SHORT-MID TERM RETROSPECTIVE RESULTS OF UNICONDYLAR KNEE ARTHROPLASTY SURGERY APPLIED IN PATIENTS WITH MEDIAL COMPARTMENT ARTHROSIS OF THE KNEE

Year 2023, Volume: 2 Issue: 3, 129 - 134, 25.09.2023

Onur Çetin , Cemil Kayalı , Murat Gök , Gökhan Karahan , Kamil Yamak

https://doi.org/10.57221/izmirtip.1294210

Abstract

Aim: The aim of this study was to compare of preoperative and postoperative clinical and radiological findings of the patients with medial compartmental artrosis who underwent the surgery of the unicondylar knee prosthesis. Decrease or disappearance of patient's pain level, assessment of the quality of life of these patients and Knee Society Score (KSS), KSS function score and VAS score compared in both groups.



Materials and methods: Between January 2014 and December 2017 in the Orthopaedic Clinic of Health Sciences University Izmir Bozyaka Training and Research Hospital, patients who underwent Unicondyler Knee Arthroplasty surgery due to medial compartmental arthrosis were included in the study. Retrospectively, demographic data, weight bearing anteroposterior-lateral knee x-ray graphics, orthoroentgenogram, KSS and VAS scores, preoperative and postoperative knee range of motions were recorded.



Results: 44 knees of the 38 patients are evaluated, the mean age of the 44 cases was 57.09 years. Of the 44 cases, the mean follow-up period was 40,08 months. According to the Knee Society Score system, the preoperative score was 55.64 and postoperative 83.32; the KSS function score was 83.75 before the operation and 93.98 postoperatively. The mean range of motion was 107.61 degrees preoperatively and 118.52 degrees postoperatively.



Conclusion: The short-mid-term results of our cases are similar as literature which compares Knee Society Score and the radiographical evaluation. Unicondylar knee arthroplasty can be performed in selected appropriated cases.

Keywords

Unicondylar Knee Artroplasty, Medial Arthrosis, Unicondylar Knee Surgery

Dizde Medial Kompartman Artrozlu Hastalarda Uygulanan Unikondiler Diz Artroplastisi Cerrahisinin Kısa-Orta Dönemde Retrospektif Sonuçları

Abstract

Amaç: Bu çalışmanın amacı medial kompartman artrozlu unikondiler diz protezi ameliyatı geçiren hastaların ameliyat öncesi ve ameliyat sonrası klinik ve radyolojik bulgularının karşılaştırılmasıdır. Hastanın ağrı düzeyinin azalması veya kaybolması, yaşam kalitelerinin değerlendirilmesi ve Knee Society Score (KSS), KSS fonksiyon skoru ve VAS skoru her iki grupta karşılaştırıldı.



Gereç ve yöntem: Ocak 2014-Aralık 2017 tarihleri arasında Sağlık Bilimleri Üniversitesi İzmir Bozyaka Eğitim ve Araştırma Hastanesi Ortopedi Kliniği'nde medial kompartman artrozu nedeniyle Unikondiler Diz Artroplastisi ameliyatı olan hastalar çalışmaya alındı. Retrospektif olarak demografik veriler, yüklenmede anteroposterior-lateral diz grafisi, ortoröntgenogram, KSS ve VAS skorları, ameliyat öncesi ve sonrası diz hareket açıklıkları kaydedildi.



Bulgular: 38 hastanın 44 dizi değerlendirildi, 44 olgunun yaş ortalaması 57.09 idi. 44 olgunun ortalama takip süresi 40.08 aydı. Knee Society Score sistemine göre preoperatif skor 55.64, postoperatif 83.32; KSS fonksiyon skoru ameliyat öncesi 83.75, ameliyat sonrası 93.98 idi. Ameliyat öncesi ortalama hareket açıklığı 107.61 derece, ameliyat sonrası 118.52 derece idi.



Sonuç: Olgularımızın kısa-orta dönem sonuçları Knee Society Score ile radyografik değerlendirmeyi karşılaştıran literatür ile benzerlik göstermektedir. Uygun seçilmiş vakalarda unikondiler diz artroplastisi yapılabilir.

