Between 1993 and 1994, 891 patients underwent primary anterior cruciate ligament (ACL) reconstruction. A total of 48 patients had undergone bilateral ACL reconstruction and 42 were available for review. These patients were matched to a unilateral ACL reconstruction control group for gender, age, sport of primary injury, meniscal status and graft type. At 15-year follow-up a telephone interview with patients in both groups was performed. The incidence of further ACL injury was identified through structured questions and the two groups were compared for the variables of graft rupture or further ACL injury, family history of ACL injury, International Knee Documentation Committee (IKDC) subjective score and activity level.

There were 28 male and 14 female patients with a mean age of 25 years (13 to 42) at the time of first ACL injury. Subsequent further ACL injury was identified in ten patients (24%) in the bilateral ACL reconstruction study group and in nine patients (21%) in the unilateral ACL reconstruction control group (p = 0.794). The mean time from bilateral ACL reconstruction to further ACL injury was 54 months (6 to 103). There was no significant difference between the bilateral ACL reconstruction study group and the matched unilateral ACL reconstruction control group in incidence of further ACL injury (p = 0.794), family history of ACL injury (p = 0.595), IKDC activity level (p = 0.514), or IKDC subjective score (p = 0.824).

After bilateral ACL reconstruction the incidence of graft rupture and subjective outcomes were equivalent to that after unilateral ACL reconstructions.

Cite this article: Bone Joint J 2013;95-B:798–802.

The knee is one of the most commonly affected joints in osteoarthritis. Unicompartmental knee replacement (UKA) was developed to address patients with this disease in only one compartment. The conventional knee arthroplasty jigs, while usually being accurate, may result in the prosthesis being inserted in an undesired alignment which may lead to poor post-operative outcomes. Common modes of failure in UKA include edge loading due to incorrect sizing or positioning, development of disease in the other compartment due to over-stuffing or over-correction and early loosening or stress fractures due to inaccurate bone cuts.

Computer navigation and robotically assisted unicompartmental knee replacement were introduced in order to improve the surgical accuracy of both the femoral and tibial bone cuts. The aim of this study was to assess accuracy and reliability of robotic assisted, unicondylar knee surgery in producing reported bony alignment.

Two hundred and twenty consecutive patients with a mean age of 64 + 11 years who underwent successful medial robotic assisted unicondylar knee surgery performed by two senior total joint arthroplasty surgeons were identified retrospectively. The mean body mass index of the cohort was 33.5 + 8 kg/m² with a minimum follow-up of 6 months (range: 6–18 months). Femoral and tibial sagittal and coronal alignments as well as the posterior slope of the tibial component were measured in the post-operative radiographs. These measurements were compared with the equivalent measurements collected during intra-operative period by the navigation to study the reliability and accuracy of femoral and tibial cuts. Radiographic evaluation was independently conducted by two observers.

There was an average difference of 2.2 to 3.6 degrees between the intra-operatively planned and post-operative radiological equivalent measurements. For the femur, mean varus/valgus angulation was 2.8 + 2.5 degrees with 83% of those measured within 5% of planned. For the tibia mean varus/valgus angulation was 2.4 + 1.9 degrees with 93% within 5% of planned resection. There was minimal inter-observer variability between radiographic measurements. There were no infections in the evaluated group at the time of radiographic examination.

Alignment for unicondylar knee arthroplasty is important for implant survival and is a more difficult procedure to instrument as it is a minimally invasive surgery. Assuming appropriate planning, robotically assisted surgery in unicondylar knee replacement will result in reliably accurate positioning of component and reduce early component failures caused by malpositioning. A mismatch between pre-planning and post-operative radiography is often caused by poor cementing technique of the prosthesis rather than incorrect bony cuts. Addressing these factors can lead to greater success and improved outcomes for patients.

Unicompartmental knee arthroplasty (UKA) was first described over 30 years ago and allows replacement of a single compartment in patients who have isolated osteoarthritis. However, UKA is more technically challenging than total knee arthroplasty due to limited exposure as a minimally invasive procedure. In addition to component alignment and fixation, ligament balancing plays an important role in implant survival. Some failures of early UKA systems were attributed to a failure to adequately balance the knee. The development of robots to aid in performing the procedure has lead to renewed interest in this surgical technique. The use of a robot-assisted system allows the orthopaedic surgeon to verify that balancing sought pre-operatively correlates with that obtained at surgery. Some studies have shown good post-operative mechanical alignment utilizing this method. The aim of this study was to examine the variation in pre-operative templated ligament balance and that obtained during the operation.

