Classification of Combined Partial Knee Arthroplasty

Overview

Journal Bone Joint J

Specialties General Surgery
Orthopedics

Date 2019 Aug 1

PMID 31362558

Citations 16

Authors

A Garner

R J van Arkel

J Cobb

Affiliations

Soon will be listed here.

Abstract

Aims: There has been a recent resurgence in interest in combined partial knee arthroplasty (PKA) as an alternative to total knee arthroplasty (TKA). The varied terminology used to describe these procedures leads to confusion and ambiguity in communication between surgeons, allied health professionals, and patients. A standardized classification system is required for patient safety, accurate clinical record-keeping, clear communication, correct coding for appropriate remuneration, and joint registry data collection.

Materials And Methods: An advanced PubMed search was conducted, using medical subject headings (MeSH) to identify terms and abbreviations used to describe knee arthroplasty procedures. The search related to TKA, unicompartmental (UKA), patellofemoral (PFA), and combined PKA procedures. Surveys were conducted of orthopaedic surgeons, trainees, and biomechanical engineers, who were asked which of the descriptive terms and abbreviations identified from the literature search they found most intuitive and appropriate to describe each procedure. The results were used to determine a popular consensus.

Results: Survey participants preferred "bi-unicondylar arthroplasty" (Bi-UKA) to describe ipsilateral medial and lateral unicompartmental arthroplasty; "medial bi-compartmental arthroplasty" (BCA-M) to describe ipsilateral medial unicompartmental arthroplasty with patellofemoral arthroplasty; "lateral bi-compartmental arthroplasty" (BCA-L) to describe ipsilateral lateral unicompartmental arthroplasty with patellofemoral arthroplasty; and tri-compartmental arthroplasty (TCA) to describe ipsilateral patellofemoral and medial and lateral unicompartmental arthroplasties. "Combined partial knee arthroplasty" (CPKA) was the favoured umbrella term.

Conclusion: We recommend bi-unicondylar arthroplasty (Bi-UKA), medial bicompartmental arthroplasty (BCA-M), lateral bicompartmental arthroplasty (BCA-L), and tricompartmental arthroplasty (TCA) as the preferred terms to classify CPKA procedures. Cite this article: 2019;101-B:922-928.

Citing Articles

Current status of bicompartmental arthroplasty.

Gao Y, Yue B, Xin W Arthroplasty. 2025; 7(1):1.

PMID: 39748379 PMC: 11697474. DOI: 10.1186/s42836-024-00283-x.

Load transfer in bone after partial, multi-compartmental, and total knee arthroplasty.

Stoddart J, Garner A, Tuncer M, Amis A, Cobb J, Van Arkel R Front Bioeng Biotechnol. 2024; 12:1274496.

PMID: 38524193 PMC: 10957574. DOI: 10.3389/fbioe.2024.1274496.

One-Stage Tricompartmental Hypoallergenic UKA for Tricompartmental Osteoarthritis: A Case Report.

Parente A, Medetti M, Basile G, Parente F Healthcare (Basel). 2023; 11(22).

PMID: 37998491 PMC: 10671051. DOI: 10.3390/healthcare11222999.

Metabolic equivalent of task scores avoid the ceiling effect observed with conventional patient-reported outcome scores following knee arthroplasty.

Patel A, Edwards T, Jones G, Liddle A, Cobb J, Garner A Bone Jt Open. 2023; 4(3):129-137.

PMID: 37051845 PMC: 10032227. DOI: 10.1302/2633-1462.43.BJO-2022-0119.R1.

Trajectory and predictors of cartilage damage in three compartments of the knees at risk for osteoarthritis.

Wu L, Liu Y, Si H, Li M, Zeng Y, Wu Y Chin Med J (Engl). 2023; 135(23):2896-2898.

PMID: 36728937 PMC: 9945068. DOI: 10.1097/CM9.0000000000002402.

References

Parratte S, Pauly V, Aubaniac J, Argenson J . Survival of bicompartmental knee arthroplasty at 5 to 23 years. Clin Orthop Relat Res. 2009; 468(1):64-72. PMC: 2795810. DOI: 10.1007/s11999-009-1018-0. View

Spinelli M, Affatato S, Harman M, Desjardins J . Bi-unicondylar knee prosthesis functional assessment utilizing force-control wear testing. Proc Inst Mech Eng H. 2010; 224(7):813-21. DOI: 10.1243/09544119JEIM726. View

Wunschel M, Lo J, Dilger T, Wulker N, Muller O . Influence of bi- and tri-compartmental knee arthroplasty on the kinematics of the knee joint. BMC Musculoskelet Disord. 2011; 12:29. PMC: 3224381. DOI: 10.1186/1471-2474-12-29. View

