Unicompartmental Knee Arthroplasty Indications, Surgical Techniques

Unicompartmental knee arthroplasty (UKA) - also known as unicondylar knee arthroplasty or partial knee replacement - is an excellent surgical option for the treatment of isolated medial, lateral and patellofemoral compartment arthritis of the knee, as lon

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Unicompartmental Knee Arthroplasty

Tad L. Gerlinger Editor

Unicompartmental Knee Arthroplasty Indications, Surgical Techniques and Complications

Editor Tad L. Gerlinger Adult Reconstruction Division Department of Orthopaedic Surgery Rush University Medical Center Chicago, IL USA

ISBN 978-3-030-27410-8    ISBN 978-3-030-27411-5 (eBook) https://doi.org/10.1007/978-3-030-27411-5 © Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Foreword

I have professed the benefits of unicompartmental knee arthroplasty (UKA) at meetings and courses to trainees and thousands of surgeons for 20 years. My strong belief in the patients’ benefits of UKA makes it a great honor to write this foreword. I believe UKA is the most rewarding surgery in all of arthroplasty; done correctly in the right patient, it has the capacity to return patients to a pre-­ arthritic state where they forget they had arthritis and have a replacement. It becomes a “normal knee” again. As my mentor Jorge Galante told me many times, “Patients may like their total knee, but patients love their Uni and forget they have it!”. Jorge taught me about UKA, and I have had the good fortune to pass it to the surgeons that I have trained. The idea of a partial knee replacement for arthritis has been around for a long time, first with Campbell in the 1940s and then with McKeever and MacIntosh in the late 1950s and 1960s. However, most would say the modern UKA era started in the early 1970s with Marmor, who reported a high success rate in his patients. Not long after, the St. Georg Sled was introduced in Europe and also demonstrated good results. Unfortunately, with the initial success and enthusiasm of th