Unicompartmental knee arthroplasty and its place in modernity (literature rewiew)
https://doi.org/10.17238/2226-2016-2023-2-73-83
Abstract
Introduction. For many years, unicondylar knee arthroplasty (UKA) has occupied a leading place in the structure of partial arthroplasty, being a surgical method of treating an isolated affected part of the knee joint in patients who sought medical help at earlier stages of osteoarthritis (OA). Partial arthroplasty regains its former popularity and interest on the part of many operating doctors, taking advantage of the inherent advantages that allow you to restore the directly damaged compartment and preserve the normal anatomy of the knee joint in intact departments, which improves the prognosis of such patients and demonstrates good medium- and long-term results.
Materials and methods. The literature review contains information on both current trends and vectors of ACS development, and also highlights the history of the formation and development of one of the methods of partial knee replacement. The purpose of the review is based on the analysis of domestic and foreign literature to review and present up-to-date data on the arthroplasty of the medial knee joint with one condyle. In the course of the work, more than 25,000 articles from domestic and foreign scientific citation databases were analyzed.
Discussion and conclusions. Partial arthroplasty has undergone many changes, modifications and transformations, which have affected both the technical improvement of structures and surgical instruments, and the rethinking of the role and significance of partial arthroplasty in modern times, which has allowed to achieve good clinical results and patient satisfaction. This review analyzes publications, collects information about the stages of development and formation of this method of surgical treatment, although conservatism of views and contradictory opinions about the concept of UKA remain, which demonstrates the continuing interest and relevance of partial arthroplasty at the present time.
About the Authors
V. Y. MurylevRussian Federation
Valeriy Yu. Murylev — Dr. Sci. (Med.), Professor; Head of Moscow City Arthroplasty Center
119991, Moscow
125894, Moscow
V. G. Germanov
Russian Federation
Valery G. Germanov — PhD, Associate Professor
119991, Moscow
N. E. Erokhin
Russian Federation
Nikolay E. Erokhin — postgraduate student of the department; Orthopedic Surgeon
119991, Moscow
125894, Moscow
G. A. Kukovenko
Russian Federation
Grigory A. Kukovenko — PhD, Associate Professor; Orthopedic Surgeon
119991, Moscow
125894, Moscow
S. S. Alekseev
Russian Federation
Semen S. Alekseev — PhD, Orthopedic Surgeon
125894, Moscow
P. M. Elizarov
Russian Federation
Pavel M. Elizarov — PhD, Associate Professor; Orthopedic Surgeon
119991, Moscow
125894, Moscow
A. G. Zhuchkov
Russian Federation
Alexander G. Zhuchkov — PhD, Orthopedic Surgeon
125894, Moscow
A. V. Muzychenkov
Russian Federation
Aleksey V. Muzychenkov — PhD, Assistant Professor; Orthopedic Surgeon
119991, Moscow
125894, Moscow
References
1. Murphy LB, Moss S, Do BT, Helmick CG, Schwartz TA, Barbour KE, Renner J, Kalsbeek W, Jordan JM. Annual Incidence of Knee Symptoms and Four Knee Osteoarthritis Outcomes in the Johnston County Osteoarthritis Project. Arthritis Care Res (Hoboken). 2016 Jan;68(1):55-65. doi: 10.1002/acr.22641. PMID: 26097226; PMCID: PMC4684807.
2. Kashevarova N.G. Osteoartroz kolennykh sustavov: faktory riska progressirovaniya zabolevaniya pri pyatiletnem prospektivnom nablyudenii. Dis. kand. med. nauk (14.01.22). Moskva, 2014. 136 s
3. Gregori D, Giacovelli G, Minto C, Barbetta B, Gualtieri F, Azzolina D, Vaghi P, Rovati LC. Association of Pharmacological Treatments With Long-term Pain Control in Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis. JAMA. 2018 Dec 25;320(24):2564-2579. doi: 10.1001/jama.2018.19319. PMID: 30575881; PMCID: PMC6583519.