Data were prospectively collected on 51 patients (52 knees) undergoing robot-assisted unicompartmental knee arthroplasty by a single surgeon. For pre-operative planning, dynamic ligament balancing was obtained of the operative knee under valgus stress, prior to any bony cuts. Final intra-operative images with the prosthesis in place were taken without valgus stress. Positive values denoted loose ligamentous balancing while negative values indicated ligament tightness.

A small variation of less than 1 mm was measured between the pre-operative plan and the final image with the implant in place. At 0 degrees the mean change was −0.26 mm (range, −4.40 to 2.20 mm), at 30 degrees −0.53 mm (range, −5.30 to 1.80 mm), at 60 degrees −0.04 mm (range, −3.10 to 2.30 mm) and at 90 degrees 0.16 mm (range, −2.70 to 2.00 mm). These results show that planned dynamic ligament balancing is accurate to within 0.52 mm.

The technological advancements with robotic feedback in orthopaedic surgery can aid in the success of unicompartmental knee replacement surgery. Ensuring that pre-operative templated changes match those performed during surgery is an important predictor of outcome. With proper planning prior to surgery, the use of a robot in UKA can improve ligament balancing. This can be done at various angles, ensuring excellent ligament balancing throughout the entire range of motion. Correct component alignment reduces the risk of prosthetic failure and may increase the length of implant survival. Further fine-tuning of the accuracy of feedback between the robot and the anatomical points will improve the accuracy of UKA.

Osteoarthritis of the knee is a debilitating condition affecting millions of persons, often requiring arthroplasty to relieve pain and improve mobility. For those patients with disease in only one compartment of the knee, unicompartmental knee arthroplasty (UKA) can be a viable surgical alternative. To date, there has not been a large series reported in the literature of UKAs performed with robotic assistance. The aim of this study was to examine the clinical outcomes of patients who underwent this procedure.

Five hundred and ten procedures in patients with a mean age of 63.7 years (range, 28 to 88 years) who underwent unicompartmental knee arthroplasty using a robotic-assisted system between July, 2008 and June, 2010 were identified. Clinical outcomes were evaluated using the Oxford Knee Score and patients without recent follow-up were contacted by telephone. The revision rate and time to revision were also examined.

The average length of stay for patients who underwent robot-assisted UKA was 1.4 days (range, 1 to 7 days). There was minimal blood loss with most procedures. At latest clinical follow-up, most patients were doing well after UKA with a mean Oxford Knee Score of 36.1 + 9.92. The revision rate was 2.5% with 13 patients being either converted from an inlay to onlay prosthesis or conversion to total knee arthroplasty. The most common indication for revision was tibial component loosening, followed by progression of arthritis. Mean time to revision was 9.55 + 5.48 months (range, 1 to 19 months).

Unicompartmental arthroplasty with a robotic system provides good pain relief and functional outcome at short-term follow-up. Ensuring correct component alignment and ligament balancing increases the probability of a favorable outcome following surgery. Proper patient selection for appropriate UKA candidates remains an important factor for successful outcomes.

INTRODUCTION

Unicompartmental knee arthroplasty (UKA) allows replacement of a single compartment in patients who have isolated osteoarthritis as a minimally invasive procedure. However, limited visualization of the surgical site provides challenges in ensuring accurate alignment and placement of the prosthesis.

With robot-assisted surgery, correct implant positioning and ligament balancing are obtainable with increased accuracy. To date, there has not been a large series reported in the literature of UKAs performed with robotic assistance. The aim of this study was to examine the clinical outcomes of robot-assisted UKA patients.

Introduction

Unicompartmental knee arthroplasty (UKA) was first described over 30 years ago and allows replacement of a single compartment in patients who have isolated osteoarthritis.¹ However, UKA is more technically challenging than total knee arthroplasty due to limited exposure as a minimally invasive procedure. In addition to component alignment and fixation, ligament balancing plays an important role in implant survival.² Some failures of early UKA systems were attributed to a failure to adequately balance the knee. The development of robots to aid in performing the procedure has lead to renewed interest in this surgical technique.

The use of a robot-assisted system allows the orthopaedic surgeon to verify that balancing sought pre-operatively correlates with that obtained at surgery. Some studies have shown good post-operative mechanical alignment utilizing this method.³ The aim of this study was to examine the variation in pre-operative templated ligament balance and that obtained during the operation.

