Good results with minimally invasive unicompartmental knee resurfacing after 10-year follow-up

Eur J Orthop Surg Traumatol. 2018 Jul;28(5):959-965. doi: 10.1007/s00590-017-2079-5. Epub 2017 Nov 22.

Abstract

The current study was designed to determine (1) 10-year implant survival and (2) patient's self-reported functional outcome in a single surgeon's consecutive cohort of patients who had undergone minimally invasive unicondylar resurfacing with a modified cementation technique utilizing a cobalt-chromium femur/inlaid all-PE tibia, fixed-bearing unicompartmental prosthesis. We included 344 consecutive patients (361 knees) who had received the study device between January 2002 and December 2005 in this retrospective study. After 10 years, 78 patients (78 knees) had died, 59 (59 knees) were lost to follow-up and four (four knees) did not participate. Thirteen knees (11 patients) were revised after a mean of 5.8 ± 1.9 years. Hence, the study population at follow-up comprised 192 patients (207 knees). Ten-year implant survival was 94.6% (95% confidence interval, 90.9-96.8%). The Forgotten Joint Score and Oxford Knee Score were 68.9 ± 28.9 and 39 ± 9.1, respectively. Excellent survivorship and clinical outcomes were obtained with UKA with an inlaid all-PE tibia with a modified cementation technique.

Keywords: Arthroplasty, replacement, knee; Cementation; Osteoarthritis, knee; Survival analysis; Unicompartmental knee replacement.

MeSH terms

  • Aged
  • Arthroplasty, Replacement, Knee / methods
  • Arthroplasty, Replacement, Knee / rehabilitation*
  • Bone Cements
  • Cementation
  • Female
  • Follow-Up Studies
  • Humans
  • Knee Joint / surgery*
  • Knee Prosthesis
  • Male
  • Middle Aged
  • Minimally Invasive Surgical Procedures / rehabilitation
  • Osteoarthritis, Knee / surgery*
  • Patient Reported Outcome Measures
  • Prosthesis Failure
  • Recovery of Function
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Bone Cements