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A number of different surgical interventions can be used for treating antero-medial osteoarthritis (AMOA) of the knee and this choice can present challenges for patient's decision-making. Patients with AMOA can undergo Total Knee Replacement (TKR), Unicompartmental Knee Replacement (UKR) or High Tibial Osteotomy (HTO) for the same pathology. However many uncertainties still exist as to deciding which operation is best for individual patients and the Orthopaedic community has failed to systematically compare treatment options. The relative lack of scientifically based evidence has impacted on the ability to provide clear guidelines on treatment choice, patient suitability and direct patient preference for treatment. This paper, using available evidence, discusses the issue and offers some suggestions for future development.

Original publication

DOI

10.1016/S0968-0160(13)70004-8

Type

Journal article

Journal

Knee

Publication Date

09/2013

Volume

20 Suppl 1

Pages

S16 - S20

Keywords

Medial arthritis, Resurfacing, Review, Unicompartmental arthroplasty, Arthroplasty, Replacement, Knee, Decision Making, Humans, Knee Joint, Osteoarthritis, Knee, Osteotomy, Treatment Outcome