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06-01-2016 | Osteoarthritis | Book Chapter | Article

9. New and Evolving Surgical Techniques

Author: Willem van der Merwe

Publisher: Springer Berlin Heidelberg

Abstract

As a result of increasing life expectancies, continuing physical careers, lifestyles into later life, and rising obesity levels, the number of younger patients presenting with osteoarthritis (OA) of the knee is increasing. When conservative management options have been exhausted, the challenge for the orthopaedic surgeon is to offer a procedure that will relieve symptoms and allow a return to a high level of function but not compromise future surgery.

National Institute for Health and Clinical Excellence. National Collaborating Centre for Chronic Conditions Osteoarthritis: national clinical guideline for care and management in adults. London: NICE; 2008.

Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull WHO 2003;81:646–56. Feeley BT, Gallo RA, Shermsan S, Williams RJ. Management of osteoarthritis of the knee in the active patient. J Am Acad Orthop Surg. 2010;18:406–16.

McLellan F. Obesity rising to alarming levels around the world. Lancet. 2002;359:1412.CrossRefPubMed

Koeck FX, Luring C, Handel M, Tingart M, Grifka J, Beckmann J. Prospective single-arm, multi-center trial of a patient-specific interpositional knee implant: early clinical results. Open Orthop J. 2011;5:37–43.CrossRefPubMedPubMedCentral

Sisto DJ, Mitchell IL. Unispacer arthroplasty of the knee. J Bone Joint Surg Am. 2005;87(8):1706–11.PubMed

Elsner JJ, Portnoy S, Zur G, Guilak F, Shterling A, Linder-Ganz E. Design of a free-floating polycarbonate-urethane meniscal implant using finite element modeling and experimental validation. J Biomech Eng. 2010;132(9):095001.CrossRefPubMed

Zur G, Linder-Ganz E, Elsner JJ, Shani J, Brenner O, Agar G, Hershman EB, Arnoczky SP, Guilak F, Shterling A. Chondroprotective effects of a polycarbonate-urethane meniscal implant: histopathological results in a sheep model. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):255–63.CrossRefPubMed

De Coninck T, Elsner JJ, Linder-Ganz E, Cromheecke M, Shemesh M, Huysse W, Verdonk R, Verstraete K, Verdonk P. In-vivo evaluation of the kinematic behavior of an artificial medial meniscus implant: a pilot study using open-MRI. Clin Biomech (Bristol, Avon). 2014;29(8):898–905.CrossRef

Deie M, Ochi M, Adachi N, Kajiwara R, Kanaya A. A new articulated distraction arthroplasty device for treatment of the osteoarthritic knee joint: a preliminary report. Arthroscopy. 2007;23(8):L833–8.CrossRef

10.

Kajiwara R, Ishida O, Kawasaki K, Adachi N, Yasunaga Y, Ochi M. Effective repair of a fresh osteochondral defect in the rabbit knee joint by articulated joint distraction following subchondral drilling. J Orthop Res. 2005;23:909–15.CrossRefPubMed

11.

Kamei G, Ochi M, Okuhara A, Fujimiya M, Deie M, Adachi N, Nakamae A, Nakasa T, Ohkawa S, Takazawa K, Eguchi A, Katou T, Takada T, Usman MA. A new distraction arthroplasty device using magnetic force; a cadaveric study. Clin Biomech (Bristol, Avon). 2013;28(4):423–8. doi:10.1016/j.clinbiomech.2013.02.003.CrossRef

12.

Gabriel SM, Clifford AG, Maloney WJ, O’Connell MK, Tornetta III P. Unloading the OA knee with a novel implant system. J Appl Biomech. 2012;29(6):647–54.CrossRefPubMed

13.

Moximed, Inc. Safety and feasibility of a load bypass knee support system (LBKSS) for the treatment of osteoarthritis. Camperdown: The Australian New Zealand Clinical Trials Registry; 2008. anzctr.org.au [website on the Internet]. Accessed 7 Mar 2013.

14.

Moximed, Inc. A multi-center, open-label, interventional study of patients with medial compartment knee osteoarthritis (OA) treated with the KineSpring®System. Camperdown: The Australian New Zealand Clinical Trials Registry; 2009. anzctr.org.au [website on the Internet]. Accessed 7 Mar 2013.

15.

Moximed, Inc. The treatment of medial compartmental knee osteoarthritis (OA) symptoms with the KineSpring™ Unicompartmental Knee Arthroplasty (UKA) System. London: Current Controlled Trials Ltd; 2009. controlled-trials.com [website on the Internet]. Accessed 7 Mar 2013.

16.

Moximed, Inc. Pilot study of the KineSpring® System to evaluate symptom relief in patients with medial knee osteoarthritis (SOAR). Bethesda: US National Library of Medicine; 2012. ClinicalTrials.gov [website on the Internet]. Accessed 7 Mar 2013.

Medicine Matters Rheumatology

Abstract