The Knee
Volume 17, Issue 3 , Pages 249-251, June 2010

Conversion of lateral unicompartmental arthroplasty to anterior cruciate retaining tricompartmental knee arthroplasty

  • Lindsey Rolston

      Affiliations

    • Henry County Center for Orthopedic Surgery and Sports Medicine, 2200 Forest Ridge Parkway, Suite 240, New Castle, IN 47362-2943, United States
    • Corresponding Author InformationCorresponding author. Tel.: +1 765 521 7385; fax: +1 765 521 7394.
  • ,
  • Christopher Moore

      Affiliations

    • Smith & Nephew, Inc., Memphis, TN, United States

Received 7 April 2009; received in revised form 3 September 2009; accepted 26 September 2009. published online 30 October 2009.

Abstract 

This case report presents the conversion of a lateral unicompartmental arthroplasty (UKA) to an anterior cruciate retaining tricompartmental knee arthroplasty. The patient presented with disease progression to the medial and patellofemoral compartments of the knee, in addition to significant varus deformity. During revision surgery, the previously implanted UKA device was found to be well fixed and in good condition. The conventional treatment option would be conversion to total knee arthroplasty (TKA). However, in this case conversion to a tricompartmental, ligament sparing arthroplasty via implantation of a bicompartmental knee arthroplasty (BKA) device was found to be feasible. In UKA revision cases where the device is functional, the current surgical approach may be an appropriate alternative to conventional TKA.

Keywords: Total knee arthroplasty, Bicompartmental knee arthroplasty, Unicompartmental knee, Arthroplasty, Journey Deuce

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PII: S0968-0160(09)00176-8

doi:10.1016/j.knee.2009.09.009

The Knee
Volume 17, Issue 3 , Pages 249-251, June 2010