Lateral unicondylar knee arthroplasty in osteonecrosis of lateral femoral condyle
Keywords:
posttraumatic osteonecrosis knee, lateral unicondylar knee arthroplasty (LUKA), osteonecrosis knee, osteonecrosis lateral femoral condyleAbstract
Osteonecrosis of the knee usually more common on the medial femoral condyle.Lateral femoral condyle involvement is rare. In chronic cases, it becomes a challenge for surgeons to treat such cases with advanced arthritis and chronic collapsed cartilage involving most most of the femoral condyle using micro fracture, core decompression, fixation of free fragment for restoring the articular cartilage.Unicompartmental knee arthroplasty (UKA) is a procedure that enables restoring normal knee kinematics along with its function for arthritis limited to either compartment of knee joint by preserving unaffected compartment and sparing knee ligaments. We report a 24-year-old male patient with 4 years history of left knee joint pain and walking difficulty following history of Road Traffic Accident (RTA) 5 years back. Local examination of left knee joint revealed tenderness over lateral aspect of left knee joint with fixed flexion deformity of 10 degree and extension lag of 30 degree. Radiological findings suggestive of unicompartmental post-traumatic osteonecrosis of lateral femoral condyle. Surgical intervention aiming for anatomical and functional restoration of knee joint in form of Lateral Unicondylar Arthroplasty of lateral condyle was done. Patient was followed up for a period of 1 year. There were no complications noted and patient was mobilized immediately.
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Ahlbäck S, Bauer GC, Bohne WH. Spontaneous osteonecrosis of the knee. Arthritis Rheum 1968;11:705-33
Karim AR, Cherian JJ, Jauregui JJ, Pierce T, Mont MA. Osteonecrosis of the knee: review. Ann Transl Med. 2015 Jan;3(1):6.
Zaremski JL, Vincent KR. Spontaneous Osteonecrosis of the Knee. Curr Sports MedRep. 2016 Jul-hAug;15(4):228-9.
Duany NG, Zywiel MG, McGrath MS, Siddiqui JA, Jones LC, Bonutti PM, Mont MA. Joint-preserving surgical treatment of spontaneous osteonecrosis of the knee. Arch Orthop Trauma Surg. 2010 Jan;130(1):11-6.
Ohdera T, Miyagi S, Tokunaga M, Yoshimoto E, Matsuda S, Ikari H. Spontaneous osteonecrosis of the lateral femoral condyle of the knee: a report of 11 cases. Arch Orthop Trauma Surg. 2008 Aug;128(8):825-31. doi: 10.1007/s00402-008-0623-9.
Ollivier M, Abdel MP, Parratte S, Argenson JN. Lateral unicondylar knee arthroplasty (UKA): contemporary indications, surgical technique, and results. Int Orthop. 2014 Feb;38(2):449-55. doi: 10.1007/s00264-013-2222-9.
Yamamoto T, Bullough PG. Spontaneous osteonecrosis of the knee: the result of subchondral insufficiency fracture. J Bone Joint Surg Am. 2000;82(6):858-866. doi:10.2106/00004623-200006000-00013 (fracture etiology for osteonecrosis)
Lotke PA, Abend JA, Ecker ML. The treatment of osteonecrosis of the medial femoral condyle. Clin Orthop Relat Res. 1982;(171):109-116.[treatment based on size of lesion]
Mont MA, Marker DR, Zywiel MG, et al. Osteonecrosis of the knee and related conditions. J Am Acad Orthop Surg 2011;19:482-94.
Aglietti P, Insall JN, Buzzi R, et al. Idiopathic osteonecrosis of the knee. Aetiology, prognosis and treatment. J Bone Joint Surg Br 1983;65:588-97.
Fonseca F. Osteochondral allograft in a patient with avascular necrosis of the knee secondary to lupus. Rev Bras Ortop. 2018;53(6):797-801. Published 2018 Sep 19. doi:10.1016/j.rboe.2018.09.004
Yang WM, Zhao CQ, Lu ZY, Yang WY, Lin DK, Cao XW. Clinical Characteristics and Treatment of Spontaneous Osteonecrosis of Medial Tibial Plateau: A Retrospective Case Study. Chin. Med. J. 2018 Nov 05;131(21):2544-2550.
Yates PJ, Calder JD, Stranks GJ, Conn KS, Peppercorn D, Thomas NP. Early MRI diagnosis and non-surgical management of spontaneous osteonecrosis of the knee. Knee. 2007 Mar;14(2):112-6.
