knee arthroplasty: a study of 35 cases”. The Journal of Arthroplasty 15 (2000): 982-989.
  23. Goodfellow J., et al. “The Oxford Knee for unicompartmental osteoarthritis. The first 103 cases”. The Journal of Bone and Joint Surgery70B (1988): 692-701.
  24. Argenson JN., et al. “In vivo determination of knee kinematics for subjects implanted with a unicompartmental arthroplasty”. The Journal of Arthroplasty 17 (2002): 1049-1054.
  25. Kvist J and Gillquist J. “Anterior positioning of tibia during motion after anterior cruciate ligament injury”. Medicine and Science in Sports and Exercise 33 (2001): 1063-1072.
  26. Citak M., et al. “Anterior cruciate ligament reconstruction after unicompartmental knee arthroplasty”. Knee Surgery, Sports Traumatology, Arthroscopy 10 (2011): 1683-1688.
  27. Suggs JF., et al. “Function of the anterior cruciate ligament after unicompartmental knee arthroplasty: an in vitro robotic study”. The Journal of Arthroplasty2 (2004): 224-229.
  28. Shao Q., et al. “Estimation of ligament loading and anterior tibial translation in healthy and ACL-deficient knees during gait and the influence of increasing tibial slope using EMG-driven approach”. Annals of Biomedical Engineering 1 (2011): 110-121.
  29. Pegg EC., et al. “Sagittal kinematics of mobile unicompartmental knee replacement in anterior cruciate ligament deficient knees”. Clinical Biomechanics (Bristol, Avon) (2015): S0268-0033.
  30. Boissonneault A., et al. “No difference in survivorship after unicompartmental knee arthroplasty with or without an intact anterior cruciate ligament”. Knee Surgery, Sports Traumatology, Arthroscopy 21 (2013): 2480-2486.
  31. Hernigou P and Deschamps G. “Posterior slope of the tibial implant and the outcome of unicompartmental knee arthroplasty”. The Journal of Bone and Joint Surgery3 (2004): 506-511.
  32. Christensen NO. “Unicompartmental prosthesis for gonarthrosis. A nine-year series of 575 knees from a Swedish hospital”. Clinical Orthopaedics and Related Research 273 (1991): 165-169.
  33. Krishnan SR and Randle R. “ACL reconstruction with unicondylar replacement in knee with functional instability and osteoarthritis”. Journal of Orthopaedic Surgery and Research 4 (2009): 43.
  34. Plancher KD., et al. “The anterior cruciate ligament-deficient knee and unicompartmental arthritis”. Clinical Sports Medicine Collection 1 (2014): 43-55.
  35. Voos JE., et al. “Effect of tibial slope on the stability of the anterior cruciate ligament-deficient knee”. Knee Surgery, Sports Traumatology, Arthroscopy 8 (2012): 1626-1631.
  36. Sah AP and Scott RD. “Lateral unicompartmental knee arthroplasty through a medial Study with an average five-year follow-up”. The Journal of Bone and Joint Surgery 9 (2007): 1948-1954.
  37. Scott RD. “Lateral unicompartmental replacement: a road less traveled”. Orthopedics 28 (2005): 983-984.
  38. Baker P., et al. “Mid-term equivalent survival of medial and lateral unicondylar knee replacement: an analysis of data from a National Joint Registry”. The Journal of Bone and Joint Surgery12 (2012): 1641-1648.
  39. Pennington DW., et al. “Lateral unicompartmental knee arthroplasty: survivorship and technical considerations at an average follow-up of 12.4 years”. The Journal of Arthroplasty (2006): 13-17.
  40. Argenson JN., et al. “Long-term results with a lateral unicondylar replacement”. Clinical Orthopaedics and Related Research 466 (2008): 2686-2693.
  41. Engh GA and Ammeen D. “Is an intact anterior cruciate ligament needed in order to have a well-functioning unicondylar knee replacement?” Clinical Orthopaedics and Related Research 428 (2004): 170-173.
  42. Parratte S., et al. “No long-term difference between fixed and mobile medial unicompartmental arthroplasty”. Clinical Orthopaedics and Related Research1 (2012): 61-68.
  43. Smith JR., et al. “Fixed bearing lateral unicompartmental knee arthroplasty--short to midterm survivorship and knee scores for 101 prostheses”. Knee 4 (2014): 843-847.
  44. Citak M., et al. “Modes of failure and revision of failed lateral unicompartmental knee arthroplasties”. Knee4 (2015): 338-340.
  45. Liebs TR and Herzberg W. “Better quality of life after medial versus lateral unicondylar knee arthroplasty”. Clinical Orthopaedics and Related Research8 (2013): 2629-2640.
  46. Ollivier M., et al. “Lateral unicondylar knee arthroplasty (UKA): contemporary indications, surgical technique, and results”. International Orthopaedics 2 (2014): 449-455.
  47. Greene K and Harwin S. “Maximizing patient satisfaction and functional results after total knee arthroplasty”. Journal of Knee Surgery 1 (2011): 19-24.
  48. Tinius M., et al. “Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction”. Knee Surgery, Sports Traumatology, Arthroscopy 1 (2012): 81.
  49. Pandit H., et al. “Combined anterior cruciate reconstruction and Oxford unicompartmental knee arthroplasty”. The Journal of Bone and Joint Surgery7 (2016): 887-892.
  50. Weston-Simons JS., et al. “Outcome of combined unicompartmental knee replacement and combined or sequential anterior cruciate ligament reconstruction: A study of 52 cases with mean follow-up of five years”. The Journal of Bone and Joint Surgery 9 (2012): 1216-1220.
  51. Pandit H., et al. “Combined anterior cruciate reconstruction and Oxford unicompartmental knee arthroplasty: In vivo kinematics”. Knee2 (2008): 101-106.

Citation

Citation: Tuesday F Fisher. “Unicompartmental Knee Arthroplasty in the ACL Deficient Knee". Acta Scientific Orthopaedics 5.9 (2022): 63-68.

Copyright

Copyright: © 2022 Tuesday F Fisher. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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