Unicompartmental Knee Arthroplasty: Modes of Failure and Conversion to Total Knee Arthroplasty

Michele Vasso; Katia Corona; Rocco D'Apolito; Giuseppe Mazzitelli; Alfredo Schiavone Panni

doi:10.1055/s-0037-1601414

Joints, Table of Contents

CC-BY-NC-ND 4.0 · Joints 2017; 05(01): 044-050
DOI: 10.1055/s-0037-1601414

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Unicompartmental Knee Arthroplasty: Modes of Failure and Conversion to Total Knee Arthroplasty

Authors

Michele Vasso

¹Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
Katia Corona

¹Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
Rocco D'Apolito

¹Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
Giuseppe Mazzitelli

¹Department of Medicine and Health Sciences, University of Molise, Campobasso, Italy
Alfredo Schiavone Panni

²Multidisciplinary Department of Medical, Surgical and Dental Sciences, University Campana Luigi Vanvitelli, Caserta, Italy

Abstract

Despite the excellent success rates of the modern unicompartmental knee arthroplasty (UKA), results of knee replacement registries still shows a relatively high revision and failure rate for UKA, especially when compared with traditional total knee arthroplasty (TKA). Bearing dislocation continues to be advocated as the predominant mechanism of failure in mobile UKA, whereas polyethylene wear and aseptic loosening remains the main cause of failure of fixed UKA. Degeneration of the unreplaced compartments has been reported in both mobile and fixed designs. When the revision is required, most of failed UKAs are converted to TKAs. Surgical challenges of the UKA revision, and outcomes of UKA converted to TKA are still debated in literature.

Keywords

unicompartmental knee arthroplasty - polyethylene - loosening - bearing dislocation - revision - conversion

Full Text

References

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