Ecker, Malcolm L. MD; Lotke, Paul A. MD Spontaneous Osteonecrosis of the Knee, Journal of the American Academy of Orthopaedic Surgeons: May 1994 - Volume 2 - Issue 3 - p 173-178
Koshino T. The treatment of spontaneous osteonecrosis of the knee by high tibial osteotomy with and without bone-grafting or drilling of the lesion. J Bone Joint Surg Am. 1982;64(1):47-58.Coventry MB. Proximal tibial varus osteotomy for osteoarthritis of the lateral compartment of the knee. J Bone Joint Surg Am. 1987;69:32–38.
Marti RK, Verhagen RA, Kerkhoffs GM, Moojen TM. Proximal tibial varus osteotomy: indications, technique, and five to twentyone-year results. J Bone Joint Surg Am. 2001;83:164–170.
Puddu G, Cipolla M, Cerullo G, Franco V, Gianni E. Which osteotomy for a valgus knee? Int Orthop. 2010;34:239–247
Chambat P, Ait Si Selmi T, Dejour D. Varus tibial osteotomy. Oper Tech Sports Med. 2000;8:44–47.
Argenson JN, Parratte S, Bertani A, Flecher X, Aubaniac JM. Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res. 2008;466:2686–2693.
Ashraf T, Newman JH, Evans RL, Ackroyd CE. Lateral unicompartmental knee replacement survivorship and clinical experience over 21 years. J Bone Joint Surg Br. 2002;84:1126–1130.
Sah AP, Scott RD. Lateral unicompartmental knee arthroplasty through a medial approach: study with an average five-year follow-up. J Bone Joint Surg Am. 2007;89:1948–1954.
Lustig S, Parratte S, Magnussen RA, Argenson JN, Neyret P. Lateral unicompartmental knee arthroplasty relieves pain and improves function in posttraumatic osteoarthritis. Clin Orthop Relat Res. 2012;470(1):69-76. doi:10.1007/s11999-011-1963-2
Heyse TJ, Khefacha A, Fuchs-Winkelmann S, et al. UKA after spontaneous osteonecrosis of the knee: a retrospective analysis. Arch Orthop Trauma Surg 2011;131:613-7.
Andrew J Langdown, Hemant Pandit, Andrew J Price, Christopher A F Dodd, David W Murray, Ulf C G Svärd & Christopher L M H Gibbons (2005) Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee, Acta Orthopaedica, 76:5, 688-692, DOI: 10.1080/17453670510041772
Argenson J-N A, Chevrol-Benkeddache Y, Aubaniac J-M. Modern unicompartmental knee arthroplasty with cement. J Bone Joint Surg (Am) 2002; 84: 2235-9.
Myers TG, Cui Q, Kuskowski M, Mihalko WM, Saleh KJ (2006) Outcomes of total and unicompartmental knee arthroplasty for secondary and spontaneous osteonecrosis of the knee. J Bone Joint Surg Am 88:76–82 5.
Radke S, Wollmerstedt N, Bischoff A, Eulert J (2005) Knee arthroplasty for spontaneous osteonecrosis of the knee: unicompartimental vs bicompartimental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 13:158–162
Bruni D, 22 Zaffagnini S, Iacono F, Bragonzoni L, Lo Presti M, Neri MP, Muccioli GM, Nitri M, Raspugli G, Marcacci M (2016) High rate of implant loosening for uncemented resurfacing-type medial unicompartmental knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 24:3175–3182
Graham J, 23 Ries M, Pruitt L (2003) Effect of bone porosity on the mechanical integrity of the bone-cement interface. J Bone Joint Surg Am 85:1901–1908
Ananda, A., Baso, Y. S., Hidayanty, H., Syarif, S., Aminuddin, A., & Bahar, B. (2022). Providing education chronic energy deficiency (CED) uses web-based she smart to improve knowledge, attitudes, and practice in adolescent girls. International Journal of Health & Medical Sciences, 5(1), 56-62. https://doi.org/10.21744/ijhms.v5n1.1833
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2021). The COVID-19 pandemic. International Journal of Health Sciences, 5(2), vi-ix. https://doi.org/10.53730/ijhs.v5n2.2937
Suryasa, I. W., Rodríguez-Gámez, M., & Koldoris, T. (2022). Post-pandemic health and its sustainability: Educational situation. International Journal of Health Sciences, 6(1), i-v. https://doi.org/10.53730/ijhs.v6n1.5949
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