Prophylaxis of medial compartment gonarthrosis in varus knee – current state of knowledge

Prophylaxis of medial compartment gonarthrosis in varus knee – current state of knowledge

The progression of gonarthrosis results in reduction of physical activity. One of the factors that increase the risk of osteoarthrosis may be joint overload related to the malalignment of the mechanical axis of the lower extremity. The medial compartment (MC) of the knee is particularly susceptible to overload due to the external knee adduction moment (EKAM). Varus knee malalignment contributes...

The UniSpacerTM: Correcting Varus Malalignment in Medial Gonarthrosis

[The UniSpacer™: correcting varus malalignment in medial gonarthrosis. Preliminary results].

While options for operative treatment of leg axis varus malalignment in patients with medial gonarthrosis include several established procedures, such as unicompartmental knee arthroplasty (UKA), total knee arthroplasty (TKA), or high tibial osteotomy (HTO), so far there has been little focus on a less invasive option introduced more recently: the UniSpacer™ implant, a modern, self-centering, m...

Proximal Tibia Medial Biplanar Retrotubercle Open Wedge Osteotomy for Varus Knees with Medial Gonarthrosis

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Medial compartment arthroplasty of the knee.

Compartmental arthritis forms a significant subgroup of patients presenting with osteoarthritis of the knee. Involvement of the medial compartment is the most common and can be successfully treated by unicompartmetal arthroplasty. The first step is to obtain an accurate diagnosis of the process of the disease, and, particularly, to evaluate the integrity of the ACL. Assessment requires clinical...