Medial Osteoarthritis in an ACL-Deficient Knee: A Critical Analysis Review.

JBJS Rev · Mar 18 2021 · Review

Vajapey SP, Alvarez PM, Greco NJ, Chonko DJ

Department of Orthopaedics, The Ohio State University Wexner Medical Center, Columbus

Adult Reconstruction Sports Medicine

SUMMARY — THE REDUCTIONThis review finds no single best treatment (UKA, HTO, or TKA, with or without ACLR) for medial OA in ACL-deficient knees, so treatment should be individualized until better comparative trials exist.
Abstract, as published

»: In anterior cruciate ligament (ACL)-deficient knees, treatment of medial compartment osteoarthritis (OA) that is refractory to nonoperative modalities is a controversial subject.

»: Currently available treatment options include unicompartmental knee arthroplasty (UKA) with or without ACL reconstruction (ACLR), high tibial osteotomy (HTO) with or without ACLR, and total knee arthroplasty (TKA).

»: Each treatment option has its own risks and benefits, and the evidence that is reviewed in this article suggests that patient characteristics guide treatment selection.

»: Future high-quality prospective studies that directly compare all 3 of the modalities are necessary to determine the best treatment option for different patient populations.

Read the article: PubMed · Publisher (DOI)

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