Unicompartmental Knee Arthroplasty: Indications, Surgical Techniques and Complications

Description

Unicompartmental knee arthroplasty (UKA) - also known as unicondylar knee arthroplasty or partial knee replacement - is an excellent surgical option for the treatment of isolated medial, lateral and patellofemoral compartment arthritis of the knee, as long term results suggest high patient satisfaction and survivability that rivals total knee arthroplasty (TKA). These procedures are well-suited for rapid recovery protocols and outpatient surgery through well-structured surgical pathways. With demand increasing for knee arthroplasty, patients presenting sooner and at a younger age, and an ever-increasing interest from patients, surgeons and payors in outpatient surgery, the demand for unicompartmental arthroplasty is expected to increase significantly. This text will assist orthopedic surgeons, sports medicine specialists, residents and attendings in developing successful pathways for unicompartmental knee arthroplasty, divided into three thematic sections. Part one discusses the history, indications and patient selection for UKA, including how to manage patient expectations, as well as implant choices. Surgical techniques for UKA are presented in part two, both the medial and lateral sides, with discussion of mobile bearings, pain management, blood preservation strategies, and therapy options both before and after surgery. Complications and their prevention are presented in part three, including periprosthetic fractures and infection. Timely and practical, Unicompartmental Knee Arthroplasty will provide orthopedic surgeons and related clinical staff with all they need to know to bring this increasingly common technique into practice. Front Matter ....Pages i-xiii Front Matter ....Pages 1-1 History of the Unicompartmental Knee Arthroplasty (Faisal Akram, Brett Levine)....Pages 3-12 Indications for Unicompartmental Knee Arthroplasty: Which Knees Are Best? (Jason L. Blevins, David J. Mayman)....Pages 13-18 Patient Criteria for Unicompartmental Knee Arthroplasty: Are There Exclusion Criteria? (Alexander L. Neuwirth, Matthew J. Grosso, Jeffrey A. Geller)....Pages 19-24 Risk Mitigation for Unicompartmental Knee Arthroplasty (Daniel D. Bohl, Tad L. Gerlinger)....Pages 25-35 Managing Patient Expectations for Unicompartmental Knee Arthroplasty (Daniel R. Mesko, Sheeba M. Joseph)....Pages 37-42 Implant Choices for Unicompartmental Knee Arthroplasty (Matthew P. Siljander, Jay S. Croley, Donald M. Knapke)....Pages 43-53 Front Matter ....Pages 55-55 Medial Unicompartmental Knee Arthroplasty: Indications and Technique (Brian C. Fuller, Tad L. Gerlinger)....Pages 57-67 The Mobile Bearing in Unicompartmental Knee Arthroplasty (Nicholas J. Greco, Kojo A. Marfo, Keith R. Berend)....Pages 69-94 Lateral Unicompartmental Knee Arthroplasty: Indications and Technique (Vasili Karas, Richard A. Berger)....Pages 95-105 Treating Patellofemoral Arthritis with Patellofemoral Arthroplasty (Kevin J. Choo, Jess H. Lonner)....Pages 107-120 Utilizing Unicompartmental Knee Arthroplasty for More than One Compartment (Brian Darrith, Jeffery H. DeClaire, Nicholas B. Frisch)....Pages 121-131 Unicompartmental Knee Arthroplasty and Anterior Cruciate Ligament Deficiency (Thomas W. Hamilton, Hemant Pandit)....Pages 133-146 Pain Management in Unicompartmental Knee Arthroplasty (Adam C. Young)....Pages 147-160 Blood Preservation Strategies in Total Knee and Unicompartmental Knee Arthroplasty (Dipak B. Ramkumar, Niveditta Ramkumar, Yale A. Fillingham)....Pages 161-167 Outpatient Unicompartmental Knee Arthroplasty (Robert A. Sershon, Kevin B. Fricka)....Pages 169-177 Therapy for Unicompartmental Knee Arthroplasty: Pre-op, Day of, and Post-op (Peter F. Helvie, Linda I. Suleiman)....Pages 179-185 Front Matter ....Pages 187-187 Disease Progression and Component Failure in Unicompartmental Knee Arthroplasty (Matthew J. Hall, Peter J. Ostergaard, Christopher M. Melnic)....Pages 189-198 Periprosthetic Fracture in Unicompartmental Knee Arthroplasty (Anthony J. Boniello, Craig J. Della Valle, P. Maxwell Courtney)....Pages 199-206 Preventing Infections in Unicompartmental Knee Arthroplasty (Charles P. Hannon, Craig J. J. Della Valle)....Pages 207-216 Infection Remediation in Unicompartmental Knee Arthroplasty (Kevin C. Bigart, Denis Nam)....Pages 217-221 Back Matter ....Pages 223-230