No difference in survivorship after unicompartmental knee arthroplasty with or without an intact anterior cruciate ligament

Boissonneault, Adam; Pandit, Hemant; Pegg, Elise; Jenkins, C.; Gill, H. S.; Dodd, Christopher; Gibbons, C. L. M. H.; Murray, David

doi:10.1007/s00167-012-2101-8

Cited by 72 publications

(58 citation statements)

References 18 publications

(28 reference statements)

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“…Additionally, whilst HTO can be performed either with or without ACL reconstruction in UKA simultaneous or sequential ACL reconstruction is advised due to the higher risk of tibial loosening; however, in certain cases, upon patient request, UKA has been performed alone [5].…”

Section: Introductionmentioning

confidence: 99%

Clinical outcome after UKA and HTO in ACL deficiency: a systematic review

Mancuso

Hamilton

Kumar

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionmentioning

confidence: 99%

Clinical outcome after UKA and HTO in ACL deficiency: a systematic review

Mancuso

Hamilton

Kumar

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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“…In the elderly, UKA without ACL reconstruction seems to be a reasonable and attractive option if a fixed-bearing design is used, but careful patient selection is necessary 53. The literature shows no statistical difference between survival rates of UKAs implanted in ACL-deficient and ACL-intact knees 54. However, a cautious approach is required, since long-term results are lacking.…”

Section: Current State Of the Artmentioning

confidence: 99%

Unicompartmental knee arthroplasty: state of the art

et al. 2017

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The popularity of unicompartmental knee arthroplasty (UKA) for the treatment of isolated compartment osteoarthritis of the knee has risen over the past 2 decades. Currently, UKA covers 10% of all knee arthroplasties worldwide. Although indications have been extended, results have proven that patient selection plays a critical role in the success of UKA. From the current perspective, age, body mass index, patellofemoral osteoarthritis, anterior cruciate ligament deficiency and chondrocalcinosis are no longer absolute contraindications for UKA. Motivated by the desire to improve survivorship rates, patient-reported outcomes and reduce complications, there have been many technological advances in the field of UKA over the recent years. The aim of this review was to evaluate the current indications, surgical techniques, modes of failure and survivorship results of UKA, by assessing a thorough review of modern literature. Several studies show that innovations in implant design, fixation methods and surgical techniques have led to good-to-excellent long-term survivorship, functional outcomes and less complications. Until now, resurgence of interest of cementless designs is noted according to large national registries to address problems associated with cementation. The future perspective on the usage of UKA, in particular the cementless design, looks promising. Furthermore, there is a growing interest in robotic-assisted techniques in order to optimise result by controlled soft-tissue balancing and reproduce alignment in UKA. Future advances in robotics, most likely in the field of planning and setup, will be valuable in optimising patient-specific UKA.

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“…Boissonneault et al 65 measured the native tibial slope on lateral radiographs by means of a customised MATLAB (MathWorks, Natick, Massachusetts, USA) program to obtain a more accurate evaluation and to determine the degree of varus angular deformity in weight-bearing full-length radiographs.…”

Section: Patient Selection and Preoperative Evaluationmentioning

confidence: 99%

“…Data from registries are important to improve outcome by feedback to surgeons on their results. Boissonneault et al 65 and Engh et al 69 evaluated patients with ACL-deficient knees, but neither study specified whether the ACL rupture was the primary cause of the arthritic process. Boissonneault et al 65 defined ACL deficiency as a non-functionally intact ACL according to intraoperative findings of a friable/fragmented or completely absent ACL.…”

Section: Review Of the Literaturementioning

confidence: 99%