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  • Reference Book
      • Unicompartmental Arthroplasty with the Oxford Knee
      • Preface
      • Chapter 1: Introduction and Historical Overview
      • Chapter 2: Design and Biomechanics of the Oxford Knee
      • Chapter 3: Mobility and Stability of the Intact and Replaced Knee
      • Chapter 4; Indications: Anteromedial Osteoarthritis
      • Chapter 5: Contraindications in Anteromedial Osteoarthritis
      • Chapter 6: Principles of the Oxford Operation
      • Chapter 7: Surgical technique: Cemented or cementless implantation with Microplasty instrumentation
      • Chapter 8: Medial Indications other than AMOA
      • Chapter 9: Postoperative Management and Radiography
      • Chapter 10: Clinical Results
      • Chapter 11: Management of Complications
      • Chapter 12: The Lateral Side
      • Appendix
  • Publications
  • Patient’s Area
  • Meet the Team
    • David_MurrayDavid Murray
    • Chris-Dodd2Christopher Dodd
    • John-O’ConnorJohn O’Connor
    • John GoodfellowJohn Goodfellow
    • Oxford-Knee-Fellows23Knee Fellows & Engineers
  • Contact
  • Home
  • Reference Book
    • Unicompartmental Arthroplasty with the Oxford Knee
    • Preface
    • Chapter 1: Introduction and Historical Overview
    • Chapter 2: Design and Biomechanics of the Oxford Knee
    • Chapter 3: Mobility and Stability of the Intact and Replaced Knee
    • Chapter 4; Indications: Anteromedial Osteoarthritis
    • Chapter 5: Contraindications in Anteromedial Osteoarthritis
    • Chapter 6: Principles of the Oxford Operation
    • Chapter 7: Surgical technique: Cemented or cementless implantation with Microplasty instrumentation
    • Chapter 8: Medial Indications other than AMOA
    • Chapter 9: Postoperative Management and Radiography
    • Chapter 10: Clinical Results
    • Chapter 11: Management of Complications
    • Chapter 12: The Lateral Side
    • Appendix
  • Publications
  • Patient’s Area
  • Meet the Team
    • David Murray
    • Christopher Dodd
    • John O’Connor
    • John Goodfellow
    • Knee Fellows & Engineers
  • Contact
Expand All Collapse All
  • 4: Indications: Anteromedial Osteoarthritis
    • Anteromedial osteoarthritis
      • Principal anatomical features
      • Progression to posteromedial osteoarthritis
    • How and why does the ACL rupture?
    • Preoperative assessment
    • Radiography
      • Technique
      • Lateral radiographs
      • Other radiographic observations
    • ACL damage
    • Summary of indications
    • Discussion of indications
      • Full-thickness cartilage in the lateral compartment
      • Correctable varus deformity
    • References

References

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Ahlback S. Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Diagn (Stockh) 1968: Suppl 277:7-72. https://pubmed.ncbi.nlm.nih.gov/5706059/

Altman RD, Fries JF, Bloch DA, Carstens J, Cooke, T, Genant H, Gofton P, Groth H, Mcshane DJ, Murphy WA, Sharp JT, Spitz P, Williams CA & Wolfe F. Radiographic assessment of progression in osteoarthritis. Arthritis Rheum 1987; 30(11): 1214-25. https://onlinelibrary.wiley.com/doi/pdf/10.1002/art.1780301103

Dacre JE, Cushnaghan J, Jack MJ, Kirwan JR & Dieppe PA. Knee X-rays: Should we take them lying down? Br J Rheumatol 1991; 30(Abstr Suppl 1): 3.

Deschamps G & Lapeyre B. Rupture of the anterior cruciate ligament: a frequently unrecognized cause of failure of unicompartmental knee prostheses. Apropos of a series of 79 Lotus prostheses with a follow-up of more than 5 years. Rev Chir Orthop Reparatrice Appar Mot 1987; 73(7): 544-51. https://pubmed.ncbi.nlm.nih.gov/3438510/

Emerson RH Jr & Higgins LL. Unicompartmental knee arthroplasty with the Oxford prosthesis in patients with medial compartment arthritis. J Bone Joint Sur Am. 2008 Jan; 90(1):118-22.

Emerson RH, Jr., Hansborough T, Reitman RD, Rosenfeldt W & Higgins LL. Comparison of a mobile with a fixed-bearing unicompartmental knee implant. Clin Orthop Relat Res 2002; (404): 62-70. https://doi.org/10.1097/00003086-200211000-00011

Gibson PH & Goodfellow JW. Stress radiography in degenerative arthritis of the knee. J Bone Joint Surg Br 1986; 68(4): 608-9. https://pubmed.ncbi.nlm.nih.gov/3733839/

Goodfellow JW & O’Connor J. Clinical results of the Oxford knee. Surface arthroplasty of the tibiofemoral joint with a meniscal bearing prosthesis. Clin Orthop Relat Res 1986; (205): 21-42.  https://pubmed.ncbi.nlm.nih.gov/3698380/

