Clinical and technical factors influencing outcomes of unicompartmental knee arthroplasty: Retrospective multicentre study of 944 knees

被引:38
作者
Sebilo, A. [1 ]
Casin, C. [2 ]
Lebel, B. [3 ]
Rouvillain, J. -L. [4 ]
Chapuis, S. [5 ]
Bonnevialle, P. [5 ]
机构
[1] CHU Caen, Dept Chirurg Orthoped, F-14000 Caen, France
[2] CHU Angers, Dept Chirurg Orthoped, F-49000 Angers, France
[3] Clin Clarence, F-62460 Divion, France
[4] CHU Ft de France, Dept Chirurg Orthoped, F-97261 Fort De France, France
[5] CHU Toulouse, Inst Appareil Locomoteur, Unite Orthopedie Traumatol Purpan, F-31052 Toulouse, France
[6] SOO Soc Orthopedie & Traumatol Ouest, F-49800 Trelaze, France
关键词
Unicompartmental knee arthroplasty; Knee osteoarthritis; ANTERIOR CRUCIATE RECONSTRUCTION; JUSTIFY UNICONDYLAR ARTHROPLASTY; FOLLOW-UP; PRIMARY OSTEOARTHRITIS; TEMPORIZING PROCEDURE; REPLACEMENT; ALIGNMENT; MINIMUM; MOBILE; SURVIVORSHIP;
D O I
10.1016/j.otsr.2013.02.002
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
Introduction: Unicompartmental knee arthroplasty (UKA) is reserved for osteoarthritis confined to a single femoro-tibial compartment with an intact anterior cruciate ligament. UKA remains controversial. The objective of this retrospective multicentre study in a large sample was to assess the influence of age, sex, body mass index (BMI), patellofemoral involvement, and implant design on functional outcomes and prosthesis survival rates. Material and methods: Nine hundred and forty-four patients who underwent UKA at centres located in western France between 1988 and 2008 were re-evaluated. The IKS scores and KOOS were determined. Prosthesis survival according to various factors was assessed using the Kaplan-Meier method. Results: A clinical evaluation was performed in 720 cases after a mean follow-up of 62 months. The IKS function score improved by 23.6 points in men and 17.3 points in women (P = 0.007). Ten-year prosthesis survival was 83.7% overall; 79% in women versus 87% in men (P < 0.01); and 76.7% in patients younger than 70 years versus 88.3% in those 70 years or over (P < 0.01). BMI had no significant influence on prosthesis survival. No significant differences between clinical outcomes or prosthesis survival were found across implant design categories. Discussion: The retrospective design and large number of centres and surgeons mandate caution when interpreting our results. Subgroup sizes were too small for an analysis of factors such as anterior cruciate ligament deficiency, BMI > 40 kg/ m(2), or cementless implant. Level of evidence: Level IV, retrospective study. (C) 2013 Published by Elsevier Masson SAS.
引用
收藏
页码:S227 / S234
页数:8
相关论文
共 64 条
[1]
Unicompartmental or total knee arthroplasty? Results from a matched study [J].
Amin, Anish K. ;
Patton, James T. ;
Cook, Robert E. ;
Gaston, Mark ;
Brenkel, Ivan J. .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2006, (451) :101-106
[2]
Modern unicompartmental knee arthroplasty with cement - A three to ten-year follow-up study [J].
Argenson, JNA ;
Chevrol-Benkeddache, Y ;
Aubaniac, JM .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2002, 84A (12) :2235-2239
[3]
In vivo determination of knee kinematics for subjects implanted with a unicompartmental arthroplasty [J].
Argenson, JNA ;
Komistek, RD ;
Aubaniac, JM ;
Dennis, DA ;
Northcut, EJ ;
Anderson, DT ;
Agostini, S .
JOURNAL OF ARTHROPLASTY, 2002, 17 (08) :1049-1054
[4]
Lateral unicompartmental knee replacement - Survivorship and clinical experience over 21 [J].
Ashraf, T ;
Newman, JH ;
Evans, RL ;
Ackroyd, CE .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (08) :1126-1130
[5]
Does Preoperative Patellofemoral Joint State Affect Medial Unicompartmental Arthroplasty Survival? [J].
Berend, Keith R. ;
Lombardi, Adolph V., Jr. ;
Morris, Michael J. ;
Hurst, Jason M. ;
Kavolus, Joseph J. .
ORTHOPEDICS, 2011, 34 (09) :E494-E496
[6]
Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up [J].
Berger, RA ;
Meneghini, RM ;
Jacobs, JJ ;
Sheinkop, MB ;
Della Valle, CJ ;
Rosenberg, AG ;
Galante, JO .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2005, 87A (05) :999-1006
[7]
Outcomes of Unicompartmental Knee Arthroplasty Stratified by Body Mass Index [J].
Bonutti, Peter M. ;
Goddard, Maria S. ;
Zywiel, Michael G. ;
Khanuja, Harpal S. ;
Johnson, Aaron J. ;
Mont, Michael A. .
JOURNAL OF ARTHROPLASTY, 2011, 26 (08) :1149-1153
[8]
Unicompartmental knee arthroplasty surgery - 10-year minimum follow-up period [J].
Cartier, P ;
Sanouiller, JL ;
Grelsamer, RP .
JOURNAL OF ARTHROPLASTY, 1996, 11 (07) :782-788
[9]
Patient, implant, and alignment factors associated with revision of medial compartment unicondylar arthroplasty [J].
Collier, Matthew B. ;
Eickmann, Thomas H. ;
Sukezaki, Fumio ;
McAuley, James P. ;
Engh, Gerard A. .
JOURNAL OF ARTHROPLASTY, 2006, 21 (06) :108-115
[10]
Comparison of a mobile with a fixed tibial bearing unicompartimental knee prosthesis: a prospective randomized trial using a dedicated outcome score [J].
Confalonieri, N ;
Manzotti, A ;
Pullen, C .
KNEE, 2004, 11 (05) :357-362