{"title":"Unicompartmental and Total Knee Arthroplasty: Why Mess with Success?","authors":"Simon L.E. Walgrave, David A. Parker","doi":"10.1016/j.otsm.2024.151085","DOIUrl":null,"url":null,"abstract":"<div><p>This chapter explores the management of end stage knee osteoarthritis (OA) in the aging athlete.</p><p>In this population, the focus shifts from solely pain relief to enabling a return to specific athletic activities. Different and higher patient expectations cause the need for more careful consideration of surgical techniques, implant selection, and rehabilitation.</p><p>Total knee arthroplasty (TKA) remains the gold standard, offering broad indications, and a high success rate overall. Unicompartmental Knee Arthroplasty (UKA) targets isolated OA and demonstrates higher return-to-sport rates. Literature suggests both options favour low-impact activities.</p><p>Both UKA and TKA are successful options in the treatment of end stage knee OA, even in an active and athletic population.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 2","pages":"Article 151085"},"PeriodicalIF":0.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1060187224000261","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
This chapter explores the management of end stage knee osteoarthritis (OA) in the aging athlete.
In this population, the focus shifts from solely pain relief to enabling a return to specific athletic activities. Different and higher patient expectations cause the need for more careful consideration of surgical techniques, implant selection, and rehabilitation.
Total knee arthroplasty (TKA) remains the gold standard, offering broad indications, and a high success rate overall. Unicompartmental Knee Arthroplasty (UKA) targets isolated OA and demonstrates higher return-to-sport rates. Literature suggests both options favour low-impact activities.
Both UKA and TKA are successful options in the treatment of end stage knee OA, even in an active and athletic population.
期刊介绍：
Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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