Trends in Unicompartmental Knee Arthroplasty

Aydemir, Ahmet Nadir; Yücens, Mehmet

doi:10.1590/1413-785220202801222851

Cited by 5 publications

(4 citation statements)

References 18 publications

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“…Innovation in prosthesis design and implantation has long been the norm in arthroplasty. In recent years, numerous new UKA technologies, such as customized implantation, have been developed and are becoming increasingly reported in the literature [ 36 ]. Though C-UKA has demonstrated favorable characteristics, such as improved component fit [ 25 , 26 ] and reduced opposite compartment contact stress [ 27 ], its clinical outcomes have yet to be established at mid- or long-term follow-up.…”

Section: Discussionmentioning

confidence: 99%

Patient Satisfaction, Functional Outcomes, and Implant Survivorship in Patients Undergoing Customized Unicompartmental Knee Arthroplasty

Pumilia

Schroeder

Sarpong

et al. 2021

JPM

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Customized unicompartmental knee arthroplasty (C-UKA) utilizes implants manufactured on an individual patient basis, derived from pre-operative computed tomography images in an effort to more closely approximate the natural anatomy of the knee. The outcomes from 349 medial and lateral fixed-bearing C-UKA were reviewed. Implant survivorship analysis was conducted via retrospective chart review, and follow-up analysis was conducted via a single postoperative phone call or email. The rate of follow-up was 69% (242 knees). The average age at surgery was 71.1 years and the average body mass index was 28.8 kg/m2. Seven revision arthroplasties (2.1%) had knowingly been performed at an average of 1.9 years postoperatively (range: 0.1–3.9 years), resulting in an implant survivorship of 97.9% at an average follow-up of 4.2 years (range: 0.1–8.7) and 97.9% at an average of 4.8 years (range: 2.0–8.7) when knees with less than two years of follow-up were excluded. The reasons for revision were implant loosening (one knee), infection (two knees), progression of osteoarthritis (two knees), and unknown reasons (two knees). The average KOOS, JR. interval score was 84 (SD: 14.4). Of those able to be contacted for follow-up analysis, 67% were “very satisfied,” 26% were “satisfied,” 4% were “neutral,” 2% were “dissatisfied,” and 1% were “very dissatisfied.” When asked if the knee felt “natural,” 60% responded with “always,” 35% responded with “sometimes,” and 5% responded with “never.” After analyzing a large cohort of C-UKA, we found favorable rates of survivorship, satisfaction, and patient-reported functional outcomes.

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Section: Discussionmentioning

confidence: 99%

Patient Satisfaction, Functional Outcomes, and Implant Survivorship in Patients Undergoing Customized Unicompartmental Knee Arthroplasty

Pumilia

Schroeder

Sarpong

et al. 2021

JPM

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“…A review of the literature reveals no prior bibliographic analysis regarding the research surrounding UKA. A recent article 'Trends in Unicompartmental knee arthroplasty' attempts to evaluate the trends in the available literature on UKA, but this study is not a bibliometric analysis and does not evaluate the quality of the data available or identify influential articles on the topic [5]. Given the rising interest in UKA, the goal of this review is to conduct a bibliometric analysis of UKA to identify the 50 most prominent studies discussing UKA.…”

Section: Introductionmentioning

confidence: 99%

Unicondylar Knee Arthroplasty: A Bibliometric Analysis of the 50 Most Commonly Cited Studies

et al. 2020

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“…The end-stage knee osteoarthritis is usually restricted to one compartment, it can thus be treated through the unicompartmental knee arthroplasty (UKA). [ 1 , 2 ] In the wake of the aging of the US population, the number of knee arthroplasty is expected to obviously increase by 2030, with the estimated 3.48 million cases each year. [ 3 , 4 ] Although UKA recovers faster than total knee arthroplasty, with better function and fewer complications, it is related to serious postoperative pain.…”

Section: Introductionmentioning

confidence: 99%

The efficacy and safety of multiple versus single doses dexamethasone in unicompartmental knee arthroplasty

Gao¹,

Liu²,

Zhang

et al. 2020

Medicine

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Background: Concerns exist regarding the analgesia effect and safety of multiple versus single doses dexamethasone in unicompartmental knee arthroplasty. There is an urgent need of studies that efficiently control for confounding, conduct comprehensive and consecutive observation of potential risks of the dexamethasone administration, and investigate its clinical applicability. We thus further designed a randomized controlled study to assess the different dose of dexamethasone on postoperative pain and complications in patients undergoing unicompartmental knee arthroplasty. Methods: This randomized, prospective, controlled study was carried out between January 2018 and August 2019. It was approved by the institutional review board in our hospital (HBRM2020013). A total of 80 patients were randomly assigned to each group: the study group (n = 40) and the control group (n = 40). All surgical procedures were performed by a similar orthopedic surgeon. In the study group, patients received intravenously 20 mg dexamethasone (4 mL, Tianjin Kingyork group Co., Ltd., China) just after the anesthesia, and repeated at 24 hours after the surgery. Patients in the control group received intravenously 10 mg dexamethasone solution (2 mL) just after the anesthesia, and repeated at 24 hours after the surgery. CRP, IL-6, VAS pain scores at rest and walking, the VAS scores of nausea, and the incidence of postoperative vomiting and nausea (POVN) were recorded at 24, 48, and 72 hours postoperatively. Conclusion: We hypothesized that patients receiving multiple doses of dexamethasone was associated with better outcomes compared with patients receiving single dose of dexamethasone. Trial registration: This study protocol was registered in Research Registry (researchregistry5770).

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Trends in Unicompartmental Knee Arthroplasty

Cited by 5 publications

References 18 publications

Patient Satisfaction, Functional Outcomes, and Implant Survivorship in Patients Undergoing Customized Unicompartmental Knee Arthroplasty

Patient Satisfaction, Functional Outcomes, and Implant Survivorship in Patients Undergoing Customized Unicompartmental Knee Arthroplasty

Unicondylar Knee Arthroplasty: A Bibliometric Analysis of the 50 Most Commonly Cited Studies

The efficacy and safety of multiple versus single doses dexamethasone in unicompartmental knee arthroplasty

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