Skip to main content

The Surgical Steps for Mobile Medial Partial Knee Arthroplasty

  • Chapter
  • First Online:
Partial Knee Arthroplasty
  • 822 Accesses

Abstract

This chapter will review the surgical indications and surgical steps to perform a successful mobile bearing medial partial knee replacement. The main indication for mobile bearing medial partial knee replacement (PKR) is the pathoanatomic disease pattern “anteromedial osteoarthritis.” This is present when the ACL is intact and the lateral compartment has preserved cartilage. The surgical steps of a mobile bearing PKR involve restoring the joint line in both flexion and extension through a calibrated milling system or a gap balancing technique. This results in normal knee kinematics and low polyethylene wear rates.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 49.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 64.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Berend KR, Lombardi AV Jr, Adams JB. Obesity, young age, patellofemoral disease, and anterior knee pain: identifying the unicondylar arthroplasty patient in the United States. Orthopedics. 2007;30(5 Suppl):19–23.

    PubMed  Google Scholar 

  2. Berend KR, Lombardi AV Jr, Mallory TH, Adams JB, Groseth KL. Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity. Clin Orthop Relat Res. 2005;440:60–6.

    Article  Google Scholar 

  3. Price AJ, Waite JC, Svard U. Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2005;435:171–80.

    Article  Google Scholar 

  4. Price AJ, Svard U. A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2010 Aug 13. (Epub ahead of print).

    Google Scholar 

  5. White S, Ludkowski PF, Goodfellow J. Anteromedial O\osteoarthritis of the knee. JBJS. 1991;73Br:582–6.

    Google Scholar 

  6. Kozinn SC, Scott R. Unicondylar knee arthroplasty. JBJS. 1989;71Am:145–50.

    Article  Google Scholar 

  7. Berend KR, Lombardi AV Jr, Hurst JM, Morris M, Indications for UKA, Is there any science, AAOS OLC presentation, Oct 2010.

    Google Scholar 

  8. TF MG, Ammeen DJ, Collier JP, Currier BH, Engh GA. Rapid polyethylene failure of unicondylar tibial components sterilized with gamma irradiation in air and implanted after a long shelf life. J Bone Joint Surg Am. 2002;84–A(6):901–6.

    Google Scholar 

  9. Small SR, Berend ME, Ritter MA, Buckley CA, Rogge RD. Metal backing significantly decreases tibial strains in a medial unicompartmental knee arthroplasty model. J Arthroplast. 2010;26(5):777–82.

    Article  Google Scholar 

  10. Small SR, Berend ME, Ritter MA, Buckley CA. Bearing mobility affects tibial strain in mobile-bearing unicompartmental knee arthroplasty. Surg Technol Int. 2010;19:185–90.

    PubMed  Google Scholar 

  11. Psychoyios V, Crawford RW, O’Connor JJ, Murray DW. Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg Br. 1998 Nov;80(6):976–82.

    Article  CAS  Google Scholar 

  12. Collier MB, Engh CA Jr, Engh GA. Shelf age of the polyethylene tibial component and outcome of unicondylar knee arthroplasty. J Bone Joint Surg Am. 2004;86-A(4):763–9.

    Article  Google Scholar 

  13. Hamilton WG, Collier MB, Tarabee E, McAuley JP, Engh CA Jr, Engh GA. Incidence and reasons for reoperation after minimally invasive unicompartmental knee arthroplasty. J Arthroplast. 2006;21(6 Suppl 2):98–107.

    Article  Google Scholar 

  14. McGovern TF, Ammeen DJ, Collier JP, Currier BH, Engh GA. Rapid polyethylene failure of unicondylar tibial components sterilized with gamma irradiation in air and implanted after a long shelf life. J Bone Joint Surg Am. 2002;84-A(6):901–6.

    Article  Google Scholar 

  15. Kendrick BJ, Longino D, Pandit H, Svard U, Gill HS, Dodd CA, Murray DW, Price AJ. Polyethylene wear in Oxford unicompartmental knee replacement: a retrieval study of 47 bearings. J Bone Joint Surg Br. 2010;92(3):367–73.

    Article  CAS  Google Scholar 

  16. Price AJ, Svard U. A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2011;469(1):174–9. https://doi.org/10.1007/s11999-010-1506-2.

    Article  Google Scholar 

  17. Price AJ, Waite JC, Svard U. Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2005;435:171–80.

    Article  Google Scholar 

  18. Svärd UC, Price AJ. Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br. 2001;83(2):191–4.

    Article  Google Scholar 

  19. Ritter MA, Faris PM, Thong AE, Davis KE, Meding JB, Berend ME. Intra-operative findings in varus osteoarthritis of the knee. An analysis of pre-operative alignment in potential candidates for unicompartmental arthroplasty. J Bone Joint Surg Br. 2004;86(1):43–7.

    Article  CAS  Google Scholar 

  20. Gulati A, Chau R, Pandit HG, Gray H, Price AJ, Dodd CA, Murray DW. The incidence of physiological radiolucency following Oxford unicompartmental knee replacement and its relationship to outcome. J Bone Joint Surg Br. 2009;91(7):896–902.

    Article  CAS  Google Scholar 

  21. Aleto TJ, Berend ME, Ritter MA, Faris PM, Meneghini RM. Early failure of unicompartmental knee arthroplasty leading to revision. J Arthroplast. 2008;23(2):159–63.

    Article  Google Scholar 

  22. Clarius M, Hauck C, Seeger JB, James A, Murray DW, Aldinger PR. Pulsed lavage reduces the incidence of radiolucent lines under the tibial tray of Oxford unicompartmental knee arthroplasty: pulsed lavage versus syringe lavage. Int Orthop. 2009;33(6):1585–90. Epub 2009 Feb 14.

    Article  Google Scholar 

  23. Pandit H, Jenkins C, Beard DJ, Gallagher J, Price AJ, Dodd CA, Goodfellow JW, Murray DW. Cementless Oxford unicompartmental knee replacement shows reduced radiolucency at one year. J Bone Joint Surg Br. 2009;91(2):185–9.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Berend, M., Murray, D. (2019). The Surgical Steps for Mobile Medial Partial Knee Arthroplasty. In: Argenson, JN., Dalury, D. (eds) Partial Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-319-94250-6_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-94250-6_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-94249-0

  • Online ISBN: 978-3-319-94250-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics