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Custom Lateral UKA

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Fig. 3: Geometric differences between medial

and lateral tibial plateau. Note the more curved

medial condyle.

Fig. 4: Different geometries of medial and lateral tibial

plateau. The medial tibial condyle is tear-drop shaped

and the lateral tibial plateau more round.

Fig. 5: It is recommended to internally rotate a OTS lateral UKA 10-20 degrees, which may require to cut

through the patella tendon [8] as seen on the left. A custom lateral UKA is designed to cover the entire

lateral tibial plateau and does not require to make the L-cut through the patella tendon.

Literature

[1] JS Mensch, HC Amstutz. “Knee morphology as a

guide to knee replacement”.

Clin Orthop Relat Res., n° 112,

pp. 231-41, Oct. 1975.

[2] E Servien, M Saffarini, S Lustig, S Chomel,

P Neyret. “Lateral versus medial tibial plateau:

morphometric analysis and adaptability with current tibial

component design”.

Knee surgery, sports traumatology,

arthroscopy: official journal of the ESSKA, vol. 16, n° 12,

pp. 1141-5, Sep. 2008.

[3] W Fitz, R Bliss, E Losina. “Current fit of medial

and lateral unicompartmental knee arthroplasty”.

Acta

orthopaedica Belgica, vol. 79, n° 2, pp. 191–196, Apr. 2013.

[4] DW Pennington, JJ Swienckowski, WB

Lutes, G. N. Drake. “Lateral unicompartmental knee

arthroplasty: survivorship and technical considerations at an

average follow-up of 12.4 years”.

The Journal of arthroplasty,

vol. 21, n° 1, pp. 13-17, Jan. 2006.

[5] TAshraf, JH Newman, RL Evans, CE Ackroyd.

“Lateral unicompartmental knee replacement survivorship and

clinical experience over 21 years”. The Journal of bone and joint

surgery.

British volume, vol. 84, n° 8, pp. 1126-30, Nov. 2002.

[6] T Ohdera, J Tokunaga, A Kobayashi.

“Unicompartmentalkneearthroplastyforlateralgonarthrosis:

midterm results”.

Journal of Arthroplasty, vol. 16, n° 2, pp.

196-200, Feb. 2001.

[7] S Lustig, S Parratte, RA Magnussen, JN

Argenson, P Neyret. “Lateral unicompartmental knee

arthroplasty relieves pain and improves function in

posttraumatic osteoarthritis”.

Clin Orthop Relat Res, vol.

470, n° 1, pp. 69-76, Jan 2012.

[8] DW Pennington, JJ Swienckowski, WB

Lutes, GN Drake. “Lateral Unicompartmental Knee

Arthroplasty”.

The Journal of arthroplasty, vol. 21, n° 1, pp.

13-17, Jan. 2006.