Revision of Unicompartmental Knee Arthroplasty Versus Primary Total Knee Arthroplasty

被引：59

作者：

Craik, Johnathan D. ^{[1
]}

El Shafie, Sherif A. ^{[1
]}

Singh, Vinay K. ^{[1
]}

Twyman, Roy S. ^{[1
]}

机构：

[1] Elect Orthopaed Ctr, Epsom, Surrey, England

来源：

JOURNAL OF ARTHROPLASTY | 2015年 / 30卷 / 04期

关键词：

revision; unicompartmental; arthroplasty; knee; Oxford; REPLACEMENT; PATIENT;

D O I：

10.1016/j.arth.2014.10.038

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：

The risk of revision following unicompartmental arthroplasty (UKA) is greater compared with primary total knee arthroplasty (TKA). Some surgeons report that UKA revision is straightforward with outcomes comparable to TKA. We reviewed all Oxford medial UKAs and TKAs performed at our institution over a five year period. Patient reported outcomes were compared between revised UKAs, successful UKAs and primary TKAs. Out of 546 Oxford medial UKAs, twenty-nine (5.3%) were revised at a mean of 25 months. The commonest indications for revision were aseptic loosening and progression of osteoarthritis. Ten patients (34%) required augments, stemmed implants or bone grafts. Outcomes following revision were poorer than those following successful UKA and primary TKA, and were a consequence of poor pre-operative function rather than the complexity of surgery. (C) 2014 Elsevier Inc. all rights reserved.

引用

页码：592 / 594

页数：3

共 19 条

[1]

Medial compartment arthroplasty of the knee [J].