Medial compartment osteoarthritis of the knee: a review of surgical options
| Autor: | Daniel J McCormack, Darren Puttock, Steven P Godsiff |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Alternative methods
musculoskeletal diseases 030222 orthopedics medicine.medical_specialty business.industry medicine.medical_treatment Total knee replacement Knee replacement 030229 sport sciences Osteoarthritis medicine.disease Surgery 03 medical and health sciences 0302 clinical medicine High tibial osteotomy medicine Orthopedics and Sports Medicine Revision rate Knee Osteoarthritic knee Compartment (pharmacokinetics) business |
| Zdroj: | EFORT Open Reviews |
| ISSN: | 2058-5241 |
| Popis: | Osteoarthritis of the medial compartment, where the lateral compartment and patella-femoral joint are relatively spared, is a common orthopaedic presentation. Most frequently, the treatment of choice would be a total knee replacement, which involves removing healthy joint surfaces in such patients. Arthroscopic debridement in the osteoarthritic knee has fallen out of favour due to poor clinical results. A trend has developed towards less invasive surgery with uni-compartmental knee replacement (UKR) and high tibial osteotomy (HTO) gaining increasing popularity. Surgeons differ in their relative indications and contraindications to performing these procedures. Total knee replacement (TKR) continues to have the lowest overall revision rate of the available options. Growing evidence demonstrates more favourable patient-reported outcome measures in UKR and HTO patients, compared to TKR. Knee joint distraction (KJD) has been demonstrated as an alternative method of treatment in such patients. Cite this article: EFORT Open Rev 2021;6:113-117. DOI: 10.1302/2058-5241.6.200102 |
| Databáze: | OpenAIRE |
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