Keywords

Unikondiler Diz Artroplastisi, Medial Artroz, Unikondiler Diz Cerrahisi

References

• References 1.Peat G, McCarney R, Croft P. Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care. Ann. Rheu. Dis. 2001;60:91-7.
• 2.Ahlback S. Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol. 1968;227:7-72.
• 3.Emerson Jr RH, Higgins LL. Unicompartmental knee arthroplasty with the oxford prosthesis in patients with medial compartment arthritis. JBJS. 2008;90:118-22.
• 4.Laurencin CT, Zelicof SB, Scott RD, Ewald FC. Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. CORR. 1991;273:151-6.
• 5.Goodfellow J, O'Connor J. Unicompartmental arthroplasty with the Oxford knee: Goodfellow Publishers Limited; 2011.
• 6.Svärd U, Price A. Oxford medial unicompartmental knee arthroplasty: a survival analysis of an independent series. The JBJS British Volume. 2001;83:191-4.
• 7.Ackroyd C, Whitehouse S, Newman J, Joslin C. A comparative study of the medial St Georg sled and kinematic total knee arthroplasties: ten-year survivorship. JBJS British Volume. 2002;84:667-72.
• 8.Fisher N, Agarwal M, Reuben S, Johnson D, Turner P. Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty. The Knee. 2006;13:296-300.
• 9.Hernigou P, Deschamps G. Alignment influences wear in the knee after medial unicompartmental arthroplasty. CORR 2004;423:161-5.
• 10.Collier MB, Eickmann TH, Sukezaki F, McAuley JP, Engh GA. Patient, implant, and alignment factors associated with revision of medial compartment unicondylar arthroplasty. J. Arthroplasty. 2006;21:108-15.
• 11.Kim S-J, Bae J-H, Lim HC. Factors affecting the postoperative limb alignment and clinical outcome after Oxford unicompartmental knee arthroplasty. J. Arthroplasty. 2012;27:1210-5.
• 12.Mullaji AB, Shetty GM, Kanna R. Postoperative limb alignment and its determinants after minimally invasive Oxford medial unicompartmental knee arthroplasty. J. Arthroplasty. 2011;26:919-25.
• 13.Burnett RSJ, Nair R, Hall CA, Jacks DA, Pugh L, McAllister MM. Results of the Oxford Phase 3 mobile bearing medial unicompartmental knee arthroplasty from an independent center: 467 knees at a mean 6-year follow-up: analysis of predictors of failure. J. Arthroplasty. 2014;29:193-200.
• 14.Cool S, Victor J, De Baets T. Does a minimally invasive approach affect positioning of component in unicompartmental knee arthroplasty? Early results with survivorship analysis. Acta Orthopaedica Belgica. 2006;72:709.
• 15.Vasso M, Del Regno C, D'Amelio A, Viggiano D, Corona K, Panni AS. Minor varus alignment provides better results than neutral alignment in medial UKA. The Knee. 2015;22:117-21.
• 16.Berger RA, Meneghini RM, Sheinkop MB, Della Valle CJ, Jacobs JJ, Rosenberg AG, et al. The progression of patellofemoral arthrosis after medial unicompartmental replacement: results at 11 to 15 years. CORR 2004;428:92-9.
• 17.Psychoyios V, Crawford R, Murray D, O’Connor J. Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. JBJS British Volume. 1998;80:976-82.
• 18.Voss F, Sheinkop MB, Galante JO, Barden RM, Rosenberg AG. Miller—Galante unicompartmental knee arthroplasty at 2-to 5-year follow-up evaluations. The J. Arthroplasty. 1995;10:764-71.
• 19.Argenson J, O'Connor JJ. Polyethylene wear in meniscal knee replacement. A one to nine-year retrieval analysis of the Oxford knee. JBJS British Volume. 1992;74:228-32.
• 20.Tabor Jr OB, Tabor OB, Bernard M, Wan JY. Çetin ve ark. Çalışmada hibe veya destek kullanılmamıştır. Yazarların herhangi bir çıkar çatışması yoktur. Tüm yazarlar, çalışmanın tüm aşamalarında katkıda bulunduklarını beyan etmişlerdir. Tüm yazarlar, çalışmanın tasarımına katkıda bulunmuşlar ve makalenin son halini onaylamışlardır. 134 Unicompartmental knee arthroplasty: long-term success in middle-age and obese patients. J. Surg.l Orth. Adv. 2005;14:59-63.
• 21.Argenson J-NA, Chevrol-Benkeddache Y, Aubaniac J-M. Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. JBJS. 2002;84:2235-9.
• 22.Hanssen AD, Stuart MJ, Scott RD, Scuderi GR. Surgical options for the middle-aged patient with osteoarthritis of the knee joint. JBJS. 2000;82:1767.
• 23.Parratte S, Argenson J-N, Pearce O, Pauly V, Auquier P, Aubaniac J-M. Medial unicompartmental knee replacement in the under-50s. JBJS British Volume. 2009;91:351-6.
• 24.Price A, Dodd C, Svard U, Murray D. Oxford medial unicompartmental knee arthroplasty in patients younger and older than 60 years of age. JBJS British Volume. 2005;87:1488-92.
• 25.Heck DA, Marmor L, Gibson A, Rougraff BT. Unicompartmental knee arthroplasty. A multicenter investigation with long-term follow-up evaluation. CORR. 1993;286:154-9.
• 26.Çepni SK, Arslan A, Polat H, Yalçın A, Parmaksızoğlu AS. Obez hastalarda Oxford Faz 3 unikompartmantal diz artroplastisinin orta dönem sonuçları. Acta Orthop Traumatol Turc. 2014;48:122-6.
• 27.Naudie D, Guerin J, Parker DA, Bourne RB, Rorabeck CH. Medial unicompartmental knee arthroplasty with the Miller-Galante prosthesis. J Bone Joint Surg Am. 2004 Sep;86(9):1931-5.