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Published in: European Journal of Orthopaedic Surgery & Traumatology 5/2018

Open Access 01-07-2018 | Original Article • KNEE - ARTHROPLASTY

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

Authors: Martin H. Redish, Peter Fennema

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2018

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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.
Literature
1.
go back to reference Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB (2005) Does total knee replacement restore normal knee function? Clin Orthop Relat Res 431:157–165CrossRef Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB (2005) Does total knee replacement restore normal knee function? Clin Orthop Relat Res 431:157–165CrossRef
2.
go back to reference Nashi N, Hong CC, Krishna L (2015) Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients. Knee Surg Sports Traumatol Arthrosc 23(6):1841–1847CrossRefPubMed Nashi N, Hong CC, Krishna L (2015) Residual knee pain and functional outcome following total knee arthroplasty in osteoarthritic patients. Knee Surg Sports Traumatol Arthrosc 23(6):1841–1847CrossRefPubMed
3.
go back to reference Argenson JN, Chevrol-Benkeddache Y, Aubaniac JM (2002) Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J Bone Jt Surg Am 84-A(12):2235–2239CrossRef Argenson JN, Chevrol-Benkeddache Y, Aubaniac JM (2002) Modern unicompartmental knee arthroplasty with cement: a three to ten-year follow-up study. J Bone Jt Surg Am 84-A(12):2235–2239CrossRef
4.
go back to reference Engh GA (2002) Orthopaedic crossfire—can we justify unicondylar arthroplasty as a temporizing procedure? In the affirmative. J Arthroplasty 17(4 Suppl 1):54–55CrossRefPubMed Engh GA (2002) Orthopaedic crossfire—can we justify unicondylar arthroplasty as a temporizing procedure? In the affirmative. J Arthroplasty 17(4 Suppl 1):54–55CrossRefPubMed
5.
go back to reference Rougraff BT, Heck DA, Gibson AE (1991) A comparison of tricompartmental and unicompartmental arthroplasty for the treatment of gonarthrosis. Clin Orthop Relat Res 273:157–164 Rougraff BT, Heck DA, Gibson AE (1991) A comparison of tricompartmental and unicompartmental arthroplasty for the treatment of gonarthrosis. Clin Orthop Relat Res 273:157–164
6.
go back to reference Knutson K, Lindstrand A, Lidgren L (1986) Survival of knee arthroplasties. A nation-wide multicentre investigation of 8000 cases. J Bone Jt Surg Br 68(5):795–803CrossRef Knutson K, Lindstrand A, Lidgren L (1986) Survival of knee arthroplasties. A nation-wide multicentre investigation of 8000 cases. J Bone Jt Surg Br 68(5):795–803CrossRef
7.
go back to reference Iacono F, Raspugli GF, Akkawi I, Bruni D, Filardo G, Budeyri A, Bragonzoni L, Presti ML, Bonanzinga T, Marcacci M (2016) Unicompartmental knee arthroplasty in patients over 75 years: A definitive solution? Arch Orthop Trauma Surg 136(1):117–123CrossRefPubMed Iacono F, Raspugli GF, Akkawi I, Bruni D, Filardo G, Budeyri A, Bragonzoni L, Presti ML, Bonanzinga T, Marcacci M (2016) Unicompartmental knee arthroplasty in patients over 75 years: A definitive solution? Arch Orthop Trauma Surg 136(1):117–123CrossRefPubMed
8.
go back to reference Akizuki S, Mueller JK, Horiuchi H, Matsunaga D, Shibakawa A, Komistek RD (2009) In vivo determination of kinematics for subjects having a Zimmer Unicompartmental High Flex Knee System. J Arthroplasty 24(6):963–971CrossRefPubMed Akizuki S, Mueller JK, Horiuchi H, Matsunaga D, Shibakawa A, Komistek RD (2009) In vivo determination of kinematics for subjects having a Zimmer Unicompartmental High Flex Knee System. J Arthroplasty 24(6):963–971CrossRefPubMed
9.
go back to reference Jung MC, Chung JY, Son KH, Wang H, Hwang J, Kim JJ, Kim JH, Min BH (2014) Difference in knee rotation between total and unicompartmental knee arthroplasties during stair climbing. Knee Surg Sports Traumatol Arthrosc 22(8):1879–1886CrossRefPubMed Jung MC, Chung JY, Son KH, Wang H, Hwang J, Kim JJ, Kim JH, Min BH (2014) Difference in knee rotation between total and unicompartmental knee arthroplasties during stair climbing. Knee Surg Sports Traumatol Arthrosc 22(8):1879–1886CrossRefPubMed
10.
go back to reference Heyse TJ, El-Zayat BF, De Corte R, Chevalier Y, Scheys L, Innocenti B, Fuchs-Winkelmann S, Labey L (2014) UKA closely preserves natural knee kinematics in vitro. Knee Surg Sports Traumatol Arthrosc 22(8):1902–1910CrossRefPubMed Heyse TJ, El-Zayat BF, De Corte R, Chevalier Y, Scheys L, Innocenti B, Fuchs-Winkelmann S, Labey L (2014) UKA closely preserves natural knee kinematics in vitro. Knee Surg Sports Traumatol Arthrosc 22(8):1902–1910CrossRefPubMed
11.
go back to reference Heyse TJ, Khefacha A, Peersman G, Cartier P (2012) Survivorship of UKA in the middle-aged. Knee 19(5):585–591CrossRefPubMed Heyse TJ, Khefacha A, Peersman G, Cartier P (2012) Survivorship of UKA in the middle-aged. Knee 19(5):585–591CrossRefPubMed
