Fewer complications after UKA than TKA in patients over 85 years of age: A case-control study

Ode, Quentin; Gaillard, Romain; Batailler, Cécile; Herry, Yannick; Neyret, Philippe; Servien, Elvire; Lustig, Sébastien

doi:10.1016/j.otsr.2018.02.015

Cited by 43 publications

(21 citation statements)

References 30 publications

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“…The causes of UKA failure were evaluated from our inventive sequence of unicompartmental prosthesis tracked for previous several years. The failure causes loosening of implant, gradually progression of knee osteoarthritis in the replaced compartment and or unreplaced compartment [33] [34] [35]. Rheumatoid arthritis is one of the most contraindication of UKA where it was relatively undiagnosed or relay on over correction of abnormality.…”

Section: Indication For Patient Selection and Contraindication For Ukamentioning

confidence: 99%

Current Trends in Clinical Practice for the Minimal Invasive Medial Unicondylar Knee Arthroplasty

Sah¹,

Sinkemani²,

Li³

2020

OJO

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Unicondylar Knee Arthroplasty (UKA) is an early alternative surgical procedure for the unicondylar osteoarthritis or damaged knee joint with artificial prosthesis for the release of disabling painful condition and restoring the normal knee functions. Minimally UKA is one of the recent and the majority successful procedures in modern orthopedics for the osteoarthritis which is spreading throughout the worldwide. Recently, many orthopedic surgeons are expanding their abilities in this field. However, it needs good knowledge and well experience for the successful clinical outcomes. The minimal invasive approach is more efficient for short hospital stay and faster postoperative recovery with low morbidity of the patients after UKA. The aim of this article is to emphasize the steps in UKA based on modern facts: function of knee joint, diagnosis, less invasive approach for medial condylar replacement, radiographic evaluation, and earlier recovery, selecting the patient and implant survivorship with review of surgery.

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Section: Indication For Patient Selection and Contraindication For Ukamentioning

confidence: 99%

Current Trends in Clinical Practice for the Minimal Invasive Medial Unicondylar Knee Arthroplasty

Sah¹,

Sinkemani²,

Li³

2020

OJO

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“…One of the reasons for the increase in the number of UKAs performed globally is its expanding indications [13]. More recent inclusion criteria for medial UKA include advanced medial compartment osteoarthritis or osteonecrosis, functional anterior cruciate ligament (ACL), preservation of the lateral compartment, passively correctible varus deformity of less than 10°, fixed-flexion deformity less than 15°, maximum knee flexion greater than 90°, and patient age of between 18 and 80 years [14][15][16][17][18][19][20][21][22][23]. Exclusion criteria include a diagnosis of inflammatory arthritis, hemochromatosis, hemophilia, symptomatic knee instability, multi-compartment disease, previously failed correctional osteotomy or ipsilateral UKA, immobility, or any other neurological condition affecting musculoskeletal function.…”

Section: Introductionmentioning

confidence: 99%

Evidence-based surgical technique for medial unicompartmental knee arthroplasty

Kim¹,

Mittal²,

Meshram³

et al. 2021

Knee Surg & Relat Res

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Unicompartmental knee arthroplasty (UKA) is a successful treatment modality in selected patients having advanced, single-compartment osteoarthritis of the knee. The bone and ligament preservation leading to shorter recovery periods, better functional outcomes, lower perioperative complication rates, and easier revision, if needed, are proposed as some of the advantages of UKA over total knee arthroplasty (TKA). Despite several advantages, UKA is reported to have higher failure rates as compared to TKA. The prosthesis failure of UKA is directly correlated to intraoperative technique-related factors like malpositioning of components and the inability to replicate the target-limb alignment as per preoperative planning. An evidence-based surgical technique for UKA may help surgeons to avoid the intraoperative technique-related errors. The purpose of this paper is to describe a stepwise surgical technique for the fixed-bearing medial UKA.

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“…Open-wedge high tibial osteotomy (HTO) is considered a suitable surgical option for patients with compartmental OA secondary to mechanical axis deviation [6][7][8]. In the last decades, however, there has been a growing interest in unicompartmental knee arthroplasty (CKA), which achieves excellent results along with very low rates of complications in single compartmental OA [9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Better outcomes and reduced failures for arthroplasty over osteotomy for advanced compartmental knee osteoarthritis in patients older than 50 years

Migliorini¹,

Driessen²,

Oliva³

et al. 2020

J Orthop Surg Res

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Background Both compartmental knee arthroplasty (CKA) and open-wedge high tibial osteotomy (HTO) may be used to treat patients older than 50 years of age with advanced compartmental osteoarthritis (OA) secondary to leg axis deformities. A meta-analysis was conducted to clarify the role of open-wedge HTO versus CKA for patients older than 50 years with advanced compartmental knee OA. The present investigation aimed to analyse the clinical outcomes, implant failure and survivorship. Methods This meta-analysis was performed in accordance with the PRISMA guidelines. In September 2020, the main online databases were accessed. All clinical trials comparing the outcomes of open-wedge HTO versus CKA for compartmental knee OA were considered. Data analysis was performed through the Review Manager Software 5.3 (the Nordic Cochrane Collaboration, Copenhagen). Implant survivorship was analysed with a Kaplan-Meier (KM) curve that was performed using the STATA/MP software (StataCorp, College Station, TX). Results Data from 618 (HTO, 307; CKA, 311) patients were collected. Good baseline comparability among patient age, BMI and gender was detected. The Tegner Activity Scale was higher in the CKA group (P = 0.04), as were the Lysholm score (P = 0.001), the International Knee Documentation Committee (P = 0.0001) and the Knee injury and Osteoarthritis Outcome Score (P = 0.05). At a mean follow-up of 5 years, revisions were less in the CKA cohort (OR, 2.27; P = 0.004). The Kaplan-Meier curve evidenced longer implant survivorship in favour of the CKA group (P = 0.01). Conclusion In patients older than 50 years of age with compartmental knee OA secondary to frontal axis leg deformities, CKA performed better than open-wedge HTO.

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Fewer complications after UKA than TKA in patients over 85 years of age: A case-control study

Abstract: III, case-control study.

Cited by 43 publications

References 30 publications

Current Trends in Clinical Practice for the Minimal Invasive Medial Unicondylar Knee Arthroplasty

Current Trends in Clinical Practice for the Minimal Invasive Medial Unicondylar Knee Arthroplasty

Evidence-based surgical technique for medial unicompartmental knee arthroplasty

Better outcomes and reduced failures for arthroplasty over osteotomy for advanced compartmental knee osteoarthritis in patients older than 50 years

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