Retrospective Analysis of Total Knee Arthroplasty Cases for Visual, Histological, and Clinical Eligibility of Unicompartmental Knee Arthroplasties

被引：52

作者：

Arno, Sally ^{[1
]}

Maffei, Diana ^{[1
]}

Walker, Peter S. ^{[1
]}

Schwarzkopf, Ran ^{[1
]}

Desai, Panna ^{[2
]}

Steiner, German C. ^{[2
]}

机构：

[1] NYU Hosp Joint Dis, Vet Affairs Med Ctr, Lab Minimally Invas Surg, Dept Orthopaed Surg, New York, NY 10010 USA

[2] NYU Hosp Joint Dis, Dept Pathol, New York, NY 10010 USA

来源：

JOURNAL OF ARTHROPLASTY | 2011年 / 26卷 / 08期

关键词：

unicompartmental knee replacement; early intervention; knee osteoarthritis; cartilage wear; total knee replacement; HIGH TIBIAL OSTEOTOMY; OSTEOARTHRITIS; REPLACEMENT; PATTERNS; KINEMATICS; 12-YEAR; WEAR;

D O I：

10.1016/j.arth.2010.12.023

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：

We retrospectively analyzed 97 total knee arthroplasty cases with medial osteoarthritis from seven participating surgeons in our teaching hospital to determine the percentage of patients who met the following eligibility criteria for unicompartmental knee arthroplasty (UKA): healthy cartilage in the lateral compartment based on (1) visual analysis, (2) histological analysis and (3) absence of UKA contraindications based on clinical analysis. The cases with healthy lateral cartilage, intact anterior cruciate ligament and posterior cruciate ligament, lack of patello-femoral arthritis, preoperative range of motion (ROM) greater than 90, and genu varum less than 10 degrees represented 21% of the 97 cases studied. This percentage would likely have been higher had the cases been assessed earlier in the disease process. It was concluded that there is the potential to utilize UKA more frequently in the future.

引用

页码：1396 / 1403

页数：8

共 46 条

[1]

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

[2]

Treatment of medial compartment arthritis of the knee - A survey of the American Association of Hip and Knee Surgeons [J].

Barnes, C. Lowry ;

Mesko, J. Wesley ;

Teeny, Steven M. ;

York, Sally C. .

JOURNAL OF ARTHROPLASTY, 2006, 21 (07) :950-956

[3]

Berend KR, 2005, J ARTHROPLASTY, V440, P60

[4]

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

[5]

Is an intact anterior cruciate ligament needed in order to have a well-functioning unicondylar knee replacement? [J].

Engh, GA ;

Ammeen, D .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (428) :170-173

[6]

Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty [J].

Fisher, N. ;

Agarwal, M. ;

Reuben, S. F. ;

Johnson, D. S. ;

Turner, P. G. .

KNEE, 2006, 13 (04) :296-300

[7]

Meniscal subluxation: association with osteoarthritis and joint space narrowing [J].

Gale, DR ;

Chaisson, CE ;

Totterman, SMS ;

Schwartz, RK ;

Gale, ME ;

Felson, D .

OSTEOARTHRITIS AND CARTILAGE, 1999, 7 (06) :526-532

[8]

MIS unicondylar knee arthroplasty - Surgical approach and early results [J].

Gesell, MW ;

Tria, AJ .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2004, (428) :53-60

[9]

THE OXFORD KNEE FOR UNICOMPARTMENTAL OSTEO-ARTHRITIS - THE 1ST 103 CASES [J].

GOODFELLOW, JW ;

KERSHAW, CJ ;

BENSON, MKD ;

OCONNOR, JJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1988, 70 (05) :692-701

[10]

Harman MK, 1998, CLIN ORTHOP RELAT R, P149

← 1 2 3 4 5 →