Goodfellow J, & O’Connor J. The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses. Clin Orthop Relat Res 1992; (276): 245-52. https://europepmc.org/article/med/1537161

Goodfellow JW, Tibrewal SB, Sherman KP & O’Connor JJ. Unicompartmental Oxford Meniscal knee arthroplasty. J Arthroplasty 1987; 2(1): 1-9. https://doi.org/10.1016/s0883-5403(87)80025-6

Gulati A, Pandit H, Jenkins C, Chau R, Dodd CA & Murray DW. The effect of leg alignment on the outcome of unicompartmental knee replacement. J Bone Joint Surg Br 2009; 91(4): 469-74. https://doi.org/10.1302/0301-620X.91B4.22105

Hamilton TW, Pistritto C, Jenkins C, Mellon SJ, Dodd CA, Pandit H & Murray DW. Unicompartmental knee replacement: does the macroscopic status of the anterior cruciate ligament affect outcome? Knee 2016; 23(3):  506-510. https://doi.org/10.1016/j.knee.2016.01.013

Harman MK, Markovich GD, Banks SA & Hodge WA. Wear patterns on tibial plateaus from varus and valgus osteoarthritic knees. Clin Orthop Relat Res 1998; (352): 149-58. https://doi.org/10.1016/j.clinbiomech.2005.09.001

Hernigou P & Deschamps G. Alignment influences wear in the knee after medial unicompartmental arthroplasty. Clin Orthop Relat Res 2004; (423): 161-5. https://doi.org/10.1097/01.blo.0000128285.90459.12

Jacobsen K. Gonylaxometry: Stress radiographic measurement of passive stability in the knee joints of normal subjects and patients with ligament injuries. Accuracy and range of application. Acta Orthop Scand Suppl 1981; 194: 1-263.

Kendrick BJ, Rout R, Bottomley NJ, Pandit H, Gill HS, Price AJ, Dodd CA & Murray DW. The implications of damage to the lateral femoral condyle on medial unicompartmental knee replacement. J Bone Joint Surg Br 2010; 92(3): 374-9. https://doi.org/10.1302/0301-620X.92B3.23561

Kennedy WR & White RP. Unicompartmental arthroplasty of the knee. Postoperative alignment and its influence on overall results. Clin Orthop Relat Res 1987; (221): 278-85. http://europepmc.org/article/MED/3608312

Keyes GW, Carr AJ, Miller RK & Goodfellow JW. The radiographic classification of medial gonarthrosis. Correlation with operation methods in 200 knees. Acta Orthop Scand 1992; 63(5): 497-501. https://doi.org/10.3109/17453679209154722

Langdown AJ, Pandit H, Price AJ, Dodd CA, Murray DW, Svard UC & Gibbons CL. Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee. Acta Orthop 2005; 76(5): 688-92. https://doi.org/10.1080/17453670510041772

Marmor L. Unicompartmental arthroplasty for osteonecrosis of the knee joint. Clin Orthop Relat Res 1993; (294): 247-53. https://reference.medscape.com/medline/abstract/8358924

Moschella D, Blasi A, Leardini A, Ensini A, Catani F. Wear patterns on tibial plateau from varus osteoarthritic knees. Clin Biomech (Bristol, Avon) 2006; 21(2): 152-8. https://doi.org/10.1016/j.clinbiomech.2005.09.001

Mullaji AB, Marawar SV & Luthra M. Tibial articular cartilage wear in varus osteoarthritic knees: correlation with anterior cruciate ligament integrity and severity of deformity. J Arthroplasty 2008; 23(1): 128-35. https://doi.org/10.1016/j.arth.2007.01.015

Robinson D, Halperin N, Nevo Z. Devascularization of the anterior cruciate ligament by synovial stripping in rabbits. An experimental model. Acta Orthop Scand 1992; 63(5): 502-6. https://doi.org/10.3109/17453679209154723

Sharpe I, Tyrrell PN & White SH. Magnetic resonance imaging assessment for unicompartmental knee replacement: a limited role. Knee 2001; 8(3): 213-8. https://doi.org/10.1016/S0968-0160(01)00086-2

Thomas RH, Resnick D, Alazraki NP, Daniel D & Greenfield R. Compartmental evaluation of osteoarthritis of the knee. A comparative study of available diagnostic modalities. Radiology 1975; 116(3): 585-94. https://doi.org/10.1148/116.3.585

Weale AE, Murray DW, Crawford R, Psychoyios V, Bonomo A, Howell G, O’Connor J & Goodfellow JW. Does arthritis progress in the retained compartments after ‘Oxford’ medial unicompartmental arthroplasty? A clinical and radiological study with a minimum ten-year follow-up. J Bone Joint Surg Br 1999; 81(5): 783-9. https://reference.medscape.com/medline/abstract/10530837

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  • Correctable varus deformity
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  • Discussion of indications
  • Summary of indications
  • ACL damage
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The Oxford Knee Replacement is the most widely used partial knee replacement worldwide. Replacing one side of the knee, unicompartmental knee replacement, tends to result in shorter hospital stays, fewer short-term complications, faster recovery and better knee function than total knee replacements.

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