title: [Modern unicondylar knee arthroplasty. Tips and tricks].
abstract: BACKGROUND
  Unicondylar knee arthroplasty (UKA) is an established therapeutic option for advanced medial or lateral gonarthrosis.
  
  
  OBJECTIVE
  The cornerstones of a successful UKA, careful patient selection, preoperative planning and precise operation technique, are discussed in this overview article.
  
  
  OBJECTIVE
  In contrast to total knee arthroplasty, UKA allows preservation of the contralateral and patellofemoral compartments as well as the cruciate ligaments and is often associated with rapid postoperative recovery, improved knee kinematics and knee function. However, UKA is technically very demanding. High revision rates have been reported in particular with widespread application, according to national joint replacement registries.
  
  
  CONCLUSIONS
  Successful UKA relies on meticulous patient selection, preoperative planning and surgical technique. It is justified to broaden classic UKA indications. In medial and lateral UKA three types of mechanical varus-valgus deformity can be encountered: type 1 (isolated intraarticular deformity), type 2 (pronounced deformity due to extraarticular varus deformity in medial UKA or valgus deformity in lateral UKA), type 3 (reduced deformity due to extraarticular valgus deformity in medial UKA or varus deformity in lateral UKA). We believe these deformities should be addressed accordingly with surgical technique.
authors.affiliation: Gelenkzentrum Zürich, Toblerstr. 51, 8044, Zürich, Schweiz, vonknoch@gelenkzentrum.com.
authors.forename: F
authors.initials: F
authors.lastname: von Knoch
authors.forename: U
authors.initials: U
authors.lastname: Munzinger
mesh_terms: D019645:Arthroplasty, Replacement, Knee / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D007720:Knee Prosthesis; D020370:Osteoarthritis, Knee / Q000175:diagnosis* / Q000601:surgery*; D018579:Patient Selection; D011300:Preoperative Care / Q000379:methods*; D011379:Prognosis; D018570:Risk Assessment