| Title |
Medial unicompartmental knee arthroplasty in the ACL-deficient knee
|
|---|---|
| Published in |
Journal of Orthopaedics and Traumatology, May 2016
|
| DOI | 10.1007/s10195-016-0402-2 |
| Pubmed ID | |
| Authors |
Francesco Mancuso, Christopher A. Dodd, David W. Murray, Hemant Pandit |
| Abstract |
Symptomatic osteoarthritis (OA) of the knee develops often in association with anterior cruciate ligament (ACL) deficiency. Two distinct pathologies should be recognised while considering treatment options in patients with end-stage medial compartment OA and ACL deficiency. Patients with primary ACL deficiency (usually traumatic ACL rupture) can develop secondary OA (typically presenting with symptoms of instability and pain) and these patients are typically young and active. Patients with primary end stage medial compartment OA can develop secondary ACL deficiency (usually degenerate ACL rupture) and these patients tend to be older. Treatment options in either of these patient groups include arthroscopic debridement, reconstruction of the ACL, high tibial osteotomy (HTO) with or without ACL reconstruction, unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). General opinion is that a functionally intact ACL is a fundamental prerequisite to perform a UKA. This is because previous reports showed higher failure rates when ACL was deficient, probably secondary to wear and tibial loosening. Nevertheless in some cases of ACL deficiency with end-stage medial compartment OA, UKA has been performed in isolation and recent papers confirm good short- to mid-term outcome without increased risk of implant failure. Shorter hospital stay, fewer blood transfusions, faster recovery and significantly lower risk of developing major complications like death, myocardial infarction, stroke, deep vein thrombosis (as compared to TKA) make the UKA an attractive option, especially in the older patients. On the other hand, younger patients with higher functional demands are likely to benefit from a simultaneous or staged ACL reconstruction in addition to UKA to regain knee stability. These procedures tend to be technically demanding. The main aim of this review was to provide a synopsis of the existing literature and outline an evidence-based treatment algorithm. |
X Demographics
The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 2 | 67% |
| India | 1 | 33% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 3 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 147 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 147 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 24 | 16% |
| Student > Bachelor | 20 | 14% |
| Student > Master | 14 | 10% |
| Other | 12 | 8% |
| Student > Doctoral Student | 11 | 7% |
| Other | 26 | 18% |
| Unknown | 40 | 27% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 75 | 51% |
| Nursing and Health Professions | 12 | 8% |
| Engineering | 5 | 3% |
| Psychology | 2 | 1% |
| Biochemistry, Genetics and Molecular Biology | 2 | 1% |
| Other | 7 | 5% |
| Unknown | 44 | 30% |
Attention Score in Context
This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 November 2020.
All research outputs
#14,081,606
of 23,849,058 outputs
Outputs from Journal of Orthopaedics and Traumatology
#103
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Outputs of similar age
#151,792
of 304,014 outputs
Outputs of similar age from Journal of Orthopaedics and Traumatology
#3
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