Lateral unicompartmental knee arthroplasty anatomy, indications, technique, and outcomes: a narrative review.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Declarations. Conflict of interest: No funds, grants, or other support were received for conducting this study. Financial interests: Neil P. Sheth has received consultant honoraria from Zimmer Biomet, Smith and Nephew, and Medacta and royalties from Elsevier. Non-financial interests: Sahil Sanghavi serves on the editorial board of the Journal of Orthopaedic Case Reports. Neil P. Sheth serves on the editorial boards of Journal of Arthroplasty, Clinical Orthopaedics and Related Research, Journal of the American Academy of Orthopaedic Surgeons, Journal of Knee Surgery, Journal of Hip Surgery, and Indian Arthoplasty Journal; and on the boards of Eastern Orthopaedic Association, OrthoInfo, Anterior Hip Foundation, and Arab Health. The remaining authors have no interests to disclose. 14. Arch Orthop Trauma Surg. 2010 Dec;130(12):1539-48. doi: 10.1007/s00402-010-1137-9. Epub 2010 Jun 18. Lateral unicompartmental knee arthroplasty: a review. Heyse TJ(1), Tibesku CO. Author information: (1)Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse, 35043, Marburg, Germany. heyse@med.uni-marburg.de Lateral unicondylar knee arthroplasty (UKA) has been utilized as a treatment for isolated lateral tibiofemoral osteoarthritis (OA) since the first description of UKA in the 1970s. To date, there remains some controversy on UKA procedures. As indications for lateral UKA are usually rare, surgeon experience seems to be the key factor for a successful intervention. Better understanding of biomechanics of the knee joint, recent developments in prosthesis design, surgical techniques and indications may add to improved outcomes of lateral UKA. Alternatives that are applied to treat lateral tibiofemoral OA include arthroscopic interventions, osteotomies and total knee arthroplasty (TKA). In comparison with TKA, potential advantages of UKA include a minimally or less invasive approach, less bone resection, preservation of the cruciate ligaments, preservation of the medial tibiofemoral and the patellofemoral compartments, shorter rehabilitation, and physiological knee kinematics. This review aims to summarize the current concepts of implant designs as well as indications and contraindications for lateral UKA. The literature will be presented and discussed as well as results and realistic expectations on both the surgeon's and the patient's side. Alternative treatments and future concepts for lateral UKA will be presented. DOI: 10.1007/s00402-010-1137-9