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2009 | 4 | 3 | 382-387

Article title

Navigated lateral unicompartmental knee arthroplasty - Technique and case report


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Lateral unicompartmental knee arthroplasty (UKA) outcomes have been inferior to those described after medial UKA. Inaccurate implant positioning and mechanical axis malalignment appear to be the most common technical errors. Rare studies or failure identification on lateral UKA are currently presented in the literature. We describe the utilization of computer-assisted lateral UKA placement for lateral knee osteoarthritis with a valgus malalignment of 10°. Navigation allows for a dynamic intraoperative visualisation of the mechanical axis, as well as for accurate component positioning and overall postoperative limb alignment. The systems allow the knee position to be captured with appropriate tension in extension and flexion prior to making definite cuts. Postoperatively, no instabilities occurred with a precise component placement. Navigation can be used in rare cases for lateral UKA.










Physical description


1 - 9 - 2009
3 - 7 - 2009


  • Orthopaedic Department, Hospital for Special Surgery, 10021, New York, USA
  • Clinica Ortopedica e Traumatologica, Università degli Studi di Udine, Udine, Italy
  • Orthopaedic Department, Hospital for Special Surgery, 10021, New York, USA
  • Unfallchirurgische Klinik, St. Josefs Krankenhaus, 49661, Cloppenburg, Germany
  • Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil GmbH, Bochum, Germany
  • Orthopaedic Department, Hospital for Special Surgery, 10021, New York, USA


