Medial compartment osteoarthritis of the knee: a review of surgical options
Daniel J. McCormack, Darren Puttock, and Steven P. GodsiffKnee
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Osteoarthritis of the medial compartment, where the lateral compartment and patella-femoral joint are relatively spared, is a common orthopaedic presentation.
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Most frequently, the treatment of choice would be a total knee replacement, which involves removing healthy joint surfaces in such patients.
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Arthroscopic debridement in the osteoarthritic knee has fallen out of favour due to poor clinical results.
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A trend has developed towards less invasive surgery with uni-compartmental knee replacement (UKR) and high tibial osteotomy (HTO) gaining increasing popularity.
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Surgeons differ in their relative indications and contraindications to performing these procedures.
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Total knee replacement (TKR) continues to have the lowest overall revision rate of the available options.
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Growing evidence demonstrates more favourable patient-reported outcome measures in UKR and HTO patients, compared to TKR.
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Knee joint distraction (KJD) has been demonstrated as an alternative method of treatment in such patients.
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