title: Uncertainties surrounding the choice of surgical treatment for 'bone on bone' medial compartment osteoarthritis of the knee.
abstract: A number of different surgical interventions can be used for treating antero-medial osteoarthritis (AMOA) of the knee and this choice can present challenges for patient's decision-making. Patients with AMOA can undergo Total Knee Replacement (TKR), Unicompartmental Knee Replacement (UKR) or High Tibial Osteotomy (HTO) for the same pathology. However many uncertainties still exist as to deciding which operation is best for individual patients and the Orthopaedic community has failed to systematically compare treatment options. The relative lack of scientifically based evidence has impacted on the ability to provide clear guidelines on treatment choice, patient suitability and direct patient preference for treatment. This paper, using available evidence, discusses the issue and offers some suggestions for future development.
authors.affiliation: Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, Nuffield Orthopaedic Centre (NIHR Biomedical Research Unit). University of Oxford, Oxford, OX3 7LD, UK. Electronic address: andrew.price@ndorms.ox.ac.uk.
authors.forename: Andrew
authors.initials: A
authors.lastname: Price
authors.forename: David
authors.initials: D
authors.lastname: Beard
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Thienpont
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D003657:Decision Making; D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D020370:Osteoarthritis, Knee / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D016896:Treatment Outcome
keywords: Medial arthritis; Resurfacing; Review; Unicompartmental arthroplasty