Unicondylar Knee Surgery: Development of the Minimally Invasive Surgical Approach

摘要: Minimally invasive UKA is reliable and effective for the treatment of isolated medial or lateral knee arthrosis. It offers a decreased morbidity, surgical option that satisfies patients, improves function, has an economic advantage over TKR as result reduced implant cost, acute hospitalization, lower transfusion incidence, complication rates, need subacute rehabilitation outpatient physical therapy. Further advantages exist in resurfacing type unicondylar components can be revised with primary total components, effectively eliminating costly revision prostheses most patients. Unicondylar procedures have finite survivorship. Younger, heavier, more active patients should advised period their may shorter than 10 years average patient experiences.6–14 Patients who are older less function well prosthesis 12 years.9,10 technically demanding procedure, early failures expected if procedure attempted without proper preoperative instruction. Centers performing on regular basis demonstrate better results those centers where done only occasionally.18,52,53 Surgeons not familiar minimally benefit from appropriate