Modern Patellofemoral Arthroplasty.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/B2). 3. Ann Transl Med. 2016 Jan;4(1):5. doi: 10.3978/j.issn.2305-5839.2015.12.24. Bicompartmental knee arthroplasty. Sabatini L(1), Giachino M(1), Risitano S(1), Atzori F(1). Author information: (1)1 A.O.U. San Luigi Gonzaga, Regione Gonzole 10, Orbassano 10043, Torino, Italy ; 2 University of Turin, Turin, Italy. Total knee arthroplasty (TKA) is the most worldwide practiced surgery for knee osteoarthritis and its efficacy is mightily described by literature. Concerns about the invasiveness of TKA let the introduction of segmental resurfacing of the joint for younger patients with localized osteoarthritis. Bone stock sparing and ligaments preservation are the essence of both unicompartmental knee arthroplasty (UKA) and bicompartmental knee arthroplasty (BKA). Advantages related to BKA are the respect of knee biomechanics, lower complications rates, shorter hospital stay, faster rehabilitation. Moreover, in case of failure of the first implant the conversion to TKA is undemanding and can be compared to a standard prosthesis. Our experience suggest that BKA is a reliable technique in selected cases and especially younger people with higher functional requests can favourably profit from it. Although those results are encouraging, we still need further prospective, randomized, long-term studies to finally assess BKA indications and outcomes. DOI: 10.3978/j.issn.2305-5839.2015.12.24 PMCID: PMC4716949