Abstract
Treatment of symptomatic, isolated, localized, full-thickness, femoral cartilage defects in middle-aged active patients is a challenge due to poor cartilage healing capacity and frequently disabling symptoms [1]. Also such cartilage lesions can progress into osteoarthritis (OA) [2]. Biological treatment options such as marrow stimulation and chondrocyte transplantation are influenced by patient age and have less favourable outcomes with increasing patient age [3, 4]. Total and unicompartmental knee arthroplasty are typically not indicated for these patients due to only a limited area of the knee having significant cartilage loss [5, 6]. Normally non-operative treatment modalities are employed for these patients with physiotherapy, weight loss, analgesics and activity modification. But non-operative management is in some cases ineffective or fails over time. In these cases surgical treatment with a resurfacing implant is a potential treatment option.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Heir S, Nerhus TK, Rotterud JH, Loken S, Ekeland A, Engebretsen L, Aroen A. Focal cartilage defects in the knee impair quality of life as much as severe osteoarthritis: a comparison of knee injury and osteoarthritis outcome score in 4 patient categories scheduled for knee surgery. Am J Sports Med. 2010;38(2):231–7. https://doi.org/10.1177/0363546509352157.
Davies-Tuck ML, Wluka AE, Wang Y, Teichtahl AJ, Jones G, Ding C, Cicuttini FM. The natural history of cartilage defects in people with knee osteoarthritis. Osteoarthr Cartil. 2008;16(3):337–42. https://doi.org/10.1016/j.joca.2007.07.005.
Kreuz PC, Erggelet C, Steinwachs MR, Krause SJ, Lahm A, Niemeyer P, Ghanem N, Uhl M, Sudkamp N. Is microfracture of chondral defects in the knee associated with different results in patients aged 40 years or younger? Arthroscopy. 2006;22(11):1180–6. https://doi.org/10.1016/j.arthro.2006.06.020.
Vanlauwe J, Saris DB, Victor J, Almqvist KF, Bellemans J, Luyten FP. Five-year outcome of characterized chondrocyte implantation versus microfracture for symptomatic cartilage defects of the knee: early treatment matters. Am J Sports Med. 2011;39(12):2566–74.
Furnes O, Espehaug B, Lie SA, Vollset SE, Engesaeter LB, Havelin LI. Failure mechanisms after unicompartmental and tricompartmental primary knee replacement with cement. J Bone Joint Surg Am. 2007;89(3):519–25.
Harrysson OL, Robertsson O, Nayfeh JF. Higher cumulative revision rate of knee arthroplasties in younger patients with osteoarthritis. Clin Orthop Relat Res. 2004;421:162–8.
Cannon A, Stolley M, Wolf B, Amendola A. Patellofemoral resurfacing arthroplasty: literature review and description of a novel technique. Iowa Orthop J. 2008;28:42–8.
Imhoff AB, Feucht MJ, Meidinger G, Schottle PB, Cotic M. Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months. Knee Surg Sports Traumatol Arthrosc. 2013;23(5):1299–307. https://doi.org/10.1007/s00167-013-2786-3.
Dhollander AA, Almqvist KF, Moens K, Vandekerckhove PJ, Verdonk R, Verdonk P, Victor J. The use of a prosthetic inlay resurfacing as a salvage procedure for a failed cartilage repair. Knee Surg Sports Traumatol Arthrosc. 2015;23(8):2208–12. https://doi.org/10.1007/s00167-014-2999-0.
Gomoll AH, Farr J, Gillogly SD, Kercher J, Minas T. Surgical management of articular cartilage defects of the knee. J Bone Joint Surg Am. 2010;92(14):2470–90.
Becher C, Huber R, Thermann H, Ezechieli L, Ostermeier S, Wellmann M, von Skrbensky G. Effects of a surface matching articular resurfacing device on tibiofemoral contact pressure: results from continuous dynamic flexion-extension cycles. Arch Orthop Trauma Surg. 2011;131(3):413–9. https://doi.org/10.1007/s00402-010-1201-5.
Kirker-Head CA, Van Sickle DC, Ek SW, McCool JC. Safety of, and biological and functional response to, a novel metallic implant for the management of focal full-thickness cartilage defects: preliminary assessment in an animal model out to 1 year. J Orthop Res. 2006;24(5):1095–108. https://doi.org/10.1002/jor.20120.
