Proprioceptive Function, Clinical Results, and Quality of Life After Unicondylar Sledge Prostheses

Fuchs, Susanne; Frisse, D.; Tibesku, Carsten O.; Laass, H.; Rosenbaum, Dieter

doi:10.1097/00002060-200207000-00002

Cited by 22 publications

(16 citation statements)

References 16 publications

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“…In general, our findings are supported by the literature, although previous reports regard only total knee replacement with a hinged total knee replacement [9,10]. These findings could be caused by the surgical intervention, since comparison between operated and non-operated legs revealed a significantly lower muscle activity in the operated legs except for the biceps femoris.…”

Section: Discussionsupporting

confidence: 90%

Clinical and functional results after the rehabilitation period in minimally-invasive unicondylar knee arthroplasty patients

Fuchs

Rolauffs

Plaumann

et al. 2004

Knee Surg Sports Traumatol Arthrosc

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The objective of the present study was to analyze the clinical and functional outcome after minimally-invasive implantation of a Repicci-type unicompartmental sledge prosthesis . In 29 patients with primary unicompartmental knee osteoarthritis, 29 replacements of the medial compartment and four of the lateral compartment were performed using the minimally-invasive technique with the metal-backed and the all-polyethylene versions of the Repicci sledge prosthesis. Electromyography (EMG) of standardized locations was measured with the MyoSystem 2000 and analyzed with Myoresearch software. Gait analysis was performed with a six-camera motion analysis system and force platforms. Established clinical and quality of life (SF-36) scores were used to compare patients with 11 healthy age-matched individuals. The Repicci sledge prosthesis led postoperatively to functional results that were in the range of healthy joints, and superior to sledge prostheses of a different design. Gait and balance parameters were comparable to the control group, whilst electromyographically lower amplitudes were found in the patients than the controls and in the operated legs as compared to the non-operated legs. Many parameters of quality of life and activity were comparable to age-matched healthy individuals, and quality of life was superior to total knee replacement. When implanted using a minimally-invasive technique and with suitable patient selection, the Repicci sledge led to functional results comparable to those of healthy joints and gait parameters comparable to those of healthy individuals. The level of evidence is Level III, retrospective cohort study.

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Section: Discussionsupporting

confidence: 90%

Clinical and functional results after the rehabilitation period in minimally-invasive unicondylar knee arthroplasty patients

Fuchs

Rolauffs

Plaumann

et al. 2004

Knee Surg Sports Traumatol Arthrosc

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“…The literature does not contain reports showing results of a series of bi-UKR. However, recently, several biomechanical studies have demonstrated that maintenance of the anterior cruciate ligament and its mechanoreceptors may result in a better functional result [10][11][12][13]. Furthermore knee kinematics during flexion following bi-UKR more closely resembles the intact knee while TKR leads to results far from that of a normal knee [14].…”

Section: Discussionmentioning

confidence: 99%

Tissue-sparing surgery with the bi-unicompartmental knee prosthesis: retrospective study with minimum follow-up of 36 months

Confalonieri¹,

Manzotti²

2006

J Orthopaed Traumatol

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“…In comparison with a TKR, UKR allows use of smaller implants, shorter operative time, preservation of both the cruciate ligaments and minimal bone resection [ 20 , 21 ]. Maintenance of the anterior cruciate ligament and its mechanoreceptors may produce a better functional result in UKR [ 22 – 24 ]. Knee kinematics during flexion following UKR has been shown to more closely resemble the intact knee.…”

Section: Unicompartmental Knee Replacementmentioning

confidence: 99%

Tissue sparing surgery in knee reconstruction: unicompartmental (UKA), patellofemoral (PFA), UKA + PFA, bi-unicompartmental (Bi-UKA) arthroplasties

Confalonieri¹,

Manzotti²,

Montironi³

et al. 2008

J Orthopaed Traumatol

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Recently mini-invasive joint replacement has become one of the hottest topics in the orthopaedic world. However, these terms have been improperly misunderstood as a "key-hole" surgery where traditional components are implanted with shorter surgical approaches, with few benefits and several possible dangers. Small implants as unicompartmental knee prostheses, patellofemoral prostheses and bi-unicompartmental knee prostheses might represent real less invasive procedures: Tissue sparing surgery, the Italian way to minimally invasive surgery (MIS). According to their experience the authors go through this real tissue sparing surgery not limited only to a small incision, but where the surgeons can respect the physiological joint biomechanics.

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Proprioceptive Function, Clinical Results, and Quality of Life After Unicondylar Sledge Prostheses

Cited by 22 publications

References 16 publications

Clinical and functional results after the rehabilitation period in minimally-invasive unicondylar knee arthroplasty patients

Clinical and functional results after the rehabilitation period in minimally-invasive unicondylar knee arthroplasty patients

Tissue-sparing surgery with the bi-unicompartmental knee prosthesis: retrospective study with minimum follow-up of 36 months

Tissue sparing surgery in knee reconstruction: unicompartmental (UKA), patellofemoral (PFA), UKA + PFA, bi-unicompartmental (Bi-UKA) arthroplasties

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