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Evidence-based surgical technique for medial unicompartmental knee arthroplasty

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초록

Unicompartmental knee arthroplasty (UKA) is a successful treatment modality in selected patients having advanced, single-compartment osteoarthritis of the knee. The bone and ligament preservation leading to shorter recovery periods, better functional outcomes, lower perioperative complication rates, and easier revision, if needed, are proposed as some of the advantages of UKA over total knee arthroplasty (TKA). Despite several advantages, UKA is reported to have higher failure rates as compared to TKA. The prosthesis failure of UKA is directly correlated to intraoperative technique-related factors like malpositioning of components and the inability to replicate the target-limb alignment as per preoperative planning. An evidence-based surgical technique for UKA may help surgeons to avoid the intraoperative technique-related errors. The purpose of this paper is to describe a stepwise surgical technique for the fixed-bearing medial UKA.

Abstract

Unicompartmental knee arthroplasty (UKA) is a successful treatment modality in selected patients having advanced, single-compartment osteoarthritis of the knee. The bone and ligament preservation leading to shorter recovery periods, better functional outcomes, lower perioperative complication rates, and easier revision, if needed, are proposed as some of the advantages of UKA over total knee arthroplasty (TKA). Despite several advantages, UKA is reported to have higher failure rates as compared to TKA. The prosthesis failure of UKA is directly correlated to intraoperative technique-related factors like malpositioning of components and the inability to replicate the target-limb alignment as per preoperative planning. An evidence-based surgical technique for UKA may help surgeons to avoid the intraoperative technique-related errors. The purpose of this paper is to describe a stepwise surgical technique for the fixed-bearing medial UKA.

참고문헌 (77)

