A prospective study of 93 unicompartmental knee prosthesis emphasises the appearance of radiolucencies under the tibial component

被引:0
作者
Reynders-Frederix, Peter [1 ,2 ]
Reynders-Frederix, Cristina [1 ]
Schiopu, Dragos [1 ,2 ]
Illes, Tamas [1 ,2 ]
机构
[1] CHU St Pierre, Sect Physiotherapy & Revalidat, Dept Internal Med, Brussels, Belgium
[2] CHU Brugmann, Dept Orthopaed & Traumatol, Brussels, Belgium
来源
ACTA ORTHOPAEDICA BELGICA | 2022年 / 88卷 / 04期
关键词
Total knee arthroplasty; partial knee prosthesis; revision prosthetic surgery; ARTHROPLASTY; REPLACEMENT; MULTICENTER;
D O I
10.52628/88.4.9566
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
Background and study aims: Here, we report the presence of radiolucent lines in a consecutive group of 93 partial knee replacements (UKA). Materials and methods: The prospective study was conducted from 2011 to 2019 with a minimum follow-up of two years. Clinical data and radiographs were recorded. Of the 93 UKA, 65 were cemented. The Oxford Knee Score was recorded before and two years after surgery. In 75 cases, the follow-up was conducted at > 2 years. A lateral knee replacement was performed in 12 cases. In one case, a medial UKA with patellofemoral prosthesis was performed. Results: In eight patients (8.6%), a radiolucent line (RLL) underneath the tibia component was observed. In four of these eight patients, RLLs were non-progressive, without clinical implications. In two cemented UKAs, RLLs were progressive and were revised with total knee arthroplasty. Early severe osteopenia of the tibia (zone 1 to 7) in the frontal view was observed in two cementless medial UKA cases. The demineralisation occurred spontaneously five months after surgery. We diagnosed two early deep infections, one of which was treated locally. Conclusions: RLLs were present in 8.6% of the patients. Even in severe cases of osteopenia, spontaneous recovery of RLLs is possible with cementless UKAs.
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页码:781 / 787
页数:7
相关论文
共 21 条
[1]   Patient satisfaction with total knee replacement cannot be predicted from pre-operative variables alone A COHORT STUDY FROM THE NATIONAL JOINT REGISTRY FOR ENGLAND AND WALES [J].
Baker, P. N. ;
Rushton, S. ;
Jameson, S. S. ;
Reed, M. ;
Gregg, P. ;
Deehan, D. J. .
BONE & JOINT JOURNAL, 2013, 95B (10) :1359-1365
[2]   Five-year clinical and radiological outcomes in 257 consecutive cementless Oxford medial unicompartmental knee arthroplasties [J].
Blaney, J. ;
Harty, H. ;
Doran, E. ;
O'Brien, S. ;
Hill, J. ;
Dobie, I. ;
Beverland, D. .
BONE & JOINT JOURNAL, 2017, 99-B (05) :623-631
[3]  
Bolognesi Michael P, 2013, J Bone Joint Surg Am, V95, pe174, DOI 10.2106/JBJS.L.00652
[4]   Total Knee Arthroplasty Has Higher Postoperative Morbidity Than Unicompartmental Knee Arthroplasty: A Multicenter Analysis [J].
Brown, Nicholas M. ;
Sheth, Neil P. ;
Davis, Kenneth ;
Berend, Mike E. ;
Lombardi, Adolph V. ;
Berend, Keith R. ;
Della Valle, Craig J. .
JOURNAL OF ARTHROPLASTY, 2012, 27 (08) :86-90
[5]   Questionnaire on the perceptions of patients about total knee replacement [J].
Dawson, J ;
Fitzpatrick, R ;
Murray, D ;
Carr, A .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1998, 80B (01) :63-69
[6]   Effect of Age on Cost-Effectiveness of Unicompartmental Knee Arthroplasty Compared with Total Knee Arthroplasty in the US [J].
Ghomrawi, Hassan M. ;
Eggman, Ashley A. ;
Pearle, Andrew D. .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2015, 97A (05) :396-402
[7]   The early radiological results of the uncemented Oxford medial compartment knee replacement [J].
Hooper, G. J. ;
Maxwell, A. R. ;
Wilkinson, B. ;
Mathew, J. ;
Woodfield, T. B. F. ;
Penny, I. D. ;
Burn, P. J. ;
Frampton, C. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2012, 94B (03) :334-338
[8]  
Kim Seok Jin, 2015, Knee Surg Relat Res, V27, P24, DOI 10.5792/ksrr.2015.27.1.24
[9]   CURRENT CONCEPTS REVIEW - UNICONDYLAR KNEE ARTHROPLASTY [J].
KOZINN, SC ;
SCOTT, R .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1989, 71A (01) :145-150
[10]   Cementless fixation in Oxford unicompartmental knee replacement A MULTICENTRE STUDY OF 1000 KNEES [J].
Liddle, A. D. ;
Pandit, H. ;
O'Brien, S. ;
Doran, E. ;
Penny, I. D. ;
Hooper, G. J. ;
Burn, P. J. ;
Dodd, C. A. F. ;
Beverland, D. E. ;
Maxwell, A. R. ;
Murray, D. W. .
BONE & JOINT JOURNAL, 2013, 95B (02) :181-187