Abstract:
BACKGROUND:This prospective study evaluates outcomes and reoperation rates for unicompartmental knee arthroplasty (UKA) from a single non-designer surgeon using relatively extended criteria of degenerative changes of grade 2 or above in either or both non-operated compartments. METHODS:187 consecutive medial mobile bearing UKA implants were included after history, clinical assessment and radiological evaluation. 91 patients had extended clinical outcomes. Post-operative assessment included functional scoring with the Oxford Knee Score (OKS) and radiographic review. Survivorship curves were constructed using the life-table method, with 95% confidence intervals calculated using Rothman's equation. Separate endpoints were examined: revision for any reason and revision for confirmed loosening. RESULTS:The mean follow-up was 3.5 years. The pre-operative OKS improved from a mean of 21.2 to 38.9 (Mann-Whitney U Test, p = < 0.001). Twelve Patients required further operations including 9 revisions. No patients developed deep infection and no surviving implants were loose radiographically. Survivorship at 7 years with endpoints of re-operation, revision and aseptic loosening at surgery or radiographically was 88.4% (95% CI 79.6-93.7), 93.1% (95% CI 85.5-96.9) and 97.3% (95% CI 91.2-99.2) respectively. The presence of pre-operative mild contralateral tibiofemoral or any extent of patellofemoral joint degeneration was of no consequence. DISCUSSION:The indications for UKA are being expanded to include patients with greater deformity, more advanced disease in the patellofemoral joint and even certain features in the lateral compartment indicative of an anteromedial pattern of osteoarthritis (OA). However, much of the supporting literature remains available only from designer centres. This study represents a group of patients with what we believe to be wider indications, along with decisions to treat made on clinical grounds and radiographs alone. CONCLUSION:This study shows comparable clinical outcomes of UKA for extended indications from a high volume, high-usage non-designer unit.
journal_name
BMC Musculoskelet Disordjournal_title
BMC musculoskeletal disordersauthors
Hutt JRB,Sur A,Sur H,Ringrose A,Rickman MSdoi
10.1186/s12891-018-2099-2subject
Has Abstractpub_date
2018-05-29 00:00:00pages
172issue
1issn
1471-2474pii
10.1186/s12891-018-2099-2journal_volume
19pub_type
杂志文章abstract:BACKGROUND:Pelvic girdle pain (PGP) is common during pregnancy but the causes remain poorly understood. Generalized joint hypermobility (GJH) is an inherited trait, with joint mobility beyond normal limits and is assumed to be related with PGP. The aim of this project was to study the association between self-reported ...
journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-020-03486-w
更新日期:2020-07-20 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-020-03784-3
更新日期:2020-11-26 00:00:00
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journal_title:BMC musculoskeletal disorders
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doi:10.1186/s12891-016-0888-z
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章,多中心研究
doi:10.1186/1471-2474-14-28
更新日期:2013-01-16 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-017-1603-4
更新日期:2017-05-30 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12891-020-03354-7
更新日期:2020-05-25 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-019-2429-z
更新日期:2019-01-31 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-016-1272-8
更新日期:2016-10-22 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/1471-2474-13-126
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-019-2735-5
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pub_type: 杂志文章
doi:10.1186/1471-2474-13-158
更新日期:2012-08-27 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1186/s12891-015-0822-9
更新日期:2015-12-03 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-020-03261-x
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章
doi:10.1186/s12891-020-03336-9
更新日期:2020-05-14 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
doi:10.1186/1471-2474-8-83
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doi:10.1186/s12891-017-1689-8
更新日期:2017-08-02 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 杂志文章,随机对照试验
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更新日期:2017-09-18 00:00:00
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pub_type: 杂志文章
doi:10.1186/s12891-018-2197-1
更新日期:2018-08-07 00:00:00
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journal_title:BMC musculoskeletal disorders
pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2014-08-07 00:00:00
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pub_type: 杂志文章
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