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. 2008 Sep;9(3):171-7.
doi: 10.1007/s10195-008-0015-5. Epub 2008 Jul 8.

Tissue sparing surgery in knee reconstruction: unicompartmental (UKA), patellofemoral (PFA), UKA + PFA, bi-unicompartmental (Bi-UKA) arthroplasties

Affiliations

Tissue sparing surgery in knee reconstruction: unicompartmental (UKA), patellofemoral (PFA), UKA + PFA, bi-unicompartmental (Bi-UKA) arthroplasties

N Confalonieri et al. J Orthop Traumatol. 2008 Sep.

Abstract

Recently mini-invasive joint replacement has become one of the hottest topics in the orthopaedic world. However, these terms have been improperly misunderstood as a "key-hole" surgery where traditional components are implanted with shorter surgical approaches, with few benefits and several possible dangers. Small implants as unicompartmental knee prostheses, patellofemoral prostheses and bi-unicompartmental knee prostheses might represent real less invasive procedures: Tissue sparing surgery, the Italian way to minimally invasive surgery (MIS). According to their experience the authors go through this real tissue sparing surgery not limited only to a small incision, but where the surgeons can respect the physiological joint biomechanics.

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Figures

Fig. 1
Fig. 1
a Preoperative radiographs of a patient undergoing a bi-UKR
Fig. 2
Fig. 2
a, b Postoperative radiographs after the implantation. c Intraoperative image of a bi-UKR
Fig. 3
Fig. 3
a, b Preoperative radiographs of a patient undergoing a PFR+UKR
Fig. 4
Fig. 4
a, b Postoperative radiographs after the implantation

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