4. Pradelli L, Sinigaglia T, Migliore A, Checchia GA, Franceschi F, Frediani B, Iannone F, Romanini E. Non-Surgical Treatment of Knee Osteoarthritis: Multidisciplinary Italian Consensus on Best Practice. Ther Clin Risk Manag. 2021 May 28;17:507-530. doi: 10.2147/TCRM.S288196. PMID: 34093017; PMCID: PMC8170371.
5. Cao Z, Mai X, Wang J, Feng E, Huang Y. Unicompartmental Knee Arthroplasty vs High Tibial Osteotomy for Knee Osteoarthritis: A Systematic Review and Meta-Analysis. J Arthroplasty. 2018 Mar;33(3):952-959. doi: 10.1016/j.arth.2017.10.025. Epub 2017 Dec 2. PMID: 29203354.
6. Zuiderbaan HA, van der List JP, Kleeblad LJ, Appelboom P, Kort NP, Pearle AD, Rademakers MV. Modern Indications, Results, and Global Trends in the Use of Unicompartmental Knee Arthroplasty and High Tibial Osteotomy in the Treatment of Isolated Medial Compartment Osteoarthritis. Am J Orthop (Belle Mead NJ). 2016 Sep/Oct;45(6):E355-E361. PMID: 27737301.
7. Smith WB 2nd, Steinberg J, Scholtes S, Mcnamara IR. Medial compartment knee osteoarthritis: age-stratified cost-effectiveness of total knee arthroplasty, unicompartmental knee arthroplasty, and high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):924-933. doi: 10.1007/s00167-015-3821-3. Epub 2015 Oct 31. PMID: 26520646.
8. Liddle AD, Pandit H, Judge A, Murray DW. Patient-reported outcomes after total and unicompartmental knee arthroplasty: a study of 14,076 matched patients from the National Joint Registry for England and Wales. Bone Joint J. 2015 Jun;97-B(6):793-801. doi: 10.1302/0301-620X.97B6.35155. PMID: 26033059.
9. National Joint Registry. 18th Annual Report of the National Joint Registry for England, Wales and Northern Ireland. National Joint Registry 2021.
10. Marquardt, O. Kinegelenksplastik mit VLA Stahiplatte / Zsch. G. Orthop. – 1950. – Bd. 80. – S. 140.
11. MacIntosh DL, Hunter GA. The use of the hemiarthroplasty prosthesis for advanced osteoarthritis and rheumatoid arthritis of the knee. J Bone Joint Surg Br. 1972 May;54(2):244-55. PMID: 5034824.
12. The classic. Tibial plateau prosthesis. By Duncan C. McKeever, 1960. Clin Orthop Relat Res. 1985 Jan-Feb;(192):3-12. PMID: 3881204.
13. Mackinnon J, Young S, Baily RA. The St Georg sledge for unicompartmental replacement of the knee. A prospective study of 115 cases. J Bone Joint Surg Br. 1988 Mar;70(2):217-23. doi: 10.1302/0301-620X.70B2.3346291. PMID: 3346291.
14. Olsen NJ, Ejsted R, Krogh P. St Georg modular knee prosthesis. A two-and-a-half to six-year follow-up. J Bone Joint Surg Br. 1986 Nov;68(5):787-90. doi: 10.1302/0301-620X.68B5.3782247. PMID: 3782247.
15. Engelbrecht E, Siegel A, ROTTGER J, Buchholz HW. Statistics of total knee replacement: partial and total knee replacement, design St. Georg: a review of a 4-year observation. Clin Orthop Relat Res. 1976 Oct;(120):54-64. PMID: 975667.
16. Shaw NE, Chatterjee RK. Manchester knee arthroplasty. J Bone Joint Surg Br. 1978 Aug;60-B(3):310-4. doi: 10.1302/0301-620X.60B3.681405. PMID: 681405.
17. Marmor L. The modular knee. Clin Orthop Relat Res. 1973 Jul-Aug;(94):242-8. doi: 10.1097/00003086-197307000-00029. PMID: 4743455.
