This is an early access version
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Orthopaedic and Traumatology, Faculty of Medicine, RSUD Prof. Dr. Saiful Anwar Malang , Malang , Indonesia
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Orthopaedic and Traumatology, Faculty of Medicine, RSUD Prof. Dr. Saiful Anwar Malang , Malang , Indonesia
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Orthopaedic and Traumatology, Faculty of Medicine, RSUD Prof. Dr. Saiful Anwar Malang , Malang , Indonesia
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Orthopaedic and Traumatology, Faculty of Medicine, RSUD Prof. Dr. Saiful Anwar Malang , Malang , Indonesia
Orthopaedic and Traumatology, Faculty of Medicine, RSUD Prof. Dr. Saiful Anwar Malang , Malang , Indonesia
Orthopaedic and Traumatology, Faculty of Medicine, RSUD Prof. Dr. Saiful Anwar Malang , Malang , Indonesia
Aim Recent studies challenge the initial belief that medial unicompartmental knee arthroplasty (UKA) is contraindicated for patients with anterior cruciate ligament deficiency (ACLD) due to increased risk of periprosthetic tibial fractures, revealing promising outcomes with advancements in surgical techniques and patient selection. This study aimed to evaluate the outcomes of patients who received medial unicompartmental knee arthroplasty with anterior cruciate ligament deficiency.
Methods Five patients, aged 59-74, with knee pain, joint instability, and limited mobility, were treated for medial compartment osteoarthritis and ACLD using an Oxford design mobile-bearing unicompartmental knee prosthesis.
Results Medial UKA offers excellent clinical outcomes in ACL-deficient patients, improving knee function and reducing pain. It challenges the traditional view of ACLD as a contraindication, preserving knee kinematics and offering enhanced postoperative recovery. Advances in surgical techniques and prosthesis design expand their suitability.
Conclusion Medial UKA may be a viable treatment option for Osteoarthritis patients with ACLD, potentially offering an alternative to total knee arthroplasty.
Conceptualization, K.Y.P. and Y.A.K.P.; Investigation, K.Y.P. and A.S.P.; Methodology, K.Y.P., D.P.P. and Y.A.K.P.; Supervision, K.Y.P. and E.M.; Validation, K.Y.P., E.M. and D.P.P.; Writing – original draft, K.Y.P. and Y.A.K.P.; Resources, E.M. and A.S.P.; Writing – review & editing, E.M. and F.G.H.; Data curation, A.S.P.; Formal Analysis, A.S.P. and F.G.H.; Software, D.P.P. and F.G.H.; Visualization, D.P.P. and F.G.H.; Project administration, Y.A.K.P. All authors have read and agreed to the published version of the manuscript.
No specific funding was received for this study.
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