Minimally invasive unicondylar knee arthroplasty for the treatment of unicompartmental osteoarthritis: an outpatient arthritic bypass procedure

Repicci, John A.; Hartman, Jodi F.

doi:10.1016/j.ocl.2003.12.001

Cited by 41 publications

(19 citation statements)

References 124 publications

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“…Repicci et al argumentam que a HTO, num esforço para diminuir a sobrecarga medial, cria uma deformidade secundária em valgo, que sobrecarrega o compartimento lateral normal e não restaura o eixo mecâ-nico normal (44) . A HTO corrigiria o alinhamento mecâ-nico em duas dimensões, ao passo que a UNI oferece abordagem tridimensional, combinando o realinhamento do eixo com a substituição do compartimento afetado e permitindo o balanço ligamentar, caso seja necessário.…”

Section: Discussionunclassified

“…Além disso, os casos submetidos a UNI apresentaram melhor amplitude ar-ticular e menor sangramento (46) . Segundo Repicci et al, a UNI não tem o objetivo de substituir a PTJ, mas fazer parte de um algoritmo de tratamento da artrose do joelho, doença de caráter em geral lento, porém progressivo (44) . Devido à progressiva melhora na expectativa de vida da população nos últimos anos, principalmente nos países desenvolvidos, associada à sobrevida limitada da PTJ, fica evidente a necessidade de um procedimento capaz de retardar a indicação desta última.…”

Section: Discussionunclassified

“…Para confirmar um bom estado de conservação do compartimento lateral, Repicci et al recomendam a realização de uma artroscopia imediatamente à execução da prótese (44) . Caso haja desgaste articular lateral, opta-se pela PTJ.…”

Section: Discussionunclassified

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Tratamento da artrose unicompartimental medial do joelho com artroplastia unicompartimental tipo Repicci II: relato preliminar de 42 casos

Vaz¹,

Guarniero²,

Santana³

et al. 2008

Rev. bras. ortop.

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Section: Discussionunclassified

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Tratamento da artrose unicompartimental medial do joelho com artroplastia unicompartimental tipo Repicci II: relato preliminar de 42 casos

Vaz¹,

Guarniero²,

Santana³

et al. 2008

Rev. bras. ortop.

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“…Some of these approaches were used at an early stage of arthroplasty such as the medial parapatellar or subvastus approaches or the lateral approach of Keblish to quote only the most commonly used ones [30–33]. Repicci et al [4, 34] endorsed UKR and promoted minimally invasive approach in reducing the skin incision to around 10 cm length centred on the affected compartment and in the same time reducing the medial parapatellar approach to the minimum necessary. Later, pioneers in MIS [9, 10, 26] used already known approaches and reduced their invasiveness to fit the definition of minimally invasive or less invasive surgery (LIS).…”

Section: Definition Mis In Knee Replacementmentioning

confidence: 99%

“…The initial papers about MIS in UKR gave clear patient selection criteria [34]. Some authors have deliberately excluded some patients from MIS TKR.…”

Section: Are There Selective Criteria and Specific Patient Selection mentioning

confidence: 99%

Minimally invasive total knee replacement: techniques and results

Picard

Deakin

Balasubramanian

et al. 2018

Eur J Orthop Surg Traumatol

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In this review, we outlined the definition of minimally invasive surgery (MIS) in total knee replacement (TKR) and described the different surgical approaches reported in the literature. Afterwards, we went through the most recent studies assessing MIS TKR. Next, we searched for potential limitations of MIS knee replacement and tried to answer the following questions: Are there selective criteria and specific patient selection for MIS knee surgery? If there are, then what are they? After all, a discussion and conclusion completed this article. There is certainly room for MIS or at least less invasive surgery for appropriate selected patients. Nonetheless, there are differences between approaches. Mini-medial parapatellar is easy to master, quick to perform and potentially extendable, whereas mini-subvastus and mini-midvastus are trickier and require more caution related to risk of haematoma and vastus medialis oblique (VMO) nerve damage. Current evidence on the safety and efficacy of mini-incision surgery for TKR does not appear fully adequate for the procedure to be used without special arrangements for consent and for audit or continuing research. There is an argument that a sudden jump from standard TKR to MIS TKR, especially without computer assistance such as navigation, patient-specific instrumentation or robotic, may breach a surgeon’s duty of care towards patients because it exposes patients to unnecessary risks. As a final point, more evidence is required on the long-term safety and efficacy of this procedure which will give objective shed light on real benefits of MIS TKR.

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MIS Unicondylar Arthroplasty: The Bone-Sparing Technique

Repicci

Hartman

2009

Minimally Invasive Surgery in Orthopedics

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Minimally invasive unicondylar knee arthroplasty for the treatment of unicompartmental osteoarthritis: an outpatient arthritic bypass procedure

Cited by 41 publications

References 124 publications

Tratamento da artrose unicompartimental medial do joelho com artroplastia unicompartimental tipo Repicci II: relato preliminar de 42 casos

Tratamento da artrose unicompartimental medial do joelho com artroplastia unicompartimental tipo Repicci II: relato preliminar de 42 casos

Minimally invasive total knee replacement: techniques and results

MIS Unicondylar Arthroplasty: The Bone-Sparing Technique

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