Thienpont E, Price A . Bicompartmental knee arthroplasty of the patellofemoral and medial compartments. Knee Surg Sports Traumatol Arthrosc. 2012; 21(11):2523-31. DOI: 10.1007/s00167-012-2303-0. View

Chung J, Min B . Is bicompartmental knee arthroplasty more favourable to knee muscle strength and physical performance compared to total knee arthroplasty?. Knee Surg Sports Traumatol Arthrosc. 2013; 21(11):2532-41. DOI: 10.1007/s00167-013-2489-9. View

Kamath A, Levack A, John T, Thomas B, Lonner J . Minimum two-year outcomes of modular bicompartmental knee arthroplasty. J Arthroplasty. 2013; 29(1):75-9. DOI: 10.1016/j.arth.2013.04.044. View

Cobb J . Patient safety after partial and total knee replacement. Lancet. 2014; 384(9952):1405-7. DOI: 10.1016/S0140-6736(14)60885-0. View

Heyse T, El-Zayat B, De Corte R, Scheys L, Chevalier Y, Fuchs-Winkelmann S . Biomechanics of medial unicondylar in combination with patellofemoral knee arthroplasty. Knee. 2014; 21 Suppl 1:S3-9. DOI: 10.1016/S0968-0160(14)50002-6. View

Yeo N, Chen J, Yew A, Chia S, Lo N, Yeo S . Prospective randomised trial comparing unlinked, modular bicompartmental knee arthroplasty and total knee arthroplasty: a five years follow-up. Knee. 2015; 22(4):321-7. DOI: 10.1016/j.knee.2015.04.007. View

10.

Romagnoli S, Marullo M, Massaro M, Rustemi E, DAmario F, Corbella M . Bi-unicompartmental and combined uni plus patellofemoral replacement: indications and surgical technique. Joints. 2015; 3(1):42-8. PMC: 4469043. View

11.

Parratte S, Ollivier M, Lunebourg A, Abdel M, Argenson J . Long-term results of compartmental arthroplasties of the knee: Long term results of partial knee arthroplasty. Bone Joint J. 2015; 97-B(10 Suppl A):9-15. DOI: 10.1302/0301-620X.97B10.36426. View

12.

Sabatini L, Giachino M, Risitano S, Atzori F . Bicompartmental knee arthroplasty. Ann Transl Med. 2016; 4(1):5. PMC: 4716949. DOI: 10.3978/j.issn.2305-5839.2015.12.24. View

13.

Pandit H, Mancuso F, Jenkins C, Jackson W, Price A, Dodd C . Lateral unicompartmental knee replacement for the treatment of arthritis progression after medial unicompartmental replacement. Knee Surg Sports Traumatol Arthrosc. 2016; 25(3):669-674. DOI: 10.1007/s00167-016-4075-4. View

14.

Confalonieri N, Biazzo A, Cerveri P, Pullen C, Manzotti A . Navigated "small implants" in knee reconstruction. Knee Surg Sports Traumatol Arthrosc. 2016; 24(11):3507-3516. DOI: 10.1007/s00167-016-4324-6. View

15.

Columbo J, Nolan B, Stucke R, Rzucidlo E, Walker K, Powell R . Below-Knee Amputation Failure and Poor Functional Outcomes Are Higher Than Predicted in Contemporary Practice. Vasc Endovascular Surg. 2016; 50(8):554-558. DOI: 10.1177/1538574416682159. View

16.

Ma J, He W, Kuang M, Sun L, Lu B, Wang Y . Efficacy of bicompartmental knee arthroplasty (BKA) for bicompartmental knee osteoarthritis: A meta analysis. Int J Surg. 2017; 46:53-60. DOI: 10.1016/j.ijsu.2017.08.556. View

17.

Wang H, Foster J, Franksen N, Estes J, Rolston L . Gait analysis of patients with an off-the-shelf total knee replacement versus customized bi-compartmental knee replacement. Int Orthop. 2017; 42(4):805-810. DOI: 10.1007/s00264-017-3622-z. View

18.

Marmor L . The modular knee. Clin Orthop Relat Res. 1973; (94):242-8. DOI: 10.1097/00003086-197307000-00029. View

19.

COVENTRY M, Finerman G, Riley L, Turner R, UPSHAW J . A new geometric knee for total knee arthroplasty. Clin Orthop Relat Res. 1972; 83:157-62. DOI: 10.1097/00003086-197203000-00030. View

20.

Gunston F . Polycentric knee arthroplasty. Prosthetic simulation of normal knee movement. J Bone Joint Surg Br. 1971; 53(2):272-7. View