Update on unicompartmental knee arthroplasty: Current indications and failure modes
- PMID: 30237902
- PMCID: PMC6134885
- DOI: 10.1302/2058-5241.3.170060
Update on unicompartmental knee arthroplasty: Current indications and failure modes
Abstract
Despite the excellent success rates of modern implants, unicompartmental knee arthroplasty (UKA) continues to show relatively high failure and revision rates, especially when compared with total knee arthroplasty (TKA).These higher rates of failure and revision are mainly observed during the early (< 5 years) post-operative period and are often due to incorrect indications and/or surgical errors.The correct clinical and radiological indications for UKA have therefore been analysed and correlated as far as possible with the principal mechanisms and timing of failures of UKA. Cite this article: EFORT Open Rev 2018;3:442-448. DOI: 10.1302/2058-5241.3.170060.
Keywords: bearing dislocation; early failure; loosening; polyethylene; progression of osteoarthritis; revision; unexplained pain; unicompartmental knee arthroplasty.
Conflict of interest statement
ICMJE Conflict of interest statement: M. Vasso declares a grant from the EFORT Foundation Visiting Fellowship, activity relating to the submitted work.
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References
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- Siman H, Kamath AF, Carrillo N, et al. Unicompartmental knee arthroplasty vs total knee arthroplasty for medial compartment arthritis in patients older than 75 years: comparable reoperation, revision, and complication rates. J Arthroplasty 2017;32(6):1792-1797. - PubMed
-
- Koshino T, Sato K, Umemoto Y, et al. Clinical results of unicompartmental arthroplasty for knee osteoarthritis using a tibial component with screw fixation. Int Orthop 2015;39(6):1085-1091. - PubMed
-
- Vasso M, Del Regno C, Perisano C, et al. Unicompartmental knee arthroplasty is effective: ten year results. Int Orthop 2015;39(12):2341-2346. - PubMed
-
- Yoshida K, Tada M, Yoshida H, et al. Oxford phase 3 unicompartmental knee arthroplasty in Japan—clinical results in greater than one thousand cases over ten years. J Arthroplasty 2013;28(9)(suppl):168-171. - PubMed
-
- Niinimäki TT, Murray DW, Partanen J, Pajala A, Leppilahti JI. Unicompartmental knee arthroplasties implanted for osteoarthritis with partial loss of joint space have high re-operation rates. Knee 2011;18(6):432-435. - PubMed
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