Different surgical options for monocompartmental osteoarthritis of the knee: high tibial osteotomy versus unicompartmental knee arthroplasty versus total knee arthroplasty: indications, techniques, results, and controversies.
The decision of what procedure to perform for the treatment of monocompartmental osteoarthritis of the knee when nonsurgical treatment methods fail remains controversial. Recent advances using osteotomy, unicompartmental knee replacement, and total knee replacement have been reported. For example, there are new concepts for performing high tibial osteotomies rather than the traditional Coventry method. Many techniques now involve osteotomies below the tibial tubercle. Unicompartmental knee replacement can be done using a standard approach, but less invasive approaches exist, along with minimally invasive approaches for total knee replacement, rather than the standard large incision, that promote decreased soft-tissue destruction.
Mont
Michael A
MA
Center for Joint Preservation and Reconstruction, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopaedics, Baltimore, Maryland, USA.
Stuchin
Steven A
SA
Paley
Dror
D
Sharkey
Peter F
PF
Parvisi
Javad
J
Tria
Alfred J
AJ
Bonutti
Peter M
PM
Etienne
Gracia
G
D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D001696:Biomechanical Phenomena; D006801:Humans; D016916:Joint Deformities, Acquired / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures; D020370:Osteoarthritis, Knee / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D018579:Patient Selection; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome