HOME HELP CONTACT US SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:
Sign In to gain access to subscriptions and/or personal tools.

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Williams, R. J. Articles by Warren, R. F. Search for Related Content PubMed PubMed Citation Articles by Williams, R. J., III Articles by Warren, R. F. Related Collections Injury Degenerative Joint Disease

Management of Unicompartmental Arthritis in the Anterior Cruciate Ligament-Deficient Knee

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York

* Address correspondence and reprint requests to Riley J. Williams III, MD, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021

There exists a group of patients who are difficult to manage because they have both anterior knee instability secondary to anterior cruciate ligament deficiency and unilateral degenerative joint disease. A large majority of these patients report a history of previous meniscal injury or meniscectomy after knee trauma at a relatively young age. Active patients who report symptomatic knee instability or pain associated with athletics or activities of daily living after conservative treatment may be indicated for surgery. Current endoscopic methods of anterior cruciate ligament reconstruction result in low patient morbidity, the elimination of anterior knee instability, and a timely return of function. Osteotomies about the knee joint are an effective means of treating unicompartmental knee arthrosis. Long-term studies have demonstrated that knee osteotomy is a good surgical option for patients with unicompartmental arthritis who are considered too young for total knee arthroplasty. We describe a comprehensive treatment approach to the patient with anterior cruciate ligament deficiency and isolated medial or lateral osteoarthritis. An assessment of pain symptoms, instability symptoms, and lower extremity alignment is used to formulate a treatment plan.

This article has been cited by other articles:

				R. H. P. Kilger, J. Stehle, J. A. Fisk, M. Thomas, K. Miura, and S. L-Y. Woo Anatomical Double-Bundle Anterior Cruciate Ligament Reconstruction After Valgus High Tibial Osteotomy: A Biomechanical Study Am. J. Sports Med., June 1, 2006; 34(6): 961 - 967. [Abstract] [Full Text] [PDF]

				R. J. Williams III, J. Hyman, F. Petrigliano, T. Rozental, and T. L. Wickiewicz Anterior Cruciate Ligament Reconstruction with a Four-Strand Hamstring Tendon Autograft J. Bone Joint Surg. Am., February 1, 2004; 86(2): 225 - 232. [Abstract] [Full Text] [PDF]