18. Gunston FH. Polycentric knee arthroplasty: prosthetic simulation of normal knee movement. 1971. Clin Orthop Relat Res. 2006 May;446:11-2. doi: 10.1097/01.blo.0000214423.59829.04. PMID: 16672864.
19. Cavendish ME, Wright JT. The Liverpool Mark II knee prosthesis. A preliminary report. J Bone Joint Surg Br. 1978 Aug;60-B(3):315-8. doi: 10.1302/0301-620X.60B3.681406. PMID: 681406.
20. Walker SJ, Sharma P, Parr N, Cavendish ME. The long-term results of the Liverpool Mark II knee prosthesis. J Bone Joint Surg Br. 1986 Jan;68(1):111-6. doi: 10.1302/0301-620X.68B1.3941126. PMID: 3941126.
21. Freeman MA, Levack B. British contribution to knee arthroplasty. Clin Orthop Relat Res. 1986 Sep;(210):69-79. PMID: 3530580.
22. Insall J, Ranawat CS, Scott WN, Walker P. Total condylar knee replacement: preliminary report. Clin Orthop Relat Res. 1976 Oct;(120):149-54. PMID: 975650.
23. The Swedish Knee Arthroplasty Register – Annual Report 2020. Available from https://www.myknee.se/pdf/SVK_2020_Eng_1.0.pdf
24. Australian Orthopaedic Association National Joint Replacement Registry_2021.
25. Holzer LA, Holzer G. The most influential papers in unicompartmental knee arthroplasty. Knee Surg Relat Res. 2020 Oct 9;32(1):54. doi:10.1186/s43019-020-00072-1. PMID: 33036665; PMCID: PMC7547448.
26. Kosinskaya N.S. Rabochaya klassifikatsiya i obshchaya kharakteristika porazheniĭ kostno–sustavnogo apparata / N.S.Kosinskaya, D.G.Rokhlin. – L.: Meditsina, 1961. – 169 s
27. Ahlbäck S. Osteoarthrosis of the knee: a radiographic investigation. Acta Radiol Stockholm 1968; (suppl 277):7-72.
28. Kellgren JH, Jeffrey M, Ball J. Atlas of standard radiographs.Vol 2. Oxford: Blackwell Scientific, 1963.
29. Lawrence R. et al. Estimates of the prevalence of arthritis and selected musculoskeletal disorders in the United States / Lawrence R., Helmick C., Arnett F. et al. // Arthr. Rheum. – 1998. – V. 41. – P. 778 - 799.
30. Fedorov R.E., Kornilov N.N., Kulyaba T.A. Chastichnaya artroplastika kolennogo sustava v RF: nedootsenennyy vid endoprotezirovaniya, nesmotrya na znachimyye otdalennyye rezul’taty. Opinion Leader . 2018. EDN: PRFMJI
31. Analiz i tendentsii razvitiya odnomyshchelkovogo endoprotezirovaniya kolennogo sustava v RNIITO im. R.R. Vredena. Aktual’nyye problemy travmatologii i ortopedii sbornik nauchnykh statey, posvyashchennyy 110-letiyu RNIITO im. R.R. Vredena. Sankt-Peterburg, 2016; EDN: YIUSJF
32. Dikinov A.B. Chugayev D.V., Kornilov N.N. Otsenka udovletvorennosti patsiyentov posle chastichnoy artroplastiki kolennogo sustava. Aktual’nyye voprosy travmatologii i ortopedii. Materialy konferentsii molodykh uchenykh Severo-Zapadnogo federal’nogo okruga. 2017. EDN: YTUPLZ
33. Fil’ A.S., Antipov A.P., Kulyaba T.A., Kornilov N.N. Tselesoobrazna li chastichnaya artroplastika kolennogo sustava: mneniya ortopedov krupnogo tsentra endoprotezirovaniya. Travmatologiya i ortopediya Rossii. 2021;27(3):43-55. https://doi.org/10.21823/2311-2905-2021-27-3-43-55
34. Zuiderbaan HA, van der List JP, Khamaisy S, Nawabi DH, Thein R, Ishmael C, Paul S, Pearle AD. Unicompartmental knee arthroplasty versus total knee arthroplasty: Which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc. 2017 Mar;25(3):681-686. doi: 10.1007/s00167-015-3868-1. Epub 2015 Nov 21. PMID: 26590566.
