Survivorship of fixed vs mobile bearing unicompartmental knee replacement: A systematic review and meta-analysis of sixty-four studies and National Joint Registries

被引:17
作者
Abu Al-Rub, Z. [2 ]
Lamb, J. N. [1 ,2 ]
West, R. M. [3 ]
Yang, X. [4 ]
Hu, Y. [4 ]
Pandit, H. G. [1 ,2 ]
机构
[1] Univ Leeds, Leeds Inst Rheumat & Musculoskeletal Med LIRMM, Sch Med, Chapel Allerton Hosp, Leeds LS7 4SA, W Yorkshire, England
[2] Leeds Teaching Hosp NHS Trust, Beckett St, Leeds LS9 7TF, W Yorkshire, England
[3] Univ Leeds, Sch Med, Leeds Inst Hlth Sci, Leeds LS2 9NL, W Yorkshire, England
[4] Xiangya Hosp, 87 Xiangya Rd, Changsha, Hunan, Peoples R China
关键词
Unicompartmental knee; Revision; Survivorship; Mobile; Fixed; Arthroplasty; FOLLOW-UP; ARTHROPLASTY; RETRIEVAL; REVISION; OUTCOMES; USAGE; WEAR;
D O I
10.1016/j.knee.2020.09.004
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: Unicompartmental knee replacement (UKR) prostheses can use fixed (FB) or mobile bearing (MB) constructs. We compared survivorship and failure modes of both designs. Methods: The inclusion criteria were studies published between 2005 and 2020 with minimum average follow-up of five years reporting the survival andior number of revisions of specific designs in medial and lateral UKRs. Pooled rate of revision per 100 patient years (PTIR) was estimated using a random effects model. Results: Seventy cohorts of 17,405 UKRs with weighted mean follow-up of 7.3 years (0.1-29.4 years) were included. A total of 170,923 UKRs were identified in registry reports at a weighted mean implant survival time of 15.4 years. PTIR in MB UKR versus FB UKR was similar [1.45 vs 1.40, (p = 0.8)]. In cohort studies, the overall PTIR for MB was also similar to 113 [1.03 vs 0.78, (p = 0.1)]. For medial UKR, the PTIR for MB was marginally greater but not significantly different to FB [0.96 vs 0.81, (p = 03)], whilst for lateral UKR, the PTIR for MB was significantly worse than for 113 [2.20 vs 0.72, (p < 0.01)]. Polyethylene wear is more common in 113 implants, whilst MB implants are revised more often for bearing dislocation. Conclusions: Overall implant survival in mid- to long-term studies is similar for MB versus FB medial UKRs. MB have a four-fold higher risk of revision in comparison to FB when used for lateral UKR. Crown Copyright (C) 2020 Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:1635 / 1644
页数:10
相关论文
共 33 条
[1]   Does activity affect the outcome of the Oxford unicompartmental knee replacement? [J].
Ali, Adam M. ;
Pandit, Hemant ;
Liddle, Alexander D. ;
Jenkins, Cathy ;
Mellon, Stephen ;
Dodd, Christopher A. F. ;
Murray, David W. .
KNEE, 2016, 23 (02) :327-330
[2]   Polyethylene wear in a non-congruous unicompartmental knee replacement: a retrieval analysis [J].
Ashraf, T ;
Newman, JH ;
Desai, VV ;
Beard, D ;
Nevelos, JE .
KNEE, 2004, 11 (03) :177-181
[3]   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
[4]   Bearing design influences short- to mid-term survivorship, but not functional outcomes following lateral unicompartmental knee arthroplasty: a systematic review [J].
Burger, Joost A. ;
Kleeblad, Laura J. ;
Sierevelt, Inger N. ;
Horstmann, Wieger G. ;
Nolte, Peter A. .
KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 2019, 27 (07) :2276-2288
[5]   Comparison of Fixed-Bearing and Mobile-Bearing Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis [J].
Cao, ZhenWu ;
Niu, Caili ;
Gong, ChunZhu ;
Sun, Yong ;
Xie, JunHui ;
Song, Yueli .
JOURNAL OF ARTHROPLASTY, 2019, 34 (12) :3114-+
[6]   Mobile bearing medial unicompartmental knee arthroplasty in patients whose lifestyles involve high degrees of knee flexion: A 10-14 year follow-up study [J].
Choy, Won Sik ;
Lee, Iwang Won ;
Kim, Ha Yong ;
Kim, Kap Jung ;
Chun, Young Sub ;
Yang, Dae Suk .
KNEE, 2017, 24 (04) :829-836
[7]   Patient, implant, and alignment factors associated with revision of medial compartment unicondylar arthroplasty [J].
Collier, Matthew B. ;
Eickmann, Thomas H. ;
Sukezaki, Fumio ;
McAuley, James P. ;
Engh, Gerard A. .
JOURNAL OF ARTHROPLASTY, 2006, 21 (06) :108-115
[8]   High Survival Rate and Very Low Wear of Lateral Unicompartmental Arthroplasty at Long Term A Case Series of 54 Cases at a Mean Follow-Up of 17 Years [J].
Deroche, Etienne ;
Batailler, Cecile ;
Lording, Timothy ;
Neyret, Philippe ;
Servien, Elvire ;
Lustig, Sebastien .
JOURNAL OF ARTHROPLASTY, 2019, 34 (06) :1097-1104
[9]   Lateral unicompartmental knee replacement: a systematic review of reasons for failure [J].
Ernstbrunner, Lukas ;
Imam, Mohamed A. ;
Andronic, Octavian ;
Perz, Tabea ;
Wieser, Karl ;
Fucentese, Sandro F. .
INTERNATIONAL ORTHOPAEDICS, 2018, 42 (08) :1827-1833
[10]  
Hamilton TW, 2017, BONE JOINT J, V99B, P475, DOI [10.1302/0301-620X.99B4.BJJ-2016-1061.R1, 10.1302/0301-620X.99B5.BJJ-2016-0695.R2]