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Revista Archivo Médico de Camagüey

versión On-line ISSN 1025-0255

Resumen

ALVAREZ LOPEZ, Alejandro  y  GARCIA LORENZO, Yenima de la Caridad. Unicompartmental knee arthroplasty. AMC [online]. 2016, vol.20, n.5, pp.553-564. ISSN 1025-0255.

Background: unicompartmental knee arthroplasty constitutes a method of treatment in patients with affection of one compartment of the knee. The more affected ones are: medial tibiofemoral and patellofemoral compartment. Objective: to deepen into the necessary element for the application of unicompartimental arthroplasty in regards to: incidence, indications, and contraindications, the role of arthroscopy, unicomparmental arthroplasty versus high tibial osteotomy, unicompartmental arthroplasty versus total knee replacement, outcomes of unicompartmental arthroplasty and complications. Methods: we conducted a literature review of 654 articles published in Pubmed, Hinari, SciELO and Medline through reference management software Endnote; among them 58 quotes were used and selected to do the review, 56 of them from the last five years, including five books and a reference from one of the authors. Development: important aspects related to incidence of the affected compartment, indications and contraindications are discussed. The role of arthroscopy and the relationship between unicompartmental arthroplasty and high tibial osteotomy, unicompartmental arthroplasty and total knee replacement are tackled. In regard to complications the most important ones are described, especially infection. Conclusions: unicompartmental arthroplasty is a safe and effective surgical method, particularly when patients are selected thoroughly in selected. This procedure has a high survival with excellent and good results.

Palabras clave : ARTHROPLASTY, REPLACEMENT, KNEE; OSTEOTOMY; TIBIA; ARTHROSCOPY; REVIEW LITERATURE AS TOPIC.

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