The young patient and the medial unicompartmental knee replacement

Acta Orthop Belg. 2015 Jun;81(2):283-8.

Abstract

Purpose: Younger patients with unicompartmental degenerative knee joint diseases present a therapeutic dilemma. The purpose of this study is to evaluate the long-term results of the Oxford phase III unicompartmental knee replacement through a minimally invasive approach in the young patient.

Methods: We have studied a total of 51 patients (59 interventions) who underwent the Oxford Phase III Unicompartmental Knee Replacement. A clinical, radiographical and functional evaluation was performed twelve years after intervention.

Results: According to the American Knee Society Score using Insall's criteria overall results of unicompartmental knee arthroplasty showed an excellent or good outcome for 53 knees (96.36%), fair for 1 (1.81%) and poor for 1 (1.81%) in the postoperative long term. The survival rate of the implants was close to 95% at follow-up.

Conclusions: Twelve years follow-up results of UKA through a minimally invasive exposure in young patients demonstrate predictably good outcomes.

Publication types

  • Clinical Trial, Phase III
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Arthroplasty, Replacement, Knee / methods*
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Joint / physiopathology*
  • Knee Joint / surgery
  • Knee Prosthesis*
  • Male
  • Middle Aged
  • Osteoarthritis, Knee / diagnostic imaging
  • Osteoarthritis, Knee / physiopathology
  • Osteoarthritis, Knee / surgery*
  • Postoperative Period
  • Prognosis
  • Radiography
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult