Unicondylar knee arthroplasty and anterior cruciate ligament reconstruction

被引:0
作者
Becker R. [1 ]
Kopf S. [1 ]
机构
[1] Zentrum für Orthopädie und Unfallchirurgie, Medizinische Hochschule Brandenburg „Theodor Fontane“, Hochstraße 26, Brandenburg
关键词
Knee joint; Knee osteoarthritis; Osteotomy; Rupture; Sledge prothesis;
D O I
10.1007/s00142-017-0157-7
中图分类号
学科分类号
摘要
Patients presenting with osteoarthritis of the medial femorotibial compartment in conjunction with anterior instability of the knee joint might be suitable for anterior cruciate ligament reconstruction and medial unicondylar knee arthroplasty. Clinical studies have shown promising short-term results and significant improvement in the Knee Society score (KSS) and Tegner activity score. The anterior instability after surgery can be reduced to ≤5 mm. These combined procedures are recommended in younger patients in order to preserve natural knee kinematics. Unicondylar knee arthroplasty should also be considered in patients presenting with an intra-articular deformity, which is not correctable with high tibial osteotomy. © 2017, Springer Medizin Verlag GmbH.
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页码:316 / 322
页数:6
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共 56 条
  • [41] Pinczewski L.A., Lyman J., Salmon L.J., Russell V.J., Roe J., Linklater J., A 10-year comparison of anterior cruciate ligament reconstructions with hamstring tendon and patellar tendon autograft: a controlled, prospective trial, Am J Sports Med, 35, pp. 564-574, (2007)
  • [42] Poehling G.G., Curl W.W., Lee C.A., Ginn T.A., Rushing J.T., Naughton M.J., Holden M.B., Martin D.F., Smith B.P., Analysis of outcomes of anterior cruciate ligament repair with 5‑year follow-up: allograft versus autograft, Arthroscopy, 21, pp. 774-785, (2005)
  • [43] Simpson D.J., Price A.J., Gulati A., Murray D.W., Gill H.S., Elevated proximal tibial strains following unicompartmental knee replacement – a possible cause of pain, Med Eng Phys, 31, pp. 752-757, (2009)
  • [44] Streich N.A., Zimmermann D., Bode G., Schmitt H., Reconstructive versus non-reconstructive treatment of anterior cruciate ligament insufficiency. A retrospective matched-pair long-term follow-up, Int Orthop, 35, pp. 607-613, (2011)
  • [45] Suero E.M., Citak M., Cross M.B., Bosscher M.R., Ranawat A.S., Pearle A.D., Effects of tibial slope changes in the stability of fixed bearing medial unicompartmental arthroplasty in anterior cruciate ligament deficient knees, Knee, 19, pp. 365-369, (2012)
  • [46] Swank M., Stulberg S.D., Jiganti J., Machairas S., The natural history of unicompartmental arthroplasty. An eight-year follow-up study with survivorship analysis, Clin Orthop, 286, pp. 130-142, (1993)
  • [47] Tian S., Wang B., Wang Y., Ha C., Liu L., Sun K., Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction in knees with osteoarthritis and deficient anterior cruciate ligament, BMC Musculoskelet Disord, 17, (2016)
  • [48] Tinius M., Ecker T.M., Klima S., Tinius W., Josten C., Minimally invasive unicondylar knee arthroplasty with simultaneous ACL reconstruction: treatment of medial compartment osteoarthritis and cruciate ligament defect, Unfallchirurg, 110, pp. 1030-1038, (2007)
  • [49] Tinius M., Hepp P., Becker R., Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction, Knee Surg Sports Traumatol Arthrosc, 20, pp. 81-87, (2012)
  • [50] Ventura A., Legnani C., Terzaghi C., Iori S., Borgo E., Medial unicondylar knee arthroplasty combined to anterior cruciate ligament reconstruction, Knee Surg Sports Traumatol Arthrosc, 25, pp. 675-680, (2017)