  • [1] Laskin RS. Unicompartmental knee replacement: some unanswered questions. Clin Orthop Relat Res 267–271, 2001 [PubMed]
  • [2] Scott RD. Lateral unicompartmental replacement: a road less traveled. Orthopedics 28:983–984, 2005 [PubMed]
  • [3] Gunther T, Murray D and Miller R. Lateral unicompartmental arthroplasty with the Oxford meniscal knee. Knee 3:33, 1996 http://dx.doi.org/10.1016/0968-0160(96)00208-6[Crossref]
  • [4] Laskin RS. Unicompartmental tibiofemoral resurfacing arthroplasty. J Bone Joint Surg Am 60:182–185, 1978 [PubMed]
  • [5] Ohdera T, Tokunaga J and Kobayashi A. Unicompartmental knee arthroplasty for lateral gonarthrosis: midterm results. J Arthroplasty 16:196–200, 2001 http://dx.doi.org/10.1054/arth.2001.2090[Crossref]
  • [6] Aleto TJ, Berend ME, Ritter MA, Faris PM and Meneghini RM. Early failure of unicompartmental knee arthroplasty leading to revision. J Arthroplasty 23:159–163, 2008 http://dx.doi.org/10.1016/j.arth.2007.03.020[Crossref]
  • [7] Mariani EM, Bourne MH, Jackson RT, Jackson ST and Jones P. Early failure of unicompartmental knee arthroplasty. J Arthroplasty 22:81–84, 2007 http://dx.doi.org/10.1016/j.arth.2007.04.017[Crossref]
  • [8] Cartier P, Cheaib S and Vanvooren P. [Unicompartmental prosthetic replacement of the knee. Apropos of 159 cases-a maximum follow-up of 10 years]. Rev Chir Orthop Reparatrice Appar Mot 73Suppl 2:130–133, 1987
  • [9] Riebel GD, Werner FW, Ayers DC, Bromka J and Murray DG. Early failure of the femoral component in unicompartmental knee arthroplasty. J Arthroplasty 10:615–621, 1995 http://dx.doi.org/10.1016/S0883-5403(05)80205-0[Crossref]
  • [10] Svard UC and Price AJ. Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 83:191–194, 2001 http://dx.doi.org/10.1302/0301-620X.83B2.10966[Crossref]
  • [11] Perlick L, Bathis H, Tingart M, Perlick C, Luring C and Grifka J. Minimally invasive unicompartmental knee replacement with a nonimage-based navigation system. Int Orthop 28:193–197, 2004 http://dx.doi.org/10.1007/s00264-004-0549-y[Crossref]
  • [12] Dutton AQ, Yeo SJ, Yang KY, Lo NN, Chia KU and Chong HC. Computer-assisted minimally invasive total knee arthroplasty compared with standard total knee arthroplasty. A prospective, randomized study. J Bone Joint Surg Am 90:2–9, 2008 http://dx.doi.org/10.2106/JBJS.F.01148[Crossref]
  • [13] Hankemeier S, Hufner T, Wang G, Kendoff D, Zheng G, Richter M, Gosling T, Nolte L and Krettek C. Navigated intraoperative analysis of lower limb alignment. Arch Orthop Trauma Surg 125:531–535, 2005 http://dx.doi.org/10.1007/s00402-005-0038-9[Crossref]
  • [14] Kendoff D, Citak M, Pearle A, Gardner MJ, Hankemeier S, Krettek C and Hufner T. Influence of lower limb rotation in navigated alignment analysis: implications for high tibial osteotomies. Knee Surg Sports Traumatol Arthrosc 15:1003–1008, 2007 http://dx.doi.org/10.1007/s00167-007-0308-x[Crossref][WoS]
  • [15] Saragaglia D and Roberts J. Navigated osteotomies around the knee in 170 patients with osteoarthritis secondary to genu varum. Orthopedics 28:s1269–1274, 2005
  • [16] Riddle DL, Jiranek WA and McGlynn FJ. Yearly Incidence of Unicompartmental Knee Arthroplasty in the United States. J Arthroplasty 23:408–412, 2008 http://dx.doi.org/10.1016/j.arth.2007.04.012[Crossref]
  • [17] Keene G. Navigation for unicompartmental arthroplasty. Techniques in Knee Surgery 5:218–227, 2006 http://dx.doi.org/10.1097/01.btk.0000236414.61804.06[Crossref]
  • [18] Voss F, Sheinkop MB, Galante JO, Barden RM and Rosenberg AG. Miller-Galante unicompartmental knee arthroplasty at 2- to 5-year follow-up evaluations. J Arthroplasty 10:764–771, 1995 http://dx.doi.org/10.1016/S0883-5403(05)80072-5
  • [19] Lewold S, Robertsson O, Knutson K and Lidgren L. Revision of unicompartmental knee arthroplasty: outcome in 1,135 cases from the Swedish Knee Arthroplasty study. Acta Orthop Scand 69:469–474, 1998 http://dx.doi.org/10.3109/17453679808997780[Crossref]
  • [20] Assor M and Aubaniac JM. [Influence of rotatory malposition of femoral implant in failure of unicompartimental medial knee prosthesis]. Rev Chir Orthop Reparatrice Appar Mot 92:473–484, 2006 [Crossref][PubMed]
  • [21] Argenson JN, Parratte S, Bertani A, Flecher X and Aubaniac JM. Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res 466:2686–2693, 2008 http://dx.doi.org/10.1007/s11999-008-0351-z[Crossref]
  • [22] Volpi P, Marinoni L, Bait C, Galli M and Denti M. Lateral unicompartimental knee arthroplasty: indications, technique and short-medium term results. Knee Surg Sports Traumatol Arthrosc 15:1028–1034, 2007 http://dx.doi.org/10.1007/s00167-007-0342-8[Crossref][WoS]
  • [23] Sah AP and Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach. Study with an average five-year follow-up. J Bone Joint Surg Am 89:1948–1954, 2007 http://dx.doi.org/10.2106/JBJS.F.01457[WoS][Crossref]
  • [24] Sah AP and Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach. Surgical technique. J Bone Joint Surg Am 90Suppl 2 Pt 2:195–205, 2008 http://dx.doi.org/10.2106/JBJS.H.00257[Crossref][WoS]
  • [25] Koeck FX, Perlick L, Luring C, Handel M, Beckmann J, Linhardt O and Grifka J. Leg axis correction with ConforMIS iFormatrade mark (interpositional device) in unicompartmental arthritis of the knee. Int Orthop 2008 [WoS]

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