Unicompartmental and total knee arthroplasty for medial compartment osteoarthritis of the knee: comparison of five years of prosthesis survival rate

doi:10.3969/j.issn.2095-4344.2015.53.003

Abstract

Abstract:

BACKGROUND: Unicompartmental arthroplasty are more and more applied in the treatment of isolated medial compartment of knee joint osteoarthritis.

OBJECTIVE: To compare the repair efficacy of unicompartmental knee arthroplasty and total knee arthroplasty in the treatment of knee medial compartment osteoarthritis.

METHODS: Totally 109 patients with isolated medial compartment of knee joint osteoarthritis were enrolled, and then divided into unicompartmental arthroplasty group (n=41) and total knee arthroplasty group (n=68) according to the different repair methods. The average hospital stay, the incidence of complications after replacement, total scores of physical health and mental health, the Oxford knee joint scores and prosthesis survival rate after 5 years of replacement were compared.

RESULTS AND CONCLUSION: The average hospital stay of patients in the unicompartmental arthroplasty group ((4.21±2.44) days) was shorter than that in the total knee arthroplasty group ((6.11±2.23) days) (P=0.001). There were no significant differences in the incidence of complications, total scores of physical health and mental health, the Oxford knee joint scores and other aspects between these two groups (P > 0.05). After 5 years of replacement, the prosthesis survival rate of unicompartmental arthroplasty group (90%) was lower than that in the total knee arthroplasty group (100%) (P < 0.05). These results suggest that as for patients with isolated medial compartment of knee joint osteoarthritis, unicompartmental arthroplasty and total knee arthroplasty have similar repair effect; however, the prosthesis survival rate is a little lower after 5 years of unicompartmental arthroplasty.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

CLC Number:

R318

Liang Ning, Samuel Yih Shyan Wong, Nick Clement, Deborah MacDonald, Daniel E Porter . Unicompartmental and total knee arthroplasty for medial compartment osteoarthritis of the knee: comparison of five years of prosthesis survival rate[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(53): 8543-8548.

Figures/Tables 4

References

[1] Abhishek A, Doherty M. Diagnosis and clinical presentation of osteoarthritis. Rheum Dis Clin North Am. 2013;39(1):45-66.

[2] Walldius B. Arthroplasty of the knee joint using endoprosthesis. Acta Orthop Scand Suppl. 1957;24:17-26.

[3] Gunston FH. Polycentric knee arthroplasty: Prosthetic simulation of normal knee movement. J Bone Joint Surg (British Volume). 1971;53(2):272-277.

[4] Laskin RS. Unicompartmental tibiofemoral resurfacing arthroplasty. J Bone Joint Surg. 1978;60(2):182-185.

[5] Insall J, Aglietti P. A five to seven-year follow-up of unicondylar arthroplasty. J Bone Joint Surg. 1980;62(8): 1329-1337.

[6] Wiik AV, Manning V, Strachan RK, et al. Unicompartmental knee athroplasty enables near normal gait at higher speeds, unlike total knee arthroplasty. J Arthroplasty. 2013;28 (9 Suppl):176-178.

[7] Bolognesi MP, Greiner MA, Attarian DE, et al. Unicompartmental knee arthroplasty and total knee arthroplasty among Medicare beneficiaries, 2000 to 2009. J Bone Joint Surg Am. 2013;95(22):e174.

[8] 徐建平,徐卫东,林国民,等.双膝骨关节炎患者行小切口单髁置换术与全膝关节置换术临床疗效对比分析[J].中华外科杂志,2013, 51(2):157-160.

[9] 马云淼,高志洋,刘铁民.Oxford III单髁系统治疗膝关节内侧间室退变的中远期疗效[J].河北医科大学学报,2012,33(6):688-690.

[10] 张催,陈游,张春雷,等.单髁置换术与全膝关节置换术治疗膝单间室骨性关节炎近中期疗效的对比研究[J]. 中华关节外科杂志(电子版),2010,4(2):192-197.

[11] 刘朝晖,郭万首,张启栋,等.单髁置换与全膝关节置换治疗膝关节单室骨性关节炎为主的早中期疗效比较[J]. 中华医学杂志, 2010, 90(37):2597-2600.

[12] Ahlbäck S, Rydberg J. Röntgenologisk klassifikation och undersökningsteknik vid gonartros. Läkartidningen. 1980; 77(22):2091-2096.

[13] Weidow J, Cederlund CG, Ranstam J.Ahlbäck grading of osteoarthritis of the knee- Poor reproducibility and validity based on visual inspection of the joint. Acta Orthopaedica. 2006;77(2):262-266.

[14] Dawson J, Fitzpatrick R, Carr A, et al. Questionnaire on the perceptions of patients about total knee replacement. J Bone Joint Surg (British Volume). 1998;80-B:63-69.

[15] Ware JE, Kosinki M, Keller SD. A 12-item Short-Form Health Survey: Construction of scales and prelimary tests of reliability and validity. Medi Care. 1996;34(3):220-233.

[16] Ong PH, Pua YH. A prediction model for length of stay after total and unicompartmental knee replacement. Bone Joint J. 2013;95-B(11):1490-1496.

[17] Fisher DA, Dalury DF, Adams MJ, et al. Unicompartmental and total knee arthroplasty in the over 70 population. Orthopedics. 2010;33(9):668.

[18] Robertsson O, Borgquist L, Knutson K, et al. Use of unicompartmental instead of tricompartmental prostheses for unicompartmental arthrosis in the knee is a cost-effective alternative 15,437 primary tricompartmental prostheses were compared with 10,624 primary medialor lateral unicompartmental prostheses. Acta Orthopaedica Scandinavica. 1999;70(2):170-175.

[19] Lombardi AV, Berend KR, Walter CA, et al. Is recovery faster for mobile-bearing unicompartmentalthan total knee arthroplasty. Clini Orthop Relat Res. 2009;467(6):1450-1457.

[20] Griffin T, Rowden N, Morgan D, et al. Unicompartmental knee arthroplasty for the treatment of unicompartmental osteoarthritis: Asystematic study. ANZ J Surg. 2007;77(4): 214-221.

[21] Lygre SH, Espenhaug B, Furnes O, et al. Pain and function in patients after primary unicompartmental and total knee arthroplasty. J Bone Joint Surg (American Volume). 2010; 92(18):2890-2897.

[22] Insall J, Aglietti P. A five to seven-year follow-up of unicondylar arthroplasty. J Bone Joint Surg. 1980;62(8): 1329-1337.

[23] Amin AK, Patton JT, Cook RE, et al. Unicompartmental or total knee arthroplasty?: Results from a matched study. Clini Orthop Relat Res. 2006;451:101-106.

[24] Griffin T, Rowden N, Morgan D, et al. Unicompartmental knee arthroplasty for the treatment of unicompartmental osteoarthritis: Asystematic study. ANZ J Surg. 2007;77(4): 214-221.

[25] W-Dahl A, Robertsson O, Lidgren L, et al. Unicompartmental knee arthroplasty in patients aged 65. Acta Orthopaedica. 2010;81(1):90-94.

[26] Murray DW, Goodfellow JW, O’Connor JJ. The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg (British Volume). 1998;80(6):983-989.