Rather than one osteotomy for all cases of MCOA, a customized, à la carte approach is performed by Dr. ![]() Treatment strategies for mono-compartment osteoarthritis of the knee will depend on which compartment is affected: Medial Compartment Osteoarthritis In these cases, total knee replacement (TKR) should be considered. ![]() When there are multiple compartments affected, joint preservation techniques with osteotomy are unlikely to be effective treatment. Mono-compartment osteoarthritis is osteoarthritis affecting a single compartment. There are three different compartments in the knee: Medial, Lateral, and Patellofemoral. Medial collateral ligament (MCL) laxity.Paley developed.ĭamage of the cartilage leads to various deformities of the bone (femur and tibia) and joints (soft tissues). We have achieved excellent results with joint preservation using specialized osteotomies that Dr. The goal of treatment is to restore the functionality of the joint and delay the need for joint replacement surgeries (i.e. ![]() This results in deformities of both the bones (femur and tibia) and the joint soft tissues, leading to pain, joint stiffness, decreased ROM, gait abnormalities, and malalignment.Īt the Paley Institute we treat Mono-Compartment Osteoarthritis of the Knee with specialized osteotomies (bone cuts) of the knee. In osteoarthritis of the knee, degeneration of the articular cartilage results in deterioration of the joint surfaces. One of the major indications for knee preservation surgery is for Mono-Compartment Osteoarthritis
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