Demographic, comorbidity, and episode of care trends in unicompartmental knee arthroplasty: 2008 to 2018

McConaghy, Kara; Warren, Jared A.; Murray, Trevor G.; Molloy, Robert

doi:10.1007/s00590-021-02942-0

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…These findings are consistent with previous literature on how payor status is associated with an increased rate of preoperative medical comorbidities [ 10 ]. Many of these comorbidities have been shown to negatively impact outcomes following arthroplasty procedures, including UKA [ 11 ]. These are important findings as they highlight a disparity among Medicaid patients that is not necessarily present in Medicare patients and likely does not exist in commercially insured patients.…”

Section: Discussionmentioning

confidence: 99%

Payor Type is Associated With Increased Rates of Reoperation and Health-care Utilization Following Unicompartmental Knee Arthroplasty: A National Database Study

Sequeira

Boucher

2023

Arthroplasty Today

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Section: Discussionmentioning

confidence: 99%

Payor Type is Associated With Increased Rates of Reoperation and Health-care Utilization Following Unicompartmental Knee Arthroplasty: A National Database Study

Sequeira

Boucher

2023

Arthroplasty Today

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“…The recommendations and indications for DXA scan are extremely important for the orthopaedic arthroplasty surgeon to know, as the average age of patients undergoing TKA is 67 with >60% being female 68 , and the average age of patients undergoing partial knee arthroplasty is 64 with >50% being female 69 . Therefore, orthopaedic surgeons should be able to identify risk factors and know when to screen for bone-related conditions to develop appropriate treatment plans.…”

Section: Screening Diagnosis and Risk Factors For Poor Bone Healthmentioning

confidence: 99%

Team Approach: Bone Health Optimization in Orthopaedic Surgery

Pasqualini,

Huffman,

Keller

et al. 2023

JBJS Reviews

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» Bone health optimization (BHO) has become an increasingly important consideration in orthopaedic surgery because deterioration of bone tissue and low bone density are associated with poor outcomes after orthopaedic surgeries.» Management of patients with compromised bone health requires numerous healthcare professionals including orthopaedic surgeons, primary care physicians, nutritionists, and metabolic bone specialists in endocrinology, rheumatology, or obstetrics and gynecology. Therefore, achieving optimal bone health before orthopaedic surgery necessitates a collaborative and synchronized effort among healthcare professionals.» Patients with poor bone health are often asymptomatic and may present to the orthopaedic surgeon for reasons other than poor bone health. Therefore, it is imperative to recognize risk factors such as old age, female sex, and low body mass index, which predispose to decreased bone density.» Workup of suspected poor bone health entails bone density evaluation. For patients without dual-energy x-ray absorptiometry (DXA) scan results within the past 2 years, perform DXA scan in all women aged 65 years and older, all men aged 70 years and older, and women younger than 65 years or men younger than 70 years with concurrent risk factors for poor bone health. All women and men presenting with a fracture secondary to low-energy trauma should receive DXA scan and bone health workup; for fractures secondary to high-energy trauma, perform DXA scan and further workup in women aged 65 years and older and men aged 70 years and older.» Failure to recognize and treat poor bone health can result in poor surgical outcomes including implant failure, periprosthetic infection, and nonunion after fracture fixation. However, collaborative healthcare teams can create personalized care plans involving nutritional supplements, antiresorptive or anabolic treatment, and weight-bearing exercise programs, resulting in BHO before surgery. Ultimately, this coordinated approach can enhance the success rate of surgical interventions, minimize complications, and improve patients' overall quality of life.

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“…Over the last few years, the use of unicompartmental knee arthroplasty (UKA) has significantly increased, with more than 40,000 UKAs performed annually in the United States 1 . UKA may offer several advantages over total knee arthroplasty (TKA), including faster recovery, lower morbidity, mortality, complication rates, and improved patient-reported outcomes.…”

mentioning

confidence: 99%

Robotic-Assisted Conversion of a Failed Medial Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty

Pasqualini,

Deren,

Rullán

et al. 2023

JBJS Case Connector

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Case: An 81-year-old man with a history of left medial unicompartmental knee arthroplasty (mUKA) 8 years prior presented to the outpatient clinic with gradually increasing medial left knee pain of 6 years of duration. He underwent left conversion robotic-assisted total knee arthroplasty (RA TKA). At 1-year follow-up, the patient reported satisfactory clinical outcomes and excellent component alignment on x-rays. Conclusion: This case highlights using RA TKA for failed mUKA as a viable and promising conversion arthroplasty alternative technique that may improve surgical outcomes by enhancing implant alignment and positioning, protecting the soft tissues, and preserving bone stock.

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Demographic, comorbidity, and episode of care trends in unicompartmental knee arthroplasty: 2008 to 2018

Cited by 6 publications

References 19 publications

Payor Type is Associated With Increased Rates of Reoperation and Health-care Utilization Following Unicompartmental Knee Arthroplasty: A National Database Study

Payor Type is Associated With Increased Rates of Reoperation and Health-care Utilization Following Unicompartmental Knee Arthroplasty: A National Database Study

Team Approach: Bone Health Optimization in Orthopaedic Surgery

Robotic-Assisted Conversion of a Failed Medial Unicompartmental Knee Arthroplasty to Total Knee Arthroplasty

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