Return to sports after medial unicompartmental knee arthroplasty in patients with concomitant patella-femoral osteoarthritis: multicenter retrospective cohort study with minimum 5-year follow-up

Rossi, Carlo Maria; Eduardo, Casciano; Basile, Attilio; Antonio, Zanini; Bettinsoli, Pierfrancesco; Marconi, A; Maiotti, Marco; Russo, Roberto; Massimiliano, Amato; Santoro, Giuseppe; Spoliti, Marco; Lanzetti, Riccardo Maria

doi:10.1007/s00590-021-02925-1

Cited by 3 publications

(4 citation statements)

References 29 publications

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“…In this study, the authors excluded patients with symptomatic and severe patellofemoral joint (PFJ) arthritis although Beard et al 21. found that there was not a significant relation between patellofemoral arthritis and bad outcomes after medial UKA 22…”

Section: Discussionmentioning

confidence: 98%

“…20 In this study, the authors excluded patients with symptomatic and severe patellofemoral joint (PFJ) arthritis although Beard et al 21 found that there was not a significant relation between patellofemoral arthritis and bad outcomes after medial UKA. 22 Liddle et al 23 published a study to compare 25,334 UKAs to 75,996 TKAs. The study showed that the revision rates were higher in the UKA patients while mortality, length of stay, medical complications, and readmission rates were higher with the TKA.…”

Section: Discussionmentioning

confidence: 99%

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Total knee arthroplasty versus unicompartmental knee arthroplasty in management of anteromedial knee osteoarthritis: a randomized clinical trial

Alkersh

Osman

Abdeldayem

et al. 2022

Current Orthopaedic Practice

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Background:Both total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) are options to manage anteromedial knee osteoarthritis. This study's aim was to determine the functional outcome, time taken to walk without support, and postoperative complications after either TKA or UKA in treatment of anteromedial knee osteoarthritis. Methods:A prospective randomized cohort study was performed at a level 1 academic center on 60 patients with a mean age of 56.2 yr who had isolated anteromedial knee osteoarthritis. Thirty patients were managed by UKA (group 1), and the other 30 patients were managed by TKA (group 2). Diagnosis was confirmed by plain radiographs (anteroposterior standing, lateral, skyline, stress varus, and valgus views). Follow-up was done for at least 12 mo postoperatively. Results:Mean preoperative functional Knee Society Score (KSS) was 65.83 and 62.67 for group 1 and group 2, respectively. Mean functional KSS after 1 yr was 86.3 for group 1 and 84.6 for group 2. In group 1, one patient developed lateral joint line pain, and another patient developed postoperative blood loss of more than 400 mL. In group 2, one patient developed patellofemoral pain, and another patient developed postoperative blood loss of more than 400 mL. The mean time that it took for patients to walk without support was 1.6 wk in group 1 and 1.93 wk for group 2. Conclusions:Both UKA and TKA have the same functional outcome for treatment of anteromedial knee osteoarthritis and the same rate of complications, but early postoperative rehabilitation is better in patients managed by UKA.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Total knee arthroplasty versus unicompartmental knee arthroplasty in management of anteromedial knee osteoarthritis: a randomized clinical trial

Alkersh

Osman

Abdeldayem

et al. 2022

Current Orthopaedic Practice

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“…1 At present, return to physical activity constitutes an important factor after knee replacement surgery, as the capacity of resuming sporting activities comparable to those engaged prior to surgery, represents a major concern among sportsmen undergoing knee prosthesis implantation. 2 Patients are nowadays more likely to expect to return to sporting activities they practiced prior to impairments due to knee osteoarthritis (OA), [3][4][5][6][7][8] and recommendations for patients with high return to sports expectations after total knee replacement (TKR) remain controversial. 9,10 Commonly reported outcome measures following joint replacement are point scales, but limited information exist concerning return to sport rate since at present not much literature exists regarding return to physical activities following knee joint replacement.…”

Section: Introductionmentioning

confidence: 99%

“…At present, return to physical activity constitutes an important factor after knee replacement surgery, as the capacity of resuming sporting activities comparable to those engaged prior to surgery, represents a major concern among sportsmen undergoing knee prosthesis implantation. 2 Patients are nowadays more likely to expect to return to sporting activities they practiced prior to impairments due to knee osteoarthritis (OA), 3 – 8 and recommendations for patients with high return to sports expectations after total knee replacement (TKR) remain controversial. 9 , 10 …”

Section: Introductionmentioning

confidence: 99%

Shift to low-impact sports and recreational activities following total knee replacement

et al. 2022

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Background: A growing number of physically active patients undergoing total knee replacement (TKR) desires to resume their preoperative activity levels and to be able to engage in sports after surgery. The purpose of this study was to assess the sporting and physical activities of patients who had undergone TKR. It was hypothesized that the majority of patients treated by TKR would have been able to return to amateur sports and recreational activity . Methods: Ninety-seven patients who underwent TKR between 2014 and 2016, were retrospectively reviewed. Mean age was 70.1 years (range 64–83). Average follow-up time was 4.2 years (SD: 1.7). Assessment included Knee Osteoarthritis Outcome Score (KOOS), International Knee Documentation Committee (IKDC), and Tegner activity level. Sporting and physical activities of all patients were reported. Wilcoxon’s signed ranks test was used for comparison between pre-operative and follow-up data. Significance was set at p < 0.05. Results: Both KOOS score and IKDC significantly improved after surgery ( p < 0.001). No statistically significant differences were reported concerning Tegner activity level before and after surgery ( p = n.s.). After surgery, a total number of 52 patients (53.6%) successfully returned to sporting and recreational activities, such as cycling, hiking, dancing and swimming. A return to activity rate of 81% of patients practicing sport before surgery was reported. Conclusions: TKR provides a high rate of return to sport postoperatively and confirms improved subjective results and reduced pain compared to preoperative status. However, most patients returned to low-impact activities, while a significant decrease was reported for mid- and high-impact sports.

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Unicompartmental Knee Replacement and Return to Sport

Shatrov,

Batailler,

Servien

et al. 2024

Orthopaedic Sports Medicine

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Return to sports after medial unicompartmental knee arthroplasty in patients with concomitant patella-femoral osteoarthritis: multicenter retrospective cohort study with minimum 5-year follow-up

Cited by 3 publications

References 29 publications

Total knee arthroplasty versus unicompartmental knee arthroplasty in management of anteromedial knee osteoarthritis: a randomized clinical trial

Total knee arthroplasty versus unicompartmental knee arthroplasty in management of anteromedial knee osteoarthritis: a randomized clinical trial

Shift to low-impact sports and recreational activities following total knee replacement

Unicompartmental Knee Replacement and Return to Sport

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