Arthritis of the Medial Knee Joint Compartment

被引:4
作者
Matziolis, G. [1 ]
Roehner, E. [1 ]
机构
[1] Univ Jena, Orthopad Klin, D-07607 Eisenberg, Germany
来源
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE | 2015年 / 153卷 / 05期
关键词
knee joint arthritis; corrective osteotomy; high tibial osteotomy (HTO); unicompartmental knee arthroplasty (UKA); total knee arthroplasty (TKA);
D O I
10.1055/s-0035-1557834
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
23% of all persons older than 65 years suffer from osteoarthritis of the medial compartment of the knee joint, a very common situation in orthopaedic practice [1]. As a result of the demographic trend the number of patients is expected to increase in the future. Based on specific joint biomechanics and kinematics the medial knee joint compartment is more frequently affected than the lateral. Only an understanding of the functional anatomy and underlying pathology allows a critical evaluation of different available conservative and operative treatment options. This article gives an overview of diagnostic and therapeutic strategies of osteoarthritis of the medial knee joint. Frequently performed surgeries, e. g. high tibial osteotomy (HTO), unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) will be presented in a comparative manner. The actual scientific evidence will be given with the goal of an evidence based therapy that is adopted to stage and pathology of osteoarthritis of the medial compartment of the knee joint.
引用
收藏
页码:553 / 564
页数:12
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