  1. Newman J, "Unicompartmental or total knee replacement : the 15-year results of a prospective randomised controlled trial", J Bone Joint Surg Br, 91(1), pp.52~57 (2009)[DOI]
  2. Wiik AV, "Unicompartmental knee arthroplasty enables near normal gait at higher speeds, unlike total knee arthroplasty", J Arthroplasty, 28(9 Suppl), pp.176~178 (2013)
  3. Tu Y, "Does unicompartmental knee replacement offer improved clinical advantages over total knee replacement in the treatment of isolated lateral osteoarthritis? A matched cohort analysis from an independent center", J Arthroplast (2020)[DOI]
  4. Migliorini F, "Unicompartmental versus total knee arthroplasty for knee osteoarthritis", Eur J Orthop Surg Traumatol, 29(4), pp.947~955 (2019)[DOI]
  5. Kleeblad LJ, "Larger range of motion and increased return to activity, but higher revision rates following unicompartmental versus total knee arthroplasty in patients under 65 : a systematic review", Knee Surg Sports Traumatol Arthrosc, 26(6), pp.1811~1822 (2018)[DOI]
  6. Friesenbichler B, "Short-term functional advantages after medial unicompartmental versus total knee arthroplasty", Knee, 25(4), pp.638~643 (2018)[DOI]
  7. Cao Z, "Unicompartmental knee arthroplasty vs high tibial osteotomy for knee osteoarthritis : a systematic review and meta-analysis", J Arthroplast, 33(3), pp.952~959 (2018)[DOI]
  8. 김경태, "The Survivorship and Clinical Results of Minimally Invasive Unicompartmental Knee Arthroplasty at 10-Year Follow-up", Clinics in Orthopedic Surgery, 7(2), pp.1~8 (2015), 대한정형외과학회
  9. Zuiderbaan HA, "Modern indications, results, and global trends in the use of unicompartmental knee arthroplasty and high tibial osteotomy in the treatment of isolated medial compartment osteoarthritis", Am J Orthop(Belle Mead NJ), 45(6), pp.E355~E361 (2016)
  10. Kahlenberg CA, "Trends in utilization of total and unicompartmental knee arthroplasty in the United States", J Knee Surg. (2020)[DOI]
  11. "National Joint Replacement Registry, Annual Report 2019"[URL]
  12. "Annual Report 2018"[URL]
  13. Crawford DA, "Unicompartmental knee arthroplasty : US and global perspectives", Orthop Clin North Am, 51(2), pp.147~159 (2020)[DOI]
  14. Greco NJ, "Medial mobile-bearing unicompartmental knee arthroplasty in young patients aged less than or equal to 50 years", J Arthroplast, 33(8), pp.2435~2439 (2018)[DOI]
  15. Hamilton TW, "Lateral osteophytes do not represent a contraindication to medial unicompartmental knee arthroplasty : a 15-year follow-up", Knee Surg Sports Traumatol Arthrosc, 25(3), pp.652~659 (2017)[DOI]
  16. Kennedy JA, "Age and outcomes of medial meniscal-bearing unicompartmental knee arthroplasty", J Arthroplast, 33(10), pp.3153~3159 (2018)[DOI]
  17. Walker T, "Sports, physical activity and patient-reported outcomes after medial unicompartmental knee arthroplasty in young patients", J Arthroplast, 30(11), pp.1911~1916 (2015)[DOI]
  18. Price AJ, "Oxford medial unicompartmental knee arthroplasty in patients younger and older than 60years of age", J Bone Joint Surg Br, 87-B(11), pp.1488~1492 (2005)[DOI]
  19. Felts E, "Function and quality of life following medial unicompartmental knee arthroplasty in patients 60 years of age or younger", Orthop Traumatol Surg Res, 96(8), pp.861~867 (2010)[DOI]
  20. Kyung Tae Kim, "Long­-Term Clinical Results of Unicompartmental Knee Arthroplasty in Patients Younger than 60 Years of Age: Minimum 10­-Year Follow-­up", Knee Surgery and Related Research, 30(1), pp.28~33 (2018), 대한슬관절학회
  21. Ventura A, "Unicompartmental knee replacement in patients aged 70 years and older", Muscles Ligaments Tendons J, 7(4), pp.611~614 (2017)[DOI]
  22. Lunebourg A, "Partial knee arthroplasty", pp.63~68 (2019), Springer International Publishing
  23. Ode Q, "Fewer complications after UKA than TKA in patients over 85 years of age : a casecontrol study", Orthop Traumatol Surg Res, 104(7), pp.955~959 (2018)[DOI]
  24. Epinette JA, "Unicompartmental knee arthroplasty modes of failure: wear is not the main reason for failure: a multicentre study of 418 failed knees", Orthop Traumatol Surg Res, 98(6 Suppl), pp.S124~S130 (2012)[DOI]
  25. Aleto TJ, "Early failure of unicompartmental knee arthroplasty leading to revision", J Arthroplast, 23(2), pp.159~163 (2008)[DOI]
  26. van der List JP, "Systematic review of medial versus lateral survivorship in unicompartmental knee arthroplasty", Knee, 22(6), pp.454~460 (2015)[DOI]
