Medium to long-term results of the UNIX uncemented unicompartmental knee replacement

被引:18
作者
Hall, Matthew J. [1 ]
Connell, David A. [2 ]
Morris, Hayden G. [3 ]
机构
[1] Derriford Hosp, Dept Orthopaed, Plymouth PL8 6DH, Devon, England
[2] Imaging Olymp Pk, Melbourne, Vic, Australia
[3] Pk Clin, East Melbourne, Vic, Australia
关键词
Unicompartmental knee replacement; Unix; Tibial loosening; Radiolucent lines; FOLLOW-UP; ARTHROPLASTY; CEMENTLESS; RADIOLUCENCY; SURVIVAL; FIXATION; SERIES;
D O I
10.1016/j.knee.2012.09.010
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
Introduction: We report the first non-designer study of the Unix uncemented unicompartmental knee prosthesis. Materials and methods: Eighty-five consecutive UKRs were carried out with sixty-five available for follow-up. Oxford Knee Scores, WOMAC questionnaire and radiological assessment were completed. Results: The mean Oxford Knee Score was thirty-eight and WOMAC Score was twenty. Overall Kaplan Meier survival estimate is 76% (95% confidence interval 60%-97%) at 12 years and 88% (95% confidence interval 76-100%) with aseptic loosening as the endpoint. Radiographic assessment showed lysis in the tibia in 6% of patients with no lysis evident around the central fin. Discussion: Survivorship is comparable to other published series of UKRs. We suggest the central fin design is key to dissipating large forces throughout the proximal tibia, resulting in low levels of tibial loosening. Level of evidence IV. (C) 2012 Elsevier B.V. All rights reserved.
引用
收藏
页码:328 / 331
页数:4
相关论文
共 27 条
[1]  
[Anonymous], 2009, AUSTR ORTHOPAEDIC AS
[2]   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
[3]   Contemporary Unicompartmental Knee Arthroplasty [J].
Bonutti, Peter M. ;
Dethmers, Daniel A. .
JOURNAL OF ARTHROPLASTY, 2008, 23 (07) :24-27
[4]   A hydroxyapatite-coated total knee replacement - Prospective analysis of 1000 patients [J].
Cross, MJ ;
Parish, EN .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2005, 87B (08) :1073-1076
[5]  
Epinette J-A., 2003, Fifteen Years of Clinical Experience with Hydroxyapatite Coatings in Joint Arthroplasty
[6]  
Epinette Jean-Alain, 2008, J Knee Surg, V21, P299
[7]   Fixation of the NexGen HA-TCP-coated cementless, screwless total knee arthroplasty - Comparison with conventional cementless total knee arthroplasty of the same type [J].
Gejo, R ;
Akizuki, S ;
Takizawa, T .
JOURNAL OF ARTHROPLASTY, 2002, 17 (04) :449-456
[8]   Unicompartmental knee arthroplasty for the treatment of unicompartmental osteoarthritis: A systematic study [J].
Griffin, Tabatha ;
Rowden, Neville ;
Morgan, David ;
Atkinson, Robert ;
Woodruff, Peter ;
Maddern, Guy .
ANZ JOURNAL OF SURGERY, 2007, 77 (04) :214-221
[9]   The incidence of physiological radiolucency following Oxford unicompartmental knee replacement and its relationship to outcome [J].
Gulati, A. ;
Chau, R. ;
Pandit, H. G. ;
Gray, H. ;
Price, A. J. ;
Dodd, C. A. F. ;
Murray, D. W. .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2009, 91B (07) :896-902
[10]  
HSU RWW, 1990, CLIN ORTHOP RELAT R, P215