• British medical bulletin · Jun 2015

    Review Meta Analysis

    No difference between unicompartmental versus total knee arthroplasty for the management of medial osteoarthtritis of the knee in the same patient: a systematic review and pooling data analysis.

    • Umile Giuseppe Longo, Mattia Loppini, Ugo Trovato, Giacomo Rizzello, Nicola Maffulli, and Vincenzo Denaro.
    • Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University, Via Alvaro del Portillo, 200, Trigoria, Rome 00128, Italy.
    • Br. Med. Bull. 2015 Jun 1; 114 (1): 65-73.

    IntroductionOne-third of patients with knee osteoarthritis (OA) has involvement of only one compartment, especially the medial one.Sources Of DataWe performed a comprehensive search of studies comparing unicompartmental knee arthoplasty (UKA) and total knee arthroplasty (TKA) in the same patient on PubMed, OVID/Medline, Cochrane, CINAHL, Google scholar and Embase databases.Areas Of AgreementUKA is indicated in knee with medial OA, no flexion deformity, no joint instability and no varus deformity.Areas Of ControversyAlthough high tibial osteotomy, UKA and TKA have been proposed to address medial OA of the knee, the best management is still controversial.Growing PointsStudies investigating surgical management of medial OA of the knee are increasingly frequent.Areas Timely For Developing ResearchLarge, multicentre, powered, randomized trials comparing UKA and TKA are needed to identify the best management for medial OA of the knee. Moreover, new score systems for satisfaction of the patient should be formulated.© The Author 2015. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

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