  27. Thienpont E, "Conversion of a unicompartmental knee arthroplasty to a total knee arthroplasty: can we achieve a primary result?", Bone Joint J, 99-b(1 Supple A), pp.65~69 (2017)[DOI]
  28. Vasso M, "Update on unicompartmental knee arthroplasty : current indications and failure modes", EFORT Open Rev, 3(8), pp.442~448 (2018)[DOI]
  29. Baker PN, "Revision for unexplained pain following unicompartmental and total knee replacement", J Bone Joint Surg Am, 94(17), pp.e126~ (2012)[DOI]
  30. Bordini B, "Unicompartmental knee arthroplasty : 11-year experience from 3929 implants in RIPO register", Knee, 21(6), pp.1275~1279 (2014)[DOI]
  31. Markel DC, "Unicompartmental knee arthroplasty : troubleshooting implant positioning and technical failures", J Knee Surg, 18(2), pp.96~101 (2005)[DOI]
  32. Mercier N, "Long-term clinical results of the Oxford medial unicompartmental knee arthroplasty", Int Orthop, 34(8), pp.1137~1143 (2010)[DOI]
  33. Chatellard R, "Medial unicompartmental knee arthroplasty: does tibial component position influence clinical outcomes and arthroplasty survival?", Orthop Traumatol Surg Res, 99(4 Suppl), pp.S219~S225 (2013)[DOI]
  34. Collier MB, "Patient, implant, and alignment factors associated with revision of medial compartment unicondylar arthroplasty", J Arthroplast, 21(6 Suppl 2), pp.108~115 (2006)[DOI]
  35. Hernigou P, "Alignment influences wear in the knee after medial unicompartmental arthroplasty", Clin Orthop Relat Res, 423, pp.161~165 (2004)[DOI]
  36. Wayne E. Moschetti, "Can Robot-Assisted Unicompartmental Knee Arthroplasty Be Cost-Effective? A Markov Decision Analysis", The Journal of Arthroplasty, 31(4), pp.759~765 (2016), Elsevier BV[DOI]
  37. Gilmour A, "Robotic-arm-assisted vs conventional unicompartmental knee arthroplasty. The 2-year clinical outcomes of a randomized controlled trial", J Arthroplast, 33(7s), pp.S109~S115 (2018)[DOI]
  38. Mofidi A, "Assessment of accuracy of robotically assisted unicompartmental arthroplasty", Knee Surg Sports Traumatol Arthrosc, 22(8), pp.1918~1925 (2014)[DOI]
  39. Hamilton WG, "Learning curve with minimally invasive unicompartmental knee arthroplasty", J Arthroplast, 25(5), pp.735~740 (2010)[DOI]
  40. Zhang Q, "The learning curve for minimally invasive Oxford phase 3 unicompartmental knee arthroplasty : cumulative summation test for learning curve(LC-CUSUM)", J Orthop Surg Res, 9, pp.81~ (2014)
  41. Kim TK, "CORR® International-Asia-Pacific : adding another string to your bow", Clin Orthop Relat Res, 478(6), pp.1202~1204 (2020)[DOI]
  42. Berend KR, "Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity", Clin Orthop Relat Res, 440, pp.60~66 (2005)[DOI]
  43. Dalury DF, "Mini-incision total knee arthroplasty can increase risk of component malalignment", Clin Orthop Relat Res, 440, pp.77~81 (2005)[DOI]
  44. Vail T, "Surgery of the knee", pp.2012, Elsevier
  45. Verdonk PC, "Soft tissue balancing in varus total knee arthroplasty : an algorithmic approach", Knee Surg Sports Traumatol Arthrosc, 17(6), pp.660~666 (2009)[DOI]
  46. Matziolis G, "The femoral component alignment resulting from spacer block technique is not worse than after intramedullary guided technique in medial unicompartimental knee arthroplasty", Arch Orthop Trauma Surg, 138(6), pp.865~870 (2018)[DOI]
  47. Zhang Q, "A novel extramedullary technique to guide femoral bone preparation in mobile unicompartmental knee arthroplasty based on tibial cut and overall alignment", J Orthop Surg Res, 15(1), pp.92~ (2020)[DOI]
  48. Zuiderbaan HA, "Predictors of subjective outcome after medial unicompartmental knee arthroplasty", J Arthroplast, 31(7), pp.1453~1458 (2016)[DOI]
  49. Fang DM, "Coronal alignment in total knee arthroplasty: just how important is it?", J Arthroplast, 24(6 Suppl), pp.39~43 (2009)[DOI]
  50. Swienckowski J, "Medial unicompartmental arthroplasty of the knee. Use of the L-cut and comparison with the tibial inset method", Clin Orthop Relat Res, 239, pp.161~167 (1989)
  51. Iesaka K, "The effects of tibial component inclination on bone stress after unicompartmental knee arthroplasty", J Biomech, 35(7), pp.969~974 (2002)[DOI]
  52. Kim SJ, "Factors affecting the postoperative limb alignment and clinical outcome after Oxford unicompartmental knee arthroplasty", J Arthroplast, 27(6), pp.1210~1215 (2012)[DOI]
  53. Casino D, "Knee stability before and after total and unicondylar knee replacement : in vivo kinematic evaluation utilizing navigation", J Orthop Res, 27(2), pp.202~207 (2009)[DOI]