Martinez-Carranza N, Berg HE, Lagerstedt AS, Nurmi-Sandh H, Schupbach P, Ryd L. Fixation of a double-coated titanium-hydroxyapatite focal knee resurfacing implant: a 12-month study in sheep. Osteoarthr Cartil. 2014;22(6):836–44. https://doi.org/10.1016/j.joca.2014.03.019.
Manda K, Ryd L, Eriksson A. Finite element simulations of a focal knee resurfacing implant applied to localized cartilage defects in a sheep model. J Biomech. 2011;44(5):794–801. https://doi.org/10.1016/j.jbiomech.2010.12.026.
Martinez-Carranza N, Ryd L, Hultenby K, Hedlund H, Nurmi-Sandh H, Lagerstedt AS, Schupbach P, Berg HE. Treatment of full thickness focal cartilage lesions with a metallic resurfacing implant in a sheep animal model, 1 year evaluation. Osteoarthr Cartil. 2016;24(3):484–93. https://doi.org/10.1016/j.joca.2015.09.009.
Bollars P, Bousquet M, Vandekerckhove B, Hardeman F, Bellemans J. Prosthetic inlay resurfacing for the treatment of focal, full thickness cartilage defects of the femoral condyle: a bridge between biologics and conventional arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2012;20(9):1753–9. https://doi.org/10.1007/s00167-011-1757-9.
Becher C, Kalbe C, Thermann H, Paessler HH, Laprell H, Kaiser T, Fechner A, Bartsch S, Windhagen H, Ostermeier S. Minimum 5-year results of focal articular prosthetic resurfacing for the treatment of full-thickness articular cartilage defects in the knee. Arch Orthop Trauma Surg. 2011;131(8):1135–43. https://doi.org/10.1007/s00402-011-1323-4.
Becher C, Cantiller EB. Focal articular prosthetic resurfacing for the treatment of full-thickness articular cartilage defects in the knee: 12-year follow-up of two cases and review of the literature. Arch Orthop Trauma Surg. 2017;137(9):1307–17. https://doi.org/10.1007/s00402-017-2717-8.
Laursen JO, Lind M. Treatment of full-thickness femoral cartilage lesions using condyle resurfacing prosthesis. Knee Surg Sports Traumatol Arthrosc. 2017;25(3):746–51. https://doi.org/10.1007/s00167-015-3726-1.
Laursen JO. Treatment of full-thickness cartilage lesions and early OA using large condyle resurfacing prosthesis: UniCAP((R)). Knee Surg Sports Traumatol Arthrosc. 2016;24(5):1695–701. https://doi.org/10.1007/s00167-016-4000-x.
Laursen JO. High mid-term revision rate after treatment of large, full-thickness cartilage lesions and OA in the patellofemoral joint using a large inlay resurfacing prosthesis: HemiCAP-wave(R). Knee Surg Sports Traumatol Arthrosc. 2016;25(12):3856–61. https://doi.org/10.1007/s00167-016-4352-2.
Patel A, Haider Z, Anand A, Spicer D. Early results of patellofemoral inlay resurfacing arthroplasty using the HemiCap wave prosthesis. J Orthop Surg (Hong Kong). 2017;25(1):2309499017692705. https://doi.org/10.1177/2309499017692705.
Australian Orthopaedic Association National Joint Replacement Registry. Annual Report. (2013).
Brennan SA, Devitt BM, O'Neill CJ, Nicholson P. Focal femoral condyle resurfacing. Bone Joint J. 2013;95-B(3):301–4. https://doi.org/10.1302/0301-620X.95B3.29998.
London NJ, Miller LE, Block JE. Clinical and economic consequences of the treatment gap in knee osteoarthritis management. Med Hypotheses. 2011;76(6):887–92. https://doi.org/10.1016/j.mehy.2011.02.044.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Lind, M. (2022). Partial Resurfacing Implants. In: Becker, R., Hirschmann, M.T., Kort, N.P. (eds) Basics in Primary Knee Arthroplasty. Springer, Cham. https://doi.org/10.1007/978-3-030-58178-7_9
Download citation
DOI: https://doi.org/10.1007/978-3-030-58178-7_9
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-58177-0
Online ISBN: 978-3-030-58178-7
eBook Packages: MedicineMedicine (R0)