Treatment options other than total knee arthroplasty in young patients with knee osteoarthritis: Part II

Louis S. Stryker

Research output: Contribution to journalArticlepeer-review

Abstract

Symptomatic articular knee pathology is not isolated to the aged but also affects younger patients. Although total knee arthroplasty (TKA) remains the gold standard treatment, surgery for gonarthrosis is frequently eschewed in younger patients because of concerns over activity limitations and implant longevity. Furthermore, TKA may be an excessive treatment for some young patients with focally symptomatic lesions but otherwise normal knee joints. Fortunately, non-TKA surgical options such as osteotomy, patellofemoral arthroplasty, and cartilage-specific treatments are available and, given appropriate implementation, provide reliable pain relief, function, and quality of life. This article reviews the indications and recent publications regarding these non-TKA surgical treatments for symptomatic articular knee pathology.

Original languageEnglish (US)
Pages (from-to)236-242
Number of pages7
JournalCurrent Orthopaedic Practice
Volume26
Issue number3
DOIs
StatePublished - Dec 1 2015
Externally publishedYes

Keywords

  • osteochondral allograft
  • osteochondral autograft
  • Osteotomy
  • patellofemoral osteotomy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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