  54. Iriberri I, "Alignment of the tibial component of the unicompartmental knee arthroplasty, assessed in the axial view by CT scan : does it influence the outcome?", Knee, 21(6), pp.1269~1274 (2014)[DOI]
  55. Liow MH, "Does 3-dimensional in vivo component rotation affect clinical outcomes in unicompartmental knee arthroplasty?", J Arthroplast, 31(10), pp.2167~2172 (2016)[DOI]
  56. Whiteside LA, "The effect of posterior tibial slope on knee stability after Ortholoc total knee arthroplasty", J Arthroplast, 3, pp.S51~S57 (1988)[DOI]
  57. Hernigou P, "Posterior slope of the tibial implant and the outcome of unicompartmental knee arthroplasty", J Bone Joint Surg Am, 86(3), pp.506~511 (2004)[DOI]
  58. Lewold S, "Revision of unicompartmental knee arthroplasty : outcome in 1, 135 cases from the Swedish Knee Arthroplasty study", Acta Orthop Scand, 69(5), pp.469~474 (1998)[DOI]
  59. Levine B, "The simple unicondylar knee : extramedullary technique", Clin Sports Med, 33(1), pp.77~85 (2014)[DOI]
  60. Biswal S, "Results of unicompartmental knee arthroplasty with cemented, fixed-bearing prosthesis using minimally invasive surgery", J Arthroplast, 25(5), pp.721~727 (2010)[DOI]
  61. Matsumoto T, "Intraoperative joint gap kinematics in unicompartmental knee arthroplasty", Clin Biomech(Bristol, Avon), 28(1), pp.29~33 (2013)[DOI]
  62. Fisher DA, "Implant position in knee surgery: a comparison of minimally invasive, open unicompartmental, and total knee arthroplasty", J Arthroplast, 18(7 Suppl 1), pp.2~8 (2003)[DOI]
  63. Kang KT, "Effect of femoral component position on biomechanical outcomes of unicompartmental knee arthroplasty", Knee, 25(3), pp.491~498 (2018)[DOI]
  64. Park KK, "Biomechanical effect with respect to the sagittal positioning of the femoral component in unicompartmental knee arthroplasty", Biomed Mater Eng, 30(2), pp.171~182 (2019)[DOI]
  65. Tiwari V, "New mobile-bearing TKA with unique ball and socket post-cam mechanism offers similar function and stability with better prosthesis fit and gap balancing compared to an established fixed-bearing prosthesis", Knee Surg Sports Traumatol Arthrosc, 27(7), pp.2145~2154 (2019)[DOI]
  66. Sharma G, "Availability of additional mediolateral implant option during total knee arthroplasty improves femoral component fit across ethnicities : results of a multicenter study", JB JS Open Access, 2(2), pp.e0014~ (2017)[DOI]
  67. Fitzpatrick C, "Statistical design of unicompartmental tibial implants and comparison with current devices", Knee, 14(2), pp.138~144 (2007)[DOI]
  68. Chau R, "Tibial component overhang following unicompartmental knee replacement—does it matter?", Knee, 16(5), pp.310~313 (2009)[DOI]
  69. Lee YS, "Tibial component coverage based on bone mineral density of the cut tibial surface during unicompartmental knee arthroplasty : clinical relevance of the prevention of tibial component subsidence", Arch Orthop Trauma Surg, 134(1), pp.85~89 (2014)[DOI]
  70. Ritter MA, "Twenty-year survivorship of cementless anatomic graduated component total knee arthroplasty", J Arthroplast, 25(4), pp.507~513 (2010)[DOI]
  71. Campi S, "Cementless fixation in medial unicompartmental knee arthroplasty : a systematic review", Knee Surg Sports Traumatol Arthrosc, 25(3), pp.736~745 (2017)[DOI]
  72. Mittal A, "Unicompartmental knee arthroplasty, an enigma, and the ten enigmas of medial UKA", J Orthop Traumatol, 21(1), pp.15~ (2020)[DOI]
  73. Winnock de Grave P, "Outcomes of a fixed-bearing, medial, cemented unicondylar knee arthroplasty design : survival analysis and functional score of 460 cases", J Arthroplast, 33(9), pp.2792~2799 (2018)[DOI]
  74. Alnachoukati OK, "Eight hundred twenty-five medial mobilebearing unicompartmental knee arthroplasties : the first 10-year US multicenter survival analysis", J Arthroplast, 33(3), pp.677~683 (2018)[DOI]
  75. Meshram P, "Combined intravenous and intraarticular tranexamic acid does not offer additional benefit compared with intraarticular use alone in bilateral TKA: a randomized controlled trial", Clin Orthop Relat Res, 478(1), pp.45~54 (2020)[DOI]
  76. Kim TK, "CORR ® International – Asia-Pacific: closing the loop—focus early and often on your patients’ postsurgical rehabilitation program", Clin Orthop Relat Res, 478(10), pp.2225~2227 (2020)[DOI]
  77. Witjes S, "Return to sports and physical activity after total and unicondylar knee arthroplasty : a systematic review and meta-analysis", Sports Med, 46(2), pp.269~292 (2016)[DOI]

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