35. Wiik AV, Manning V, Strachan RK, Amis AA, Cobb JP. Unicompartmental knee arthroplasty enables near normal gait at higher speeds, unlike total knee arthroplasty. J Arthroplasty. 2013 Oct;28(9 Suppl):176-8. doi: 10.1016/j.arth.2013.07.036. PMID: 24099573; PMCID: PMC3809509.
36. Friesenbichler B, Item-Glatthorn JF, Wellauer V, von Knoch F, Casartelli NC, Maffiuletti NA. Short-term functional advantages after medial unicompartmental versus total knee arthroplasty. Knee. 2018 Aug;25(4):638-643. doi: 10.1016/j.knee.2018.04.009. Epub 2018 May 7. PMID: 29748141.
37. Peersman G, Slane J, Vuylsteke P, Fuchs-Winkelmann S, Dworschak P, Heyse T, Scheys L. Kinematics of mobile-bearing unicompartmental knee arthroplasty compared to native: results from an in vitro study. Arch Orthop Trauma Surg. 2017 Nov;137(11):1557-1563. doi: 10.1007/s00402-017-2794-8. Epub 2017 Sep 21. PMID: 28936684.
38. Siman H, Kamath AF, Carrillo N, Harmsen WS, Pagnano MW, Sierra RJ. Unicompartmental Knee Arthroplasty vs Total Knee Arthroplasty for Medial Compartment Arthritis in Patients Older Than 75 Years: Comparable Reoperation, Revision, and Complication Rates. J Arthroplasty. 2017 Jun;32(6):1792-1797. doi: 10.1016/j.arth.2017.01.020. Epub 2017 Jan PMID: 28215968.
39. Greco NJ, Lombardi AV Jr, Price AJ, Berend ME, Berend KR. Medial Mobile-Bearing Unicompartmental Knee Arthroplasty in Young Patients Aged Less Than or Equal to 50 Years. J Arthroplasty. 2018 Aug;33(8):2435-2439. doi: 10.1016/j.arth.2018.03.069. Epub 2018 Apr 9. PMID: 29705680.
40. Huang F, Wu D, Chang J, Zhang C, Qin K, Liao F, Yin Z. A Comparison of Mobile- and Fixed-Bearing Unicompartmental Knee Arthroplasties in the Treatment of Medial Knee Osteoarthritis: A Systematic Review and Meta-analysis of 1,861 Patients. J Knee Surg. 2021 Mar;34(4):434-443. doi: 10.1055/s-0039-1697901. Epub 2019 Sep 30. PMID: 31569258.
41. Swienckowski, J. Medial unicompartmental arthroplasty of the knee. Use of the L-cut and comparison with the tibial inset method / J. Swienckowski, B.J. Page // Clin. Orthop. – 1989. – Vol. 239. – P. 161–167.
42. Chatellard R, Sauleau V, Colmar M, Robert H, Raynaud G, Brilhault J; Société d’Orthopédie et de Traumatologie de l’Ouest (SOO). Medial unicompartmental knee arthroplasty: does tibial component position influence clinical outcomes and arthroplasty survival? Orthop Traumatol Surg Res. 2013 Jun;99(4 Suppl):S219-25. doi: 10.1016/j.otsr.2013.03.004. Epub 2013 Apr 24. PMID: 23622861.