Purpose: To quantify the amount of agreement among UK orthopaedic surgeons regarding the natural history and treatment including surgery and rehabilitation of the ACL deficient knee.

Methods: Following from Marx et al (Arthroscopy. 2003 Sep;19(7):762–70) a surgeon mail survey was performed to 360 members of the British Association for Surgery of the Knee. Surgeons who had treated ACL deficient patients in the last year were asked to complete the survey. Thirty questions were included to determine the surgeons’ opinions regarding the natural history of the ACL deficient knee, indications for surgery and patient selection, surgical treatment and rehabilitation. Clinical agreement was present when 80% or more agreed on the same response option.

Results: 150 surgeons in total responded to the survey; 121 had treated ACL deficient patients in the past year. The mean age was 48.9 years and 83% considered their practice to be a subspecialty in knee surgery. The mean number of ACL reconstructions performed in the past year was 41 (range 1–210). Clinical agreement was present for 12 (40%) of the 30 questions; surgeons disagreed on 18 (60%) of the questions.

Conclusions: Similar significant variation regarding the management of ACL injuries is seen among members of BASK as among members of the American Academy of Orthopaedic Surgeons (AAOS). Clinical disagreement included whether ACL deficient patients can participate in all recreational sporting activities, that ACL reconstruction reduces the rate of arthrosis in the ACL deficient knee, and the use of bracing in non-surgically treated ACL deficient knees. Surgeons also disagreed about age, open growth plates, radiographic evidence of osteoarthrosis, pain, and, repairable and unrepairable meniscal tears in ACL deficient patients.

Purpose: To quantify the amount of agreement among UK orthopaedic surgeons regarding the natural history and treatment including surgery and rehabilitation of the ACL deficient knee.

Methods: Following from Marx et al (Arthroscopy. 2003 Sep;19(7):762–70) a surgeon mail survey was performed to 360 members of the British Association for Surgery of the Knee. Surgeons who had treated ACL deficient patients in the last year were asked to complete the survey. Thirty questions were included to determine the surgeons’ opinions regarding the natural history of the ACL deficient knee, indications for surgery and patient selection, surgical treatment and rehabilitation. Clinical agreement was present when 80% or more agreed on the same response option.

Results: 150 surgeons in total responded to the survey; 121 had treated ACL deficient patients in the past year. The mean age was 48.9 years and 83% considered their practice to be a subspecialty in knee surgery. The mean number of ACL reconstructions performed in the past year was 41 (range 1–210). Clinical agreement was present for 12 (40%) of the 30 questions; surgeons disagreed on 18 (60%) of the questions.

Conclusions: Similar significant variation regarding the management of ACL injuries is seen among members of BASK as among members of the American Academy of Orthopaedic Surgeons (AAOS). Clinical disagreement included whether ACL deficient patients can participate in all recreational sporting activities, that ACL reconstruction reduces the rate of arthrosis in the ACL deficient knee, and the use of bracing in non-surgically treated ACL deficient knees. Surgeons also disagreed about age, open growth plates, radiographic evidence of osteoarthrosis, pain, and, repairable and unrepairable meniscal tears in ACL deficient patients.

Introduction: There is some debate about the pros and cons of selective screening of DDH in neonates as opposed to general screening. General screening puts a lot of stress on the resources available, especially in the modern day NHS, but the advocates state that this minimises the cost incurred in treating a missed DDH (by selective screening) with surgery later on.

Aim: The aim of this retrospective study was to find out the effectiveness of the Southampton selective screening of babies with risk factors for DDH by finding out the number of patients presenting late with an established DDH.

Materials And Methods: 6116 babies out of 26,932 live births (22.7%) in Southampton were screened between 1998 and 2003. The details of the individual outcomes and the reasons for the late presentation were obtained from the patient notes and the records of the screening program which are maintained in the clinics and by the senior author.

Results: 248 new patients had Pavlik’s harness fitted for the treatment of DDH which presents a treatment rate of 0.92%. 8 patients (0.03%) presented late because they did not undergo ultrasound scanning as they did not have the risk factors as required by this selective program. 10 (0.036%) failed Pavlik’s and needed late surgery to have their DDH treated. The total operation rate was 0.066%.

Discussion: The late presentation of patients in this screening program is very low and comparable to the other papers from this department and from around the world. The cost implications of treating these 8 late presenting patients was found to be a lot cheaper than carrying out a general screening program which would mean, in this case 4 times more than the cost of the present screening program.