Oxford Phase 3 Unicompartmental Knee Arthroplasty in Japan - Clinical Results in Greater Than One Thousand Cases Over Ten Years

被引:114
作者
Yoshida, Kenjiro [1 ]
Tada, Masahiro [2 ]
Yoshida, Hirokazu [3 ]
Takei, Satoshi [4 ]
Fukuoka, Shinichi [5 ]
Nakamura, Hiroaki [2 ]
机构
[1] Yoshida Orthopaed Clin, Abeno Ku, Osaka, Japan
[2] Osaka City Univ, Sch Med, Dept Orthopaed Surg, Abeno Ku, Osaka 5458585, Japan
[3] Sano Mem Hosp, Dept Orthopaed Surg, Izumisano, Osaka, Japan
[4] Hankai Hosp, Dept Orthopaed Surg, Sakai Ku, Sakai, Osaka, Japan
[5] Nishinomiya Joint Reconstruct Ctr, Dept Orthopaed Surg, Nishinomiya, Hyogo, Japan
关键词
unicompartmental knee arthroplasty; clinical results; osteoarthritis mobile bearing; Oxford UKA; SURVIVAL ANALYSIS; REPLACEMENT; PROSTHESIS;
D O I
10.1016/j.arth.2013.08.019
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
There are few reports of the Oxford unicompartmental knee arthroplasty (UKA) survival rate in Asia. This study describes outcomes of 1279 Oxford UKAs for Japanese patients. The mean follow-up was 5.2 years. We divided patients into two groups based on preoperative indications (extended indications group and strict indications group). The Oxford knee score improved from 223 to 40.8 (P = 0.041). The 10-year survival rate using revision was 95%. A total of 25 UKAs (2.0%) required revision. The most common reason was subsidence of tibial component. The 5-year cumulative survival rate of the strict indications group was significantly higher than that of the extended indications group (99.1% vs. 93.8%, P < 0.001). When we followed inclusion criteria strictly, good clinical results were achieved in Asia. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:168 / 171
页数:4
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