43. Lum ZC, Lombardi AV, Hurst JM, Morris MJ, Adams JB, Berend KR. Early outcomes of twin-peg mobile-bearing unicompartmental knee arthroplasty compared with primary total knee arthroplasty. Bone Joint J. 2016 Oct;98-B(10 Supple B):28-33. doi: 10.1302/0301-620X.98B10.BJJ-2016-0414.R1. PMID: 27694513; PMCID: PMC5047131.
44. Horikawa A, Miyakoshi N, Shimada Y, Kodama H. Comparison of clinical outcomes between total knee arthroplasty and unicompartmental knee arthroplasty for osteoarthritis of the knee: a retrospective analysis of preoperative and postoperative results. J Orthop Surg Res. 2015 Oct 28;10:168. doi: 10.1186/s13018-015-0309-2. PMID: 26510773; PMCID: PMC4625455.
45. Musbahi O, Hamilton TW, Crellin AJ, Mellon SJ, Kendrick B, Murray DW. The effect of obesity on revision rate in unicompartmental knee arthroplasty: a systematic review and meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2021 Oct;29(10):3467-3477. doi: 10.1007/s00167-020-06297-7. Epub 2020 Oct 16. PMID: 33064192; PMCID: PMC8458170.
46. Woo YL, Chen YQ, Lai MC, Tay KJ, Chia SL, Lo NN, Yeo SJ. Does obesity influence early outcome of fixed-bearing unicompartmental knee arthroplasty? J Orthop Surg (Hong Kong). 2017 Jan 1;25(1):2309499016684297. doi: 10.1177/2309499016684297. PMID: 28366049.
47. Cavaignac E, Lafontan V, Reina N, Pailhé R, Wargny M, Laffosse JM, Chiron P. Obesity has no adverse effect on the outcome of unicompartmental knee replacement at a minimum follow-up of seven years. Bone Joint J. 2013 Aug;95-B(8):1064-8. doi: 10.1302/0301-620X.95B8.31370. Erratum in: Bone Joint J. 2013 Nov;95-B(11):1582. Warmy, M [corrected to Wargny, M]. PMID: 23908421.
48. Liddle AD, Pandit H, Judge A, Murray DW. Effect of Surgical Caseload on Revision Rate Following Total and Unicompartmental Knee Replacement. J Bone Joint Surg Am. 2016 Jan 6;98(1):1-8. doi: 10.2106/JBJS.N.00487. PMID: 26738897.
49. Murray DW, Liddle AD, Dodd CA, Pandit H. Unicompartmental knee arthroplasty: is the glass half full or half empty? Bone Joint J. 2015 Oct;97-B(10 Suppl A):3-8. doi: 10.1302/0301-620X.97B10.36542. Erratum in: Bone Joint J. 2015 Dec;97-B(12):1732. Liddle, A [corrected to Liddle, A D]. PMID: 26430080; PMCID: PMC4632649.)]
50. Zhang Q, Zhang Q, Guo W, Liu Z, Cheng L, Yue D, Zhang N. The learning curve for minimally invasive Oxford phase 3 unicompartmental knee arthroplasty: cumulative summation test for learning curve (LC-CU-SUM). J Orthop Surg Res. 2014 Sep 6;9:81. doi: 10.1186/s13018-014-0081-8. PMID: 25192976; PMCID: PMC4173050.
51. Walker T, Streit J, Gotterbarm T, Bruckner T, Merle C, Streit MR. Sports, Physical Activity and Patient-Reported Outcomes After Medial Unicompartmental Knee Arthroplasty in Young Patients. J Arthroplasty. 2015 Nov;30(11):1911-6. doi: 10.1016/j.arth.2015.05.031. Epub 2015 May PMID: 26088397.
Review
For citations:
Murylev V.Y., Germanov V.G., Erokhin N.E., Kukovenko G.A., Alekseev S.S., Elizarov P.M., Zhuchkov A.G., Muzychenkov A.V. Unicompartmental knee arthroplasty and its place in modernity (literature rewiew). Department of Traumatology and Orthopaedics. 2023;(2):73-83. (In Russ.) https://doi.org/10.17238/2226-2016-2023-2-73-83
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