Combined treatment with medial unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction is effective on long‑term follow‑up

Knee Surgery, Sports Traumatology, Arthroscopy, 2023 · DOI: 10.1007/s00167-022-07102-3 · Published: August 25, 2022

Simple Explanation

This study investigates the effectiveness of combining partial knee replacement (UKA) with ACL reconstruction (ACLR) for patients with both knee osteoarthritis and ACL deficiency. The study followed 23 patients who underwent both procedures to see how well they functioned long-term, focusing on pain relief, stability, and return to sports. The results showed that this combined approach can provide good long-term outcomes, with patients experiencing pain relief and being able to return to sports activities.

Study Duration

10 years

Participants

23 patients (18 male, 5 female)

Evidence Level

Key Findings

1
UKA combined with ACLR is an effective therapeutic option with good outcome and return to sport rate on the long-term.
2
Implant survivorship was 91.4% at 14.5 years.
3
VAS, Lysholm, Tegner and UCLA scores improved significantly.

Research Summary

The purpose of the present study was to evaluate the long-term outcome of combined medial unicompartmental knee arthroplasty (UKA) and anterior cruciate ligament reconstruction (ACLR). UKA combined with ACLR is a viable treatment option with a good long-term outcome and return to sport rate in patients with an ACL injury and isolated medial knee OA. Simultaneous ACLR and UKA is a viable treatment option with a good long-term outcome and return to sport rate in patients with an ACL injury and isolated medial knee OA.

Practical Implications

Treatment Portfolio Expansion

This approach should be included in the treatment portfolio for patients with ACL injury and isolated medial knee OA.

Realistic Expectations

Patients’ long-term expectations can be raised with this combined procedure.

Surgical Precision

Proper surgical indication and execution remain crucial for the success of the procedure.

Combined treatment with medial unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction is effective on long‑term follow‑up

Simple Explanation

Key Findings

Research Summary

Practical Implications

Treatment Portfolio Expansion

Realistic Expectations

Surgical Precision

Study Limitations

Your Feedback

Was this summary helpful?

Combined treatment with medial unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction is effective on long‑term follow‑up

Simple Explanation

Key Findings

Research Summary

Practical Implications

Treatment Portfolio Expansion

Realistic Expectations

Surgical Precision

Study Limitations

Your Feedback

Was this summary helpful?