The simple unicondylar knee: extramedullary technique

Brett Levine; Aaron G Rosenberg

doi:10.1016/j.csm.2013.06.003

The simple unicondylar knee: extramedullary technique

Clin Sports Med. 2014 Jan;33(1):77-85. doi: 10.1016/j.csm.2013.06.003.

Authors

Brett Levine¹, Aaron G Rosenberg

Affiliation

¹ Rush University Medical Center, Chicago, IL 60612, USA.

PMID: 24274847
DOI: 10.1016/j.csm.2013.06.003

Abstract

Unicompartmental knee arthroplasty (UKA) is a successful procedure that is gaining popularity in the United States. Outcomes of UKA depend on careful patient selection as well a meticulous surgical technique and avoiding overcorrection of the preoperative deformity. Intramedullary and extramedullary (EM) cutting guides are available for most commercial systems. EM techniques avoid cannulating the medullary canals of the femur or tibia, thus diminishing the chances of marrow emboli and bleeding from the canal during the procedure. Both with accurate cuts high levels of success with precise component alignment can be achieved when using EM techniques for UKA.

Keywords: Extramedullary guides; Spacer blocks; Unicompartmental.

Publication types

Review

MeSH terms

Arthroplasty, Replacement, Knee / methods*
Hemiarthroplasty / methods*
Humans
Knee Joint / surgery*
Osteoarthritis, Knee / surgery*
Patient Selection
Postoperative Complications
Treatment Outcome