BOOK
Unicompartmental Knee Arthroplasty: The Modern Frontier, An Issue of Clinics in Sports Medicine, E-Book
(2014)
Additional Information
Book Details
Abstract
This issue of Clinics in Sports Medicine will cover the latest technology and techniques in partial knee arthroplasty, including the use of robotics, different types of custom implants, and advice on return-to-activity. It will also offer information on different possible outcomes and complications that could occur after surgery. This topic has not been covered in Sports Medicine in at least the past ten years, and, as it grows as a popular treatment, it should become a useful issue of CSM.
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Front Cover | Cover | ||
| Unicompartmental Knee Arthroplasty: TheModern Frontier\r | i | ||
| Copyright\r | ii | ||
| Contributors | iii | ||
| Contents | vii | ||
| Clinics In Sports Medicine\r | xi | ||
| Foreword\r | xiii | ||
| Note from Consulting Editor | xv | ||
| Preface | xvii | ||
| Nonoperative Treatment of Unicompartmental Arthritis | 1 | ||
| Key points | 1 | ||
| Introduction | 1 | ||
| Treatment goals for OA of the knee | 1 | ||
| References | 6 | ||
| Diagnosis and Indications for Treatment of Unicompartmental Arthritis | 11 | ||
| Key points | 11 | ||
| Introduction | 11 | ||
| Indications and patient selection | 13 | ||
| UKA in the Young | 13 | ||
| UKA in the Obese | 14 | ||
| UKA in the ACL-Deficient Knee | 15 | ||
| Lateral Compartment UKA and ACL Deficiency | 15 | ||
| Concomitant UKA and ACL Reconstruction | 16 | ||
| UKA in the Setting of Patellofemoral Arthritis | 16 | ||
| Combined UKA and Patellofemoral Arthroplasty | 16 | ||
| UKA in the Setting of Osteonecrosis | 18 | ||
| Summary | 18 | ||
| References | 18 | ||
| Arthroscopic Debridement of Unicompartmental Arthritis | 23 | ||
| Key points | 23 | ||
| Introduction | 23 | ||
| Understanding articular cartilage | 24 | ||
| Classifying articular cartilage | 25 | ||
| History of arthroscopy in the knee | 26 | ||
| Debridement and lavage | 27 | ||
| Bone marrow–stimulation techniques | 29 | ||
| Mechanical/Thermal Chondroplasty | 32 | ||
| Advanced cartilage repair techniques | 32 | ||
| Autologous Chondrocyte Implantation | 32 | ||
| Osteochondral Grafting | 34 | ||
| Outcomes of osteochondral allograft transplantation | 37 | ||
| Overview | 38 | ||
| References | 38 | ||
| The Anterior Cruciate Ligament–Deficient Knee and Unicompartmental Arthritis | 43 | ||
| Key points | 43 | ||
| Introduction | 43 | ||
| Treatment options | 44 | ||
| High Tibial Osteotomy | 43 | ||
| Total Knee Arthroplasty | 45 | ||
| Unicompartmental Knee Arthroplasty | 45 | ||
| Combined UKA and ACL Reconstruction | 46 | ||
| Selection criteria | 47 | ||
| Patient Selection for UKA in the ACL-Deficient Patient | 47 | ||
| Identification of ACL-Deficient Osteoarthritic Copers | 47 | ||
| Preoperative planning | 50 | ||
| Surgical procedure | 50 | ||
| Postoperative management | 51 | ||
| Outcomes | 51 | ||
| Summary | 51 | ||
| References | 52 | ||
| UniCAP as an Alternative for Unicompartmental Arthritis | 57 | ||
| Key points | 57 | ||
| Introduction | 57 | ||
| Patient selection | 58 | ||
| Prosthetic design | 59 | ||
| Surgical technique (medial compartment) | 59 | ||
| Arthroscopic Focal Tibial Resurfacing | 59 | ||
| Femoral Resurfacing | 60 | ||
| Postoperative care and rehabilitation | 60 | ||
| Results | 61 | ||
| Discussion | 61 | ||
| Summary | 63 | ||
| References | 64 | ||
| Unicondylar Knee | 67 | ||
| Key points | 67 | ||
| Introduction | 67 | ||
| Technique | 68 | ||
| Learning curve | 70 | ||
| Instrumentation | 73 | ||
| References | 76 | ||
| The Simple Unicondylar Knee | 77 | ||
| Key points | 77 | ||
| Introduction | 77 | ||
| Indications | 78 | ||
| Surgical technique | 78 | ||
| Spacer Block Technique | 78 | ||
| True EM Technique | 81 | ||
| Outcomes | 81 | ||
| Complications | 83 | ||
| Summary | 84 | ||
| References | 84 | ||
| Unicondylar Knee Arthroplasty | 87 | ||
| Key points | 87 | ||
| Introduction | 87 | ||
| Preoperative evaluation and modern selection criteria | 88 | ||
| Surgical technique | 89 | ||
| Surgical approach | 91 | ||
| Fat pad and osteophyte excision | 92 | ||
| Bone cuts | 93 | ||
| Distal Femoral Cut Using an IM Guide | 93 | ||
| Proximal Tibial Cut with Extramedullary Guide | 94 | ||
| Posterior Femoral and Chamfer Cuts | 96 | ||
| Trialing components and balancing gaps | 96 | ||
| Final preparation and cementing of final implants | 98 | ||
| Complications and outcomes | 99 | ||
| Postoperative protocol and rehabilitation | 100 | ||
| Summary | 101 | ||
| References | 101 | ||
| Mobile-bearing Unicondylar Knee Arthroplasty | 105 | ||
| Key points | 105 | ||
| Introduction | 105 | ||
| Oxford design history and rationale | 106 | ||
| Indications | 106 | ||
| Surgical technique | 110 | ||
| Results | 116 | ||
| Surgical pearls | 117 | ||
| Summary | 119 | ||
| References | 119 | ||
| Robotic-assisted Unicompartmental Knee Arthroplasty | 123 | ||
| Key points | 123 | ||
| Introduction | 123 | ||
| Clinical outcomes | 131 | ||
| Summary | 131 | ||
| References | 131 | ||
| Patient-Specific Instrumentation and Return to Activities After Unicondylar Knee Arthroplasty | 133 | ||
| Key points | 133 | ||
| Unicompartmental knee arthroplasty | 133 | ||
| Introduction | 134 | ||
| Indications | 134 | ||
| Surgical technique | 135 | ||
| Outcomes | 140 | ||
| Complications | 144 | ||
| Future areas of research | 146 | ||
| References | 147 | ||
| Outcomes and Complications of Unicondylar Arthroplasty | 149 | ||
| Key points | 149 | ||
| Introduction | 149 | ||
| Historic durability and survivorship of design | 150 | ||
| Modern unicompartmental indications | 150 | ||
| Mobile-bearing UKA | 151 | ||
| Advantages of UKA | 152 | ||
| Lateral UKA | 152 | ||
| Patellofemoral arthroplasty | 153 | ||
| UKA versus TKA | 155 | ||
| Modern UKA outcomes | 156 | ||
| Most common modes of failure | 156 | ||
| Summary | 157 | ||
| References | 158 | ||
| Future Trends for Unicompartmental Arthritis of the Knee | 161 | ||
| Key points | 161 | ||
| Introduction | 161 | ||
| Current treatment options | 162 | ||
| Corticosteroid Injections | 162 | ||
| Autologous-Conditioned Serum | 162 | ||
| PRP Injections | 163 | ||
| Hyaluronic Acid Injections | 164 | ||
| Future trends | 164 | ||
| Corticosteroids | 164 | ||
| Lubricants and Viscosupplementation | 164 | ||
| Growth Factor–Related Injections | 165 | ||
| Stem Cells | 165 | ||
| Gene Therapy | 167 | ||
| Final considerations | 168 | ||
| References | 168 | ||
| Index | 175 |