Correlation of positioning and clinical results in Oxford UKA

被引:55
作者
Clarius, Michael [1 ]
Hauck, Christian [1 ]
Seeger, Joern B. [1 ]
Pritsch, Maria [2 ]
Merle, Christian [1 ]
Aldinger, Peter R. [1 ]
机构
[1] Orthopad Univ Klin Heidelberg, D-69118 Heidelberg, Germany
[2] Inst Med Biometrie & Informat, D-69120 Heidelberg, Germany
关键词
UNICOMPARTMENTAL KNEE ARTHROPLASTY; MINIMALLY-INVASIVE APPROACH; VARUS/VALGUS ALIGNMENT; SURVIVAL ANALYSIS; 10-YEAR SURVIVAL; FOLLOW-UP; REPLACEMENT; PROSTHESIS; COMPONENT; INCISION;
D O I
10.1007/s00264-009-0881-3
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
摘要
In a prospective clinical study, 59 patients with anteromedial osteoarthritis of the knee (61 knee joints) underwent minimally invasive medial Oxford unicompartmental arthroplasty phase 3. Clinical and radiographic examinations of 56 knees were carried out at five (4-7) years. American Knee Society (AKS) scores improved from mean 45.5 (20-80) points (knee score) and 55 (15-100) points (function score) before surgery to 90 (30-100) points in both scores after surgery. The position of each implant was determined on screened radiographs using an image intensifier. The implant position was analysed according to the Oxford X-ray rating system. We evaluated nine measures, and there was no detectable correlation between implant position and clinical result. However, long-term studies are needed before it is possible to elaborate an evidence-based guideline on positioning.
引用
收藏
页码:1145 / 1151
页数:7
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