Long-term results of compartmental arthroplasties of the knee: Long term results of partial knee arthroplasty

S. Parratte, M. Ollivier, A. Lunebourg, Matthew Abdel, J. N. Argenson

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Partial knee arthroplasty (PKA), either medial or lateral unicompartmental knee artroplasty (UKA) or patellofemoral arthroplasty (PFA) are a good option in suitable patients and have the advantages of reduced operative trauma, preservation of both cruciate ligaments and bone stock, and restoration of normal kinematics within the knee joint. However, questions remain concerning long-term survival. The goal of this review article was to present the long-term results of medial and lateral UKA, PFA and combined compartmental arthroplasty for multicompartmental disease. Medium- and long-term studies suggest reasonable outcomes at ten years with survival greater than 95% in UKA performed for medial osteoarthritis or osteonecrosis, and similarly for lateral UKA, particularly when fixed-bearing implants are used. Disappointing long-term outcomes have been observed with the first generation of patellofemoral implants, as well as early Bi-Uni (ie, combined medial and lateral UKA) or Bicompartmental (combined UKA and PFA) implants due to design and fixation issues. Promising short- and med-term results with the newer generations of PFAs and bicompartmental arthroplasties will require long-term confirmation.

Original languageEnglish (US)
Pages (from-to)9-15
Number of pages7
JournalBone and Joint Journal
Volume97-B
Issue number10
DOIs
StatePublished - Oct 1 2015

Fingerprint

Knee Replacement Arthroplasties
Knee
Arthroplasty
Osteonecrosis
Survival
Knee Joint
Ligaments
Biomechanical Phenomena
Osteoarthritis
Bone and Bones
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Long-term results of compartmental arthroplasties of the knee : Long term results of partial knee arthroplasty. / Parratte, S.; Ollivier, M.; Lunebourg, A.; Abdel, Matthew; Argenson, J. N.

In: Bone and Joint Journal, Vol. 97-B, No. 10, 01.10.2015, p. 9-15.

Research output: Contribution to journalArticle

Parratte, S. ; Ollivier, M. ; Lunebourg, A. ; Abdel, Matthew ; Argenson, J. N. / Long-term results of compartmental arthroplasties of the knee : Long term results of partial knee arthroplasty. In: Bone and Joint Journal. 2015 ; Vol. 97-B, No. 10. pp. 9-15.
@article{d7599bb3009b44f993bb756b3b4e9ba5,
title = "Long-term results of compartmental arthroplasties of the knee: Long term results of partial knee arthroplasty",
abstract = "Partial knee arthroplasty (PKA), either medial or lateral unicompartmental knee artroplasty (UKA) or patellofemoral arthroplasty (PFA) are a good option in suitable patients and have the advantages of reduced operative trauma, preservation of both cruciate ligaments and bone stock, and restoration of normal kinematics within the knee joint. However, questions remain concerning long-term survival. The goal of this review article was to present the long-term results of medial and lateral UKA, PFA and combined compartmental arthroplasty for multicompartmental disease. Medium- and long-term studies suggest reasonable outcomes at ten years with survival greater than 95{\%} in UKA performed for medial osteoarthritis or osteonecrosis, and similarly for lateral UKA, particularly when fixed-bearing implants are used. Disappointing long-term outcomes have been observed with the first generation of patellofemoral implants, as well as early Bi-Uni (ie, combined medial and lateral UKA) or Bicompartmental (combined UKA and PFA) implants due to design and fixation issues. Promising short- and med-term results with the newer generations of PFAs and bicompartmental arthroplasties will require long-term confirmation.",
author = "S. Parratte and M. Ollivier and A. Lunebourg and Matthew Abdel and Argenson, {J. N.}",
year = "2015",
month = "10",
day = "1",
doi = "10.1302/0301-620X.97B10.36426",
language = "English (US)",
volume = "97-B",
pages = "9--15",
journal = "Bone and Joint Journal",
issn = "2049-4394",
publisher = "British Editorial Society of Bone and Joint Surgery",
number = "10",

}

TY - JOUR

T1 - Long-term results of compartmental arthroplasties of the knee

T2 - Long term results of partial knee arthroplasty

AU - Parratte, S.

AU - Ollivier, M.

AU - Lunebourg, A.

AU - Abdel, Matthew

AU - Argenson, J. N.

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Partial knee arthroplasty (PKA), either medial or lateral unicompartmental knee artroplasty (UKA) or patellofemoral arthroplasty (PFA) are a good option in suitable patients and have the advantages of reduced operative trauma, preservation of both cruciate ligaments and bone stock, and restoration of normal kinematics within the knee joint. However, questions remain concerning long-term survival. The goal of this review article was to present the long-term results of medial and lateral UKA, PFA and combined compartmental arthroplasty for multicompartmental disease. Medium- and long-term studies suggest reasonable outcomes at ten years with survival greater than 95% in UKA performed for medial osteoarthritis or osteonecrosis, and similarly for lateral UKA, particularly when fixed-bearing implants are used. Disappointing long-term outcomes have been observed with the first generation of patellofemoral implants, as well as early Bi-Uni (ie, combined medial and lateral UKA) or Bicompartmental (combined UKA and PFA) implants due to design and fixation issues. Promising short- and med-term results with the newer generations of PFAs and bicompartmental arthroplasties will require long-term confirmation.

AB - Partial knee arthroplasty (PKA), either medial or lateral unicompartmental knee artroplasty (UKA) or patellofemoral arthroplasty (PFA) are a good option in suitable patients and have the advantages of reduced operative trauma, preservation of both cruciate ligaments and bone stock, and restoration of normal kinematics within the knee joint. However, questions remain concerning long-term survival. The goal of this review article was to present the long-term results of medial and lateral UKA, PFA and combined compartmental arthroplasty for multicompartmental disease. Medium- and long-term studies suggest reasonable outcomes at ten years with survival greater than 95% in UKA performed for medial osteoarthritis or osteonecrosis, and similarly for lateral UKA, particularly when fixed-bearing implants are used. Disappointing long-term outcomes have been observed with the first generation of patellofemoral implants, as well as early Bi-Uni (ie, combined medial and lateral UKA) or Bicompartmental (combined UKA and PFA) implants due to design and fixation issues. Promising short- and med-term results with the newer generations of PFAs and bicompartmental arthroplasties will require long-term confirmation.

UR - http://www.scopus.com/inward/record.url?scp=84944458635&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84944458635&partnerID=8YFLogxK

U2 - 10.1302/0301-620X.97B10.36426

DO - 10.1302/0301-620X.97B10.36426

M3 - Article

C2 - 26430081

AN - SCOPUS:84944458635

VL - 97-B

SP - 9

EP - 15

JO - Bone and Joint Journal

JF - Bone and Joint Journal

SN - 2049-4394

IS - 10

ER -