12.
go back to reference Wynn Jones H, Chan W, Harrison T, Smith TO, Masonda P, Walton NP (2012) Revision of medial Oxford unicompartmental knee replacement to a total knee replacement: similar to a primary? Knee 19(4):339–343CrossRefPubMed Wynn Jones H, Chan W, Harrison T, Smith TO, Masonda P, Walton NP (2012) Revision of medial Oxford unicompartmental knee replacement to a total knee replacement: similar to a primary? Knee 19(4):339–343CrossRefPubMed
13.
go back to reference Chou DT, Swamy GN, Lewis JR, Badhe NP (2012) Revision of failed unicompartmental knee replacement to total knee replacement. Knee 19(4):356–359CrossRefPubMed Chou DT, Swamy GN, Lewis JR, Badhe NP (2012) Revision of failed unicompartmental knee replacement to total knee replacement. Knee 19(4):356–359CrossRefPubMed
14.
go back to reference Barrett WP, Scott RD (1987) Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Jt Surg Am 69(9):1328–1335CrossRef Barrett WP, Scott RD (1987) Revision of failed unicondylar unicompartmental knee arthroplasty. J Bone Jt Surg Am 69(9):1328–1335CrossRef
15.
go back to reference Paredes EB, Sanchez PB, Toledano DS, Gonzalez AIP, Perez SF, de Bobadilla GDF (2017) Total knee arthroplasty after failed unicompartmental knee arthroplasty. Clinical results, radiologic findings, and technical tips. J Arthroplasty 32(1):193–196CrossRef Paredes EB, Sanchez PB, Toledano DS, Gonzalez AIP, Perez SF, de Bobadilla GDF (2017) Total knee arthroplasty after failed unicompartmental knee arthroplasty. Clinical results, radiologic findings, and technical tips. J Arthroplasty 32(1):193–196CrossRef
16.
go back to reference Repicci J, Hartman JF (2006) Minimally invasive surgery for unicondylar knee arthroplasty: the bone-sparing technique. In: Scuderi GR, Tria AJ, Berger RA (eds) MIS techniques in orthopedics. Springer, New York, pp 193–213CrossRef Repicci J, Hartman JF (2006) Minimally invasive surgery for unicondylar knee arthroplasty: the bone-sparing technique. In: Scuderi GR, Tria AJ, Berger RA (eds) MIS techniques in orthopedics. Springer, New York, pp 193–213CrossRef
17.
go back to reference Fuchs S, Strosche H, Tinius W, Gierse H, Gebhardt U (2005) Preliminary remarks on a prospective multicenter study of the Repicci minimally invasive unicondylar knee replacement. Knee Surg Sports Traumatol Arthrosc 13(8):670–676CrossRefPubMed Fuchs S, Strosche H, Tinius W, Gierse H, Gebhardt U (2005) Preliminary remarks on a prospective multicenter study of the Repicci minimally invasive unicondylar knee replacement. Knee Surg Sports Traumatol Arthrosc 13(8):670–676CrossRefPubMed
18.
go back to reference O’Donnell T, Neil MJ (2010) The Repicci II(R) unicondylar knee arthroplasty: 9-year survivorship and function. Clin Orthop Relat Res 468(11):3094–3102CrossRefPubMedPubMedCentral O’Donnell T, Neil MJ (2010) The Repicci II(R) unicondylar knee arthroplasty: 9-year survivorship and function. Clin Orthop Relat Res 468(11):3094–3102CrossRefPubMedPubMedCentral
19.
go back to reference Romanowski MR, Repicci JA (2002) Minimally invasive unicondylar arthroplasty: eight-year follow-up. J Knee Surg 15(1):17–22PubMed Romanowski MR, Repicci JA (2002) Minimally invasive unicondylar arthroplasty: eight-year follow-up. J Knee Surg 15(1):17–22PubMed
20.
go back to reference Vasso M, Del Regno C, Perisano C, D’Amelio A, Corona K, Schiavone Panni A (2015) Unicompartmental knee arthroplasty is effective: ten year results. Int Orthop 39(12):2341–2346CrossRefPubMed Vasso M, Del Regno C, Perisano C, D’Amelio A, Corona K, Schiavone Panni A (2015) Unicompartmental knee arthroplasty is effective: ten year results. Int Orthop 39(12):2341–2346CrossRefPubMed
21.
go back to reference Price AJ, Waite JC, Svard U (2005) Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res 435:171–180CrossRef Price AJ, Waite JC, Svard U (2005) Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res 435:171–180CrossRef
22.
go back to reference Heyse T, Khefacha A, Peersman G, Cartier P (2012) Survivorship of UKA in the middle-aged. Knee 19(5):585–591CrossRefPubMed Heyse T, Khefacha A, Peersman G, Cartier P (2012) Survivorship of UKA in the middle-aged. Knee 19(5):585–591CrossRefPubMed
23.
go back to reference Chatellard R, Sauleau V, Colmar M, Robert H, Raynaud G, Brilhault J, Societe d’Orthopedie et de Traumatologie de lO (2013) Medial unicompartmental knee arthroplasty: does tibial component position influence clinical outcomes and arthroplasty survival? Orthop Traumatol Surg Res 99(4 Suppl):S219–225CrossRefPubMed Chatellard R, Sauleau V, Colmar M, Robert H, Raynaud G, Brilhault J, Societe d’Orthopedie et de Traumatologie de lO (2013) Medial unicompartmental knee arthroplasty: does tibial component position influence clinical outcomes and arthroplasty survival? Orthop Traumatol Surg Res 99(4 Suppl):S219–225CrossRefPubMed
24.
go back to reference Epinette JA, Brunschweiler B, Mertl P, Mole D, Cazenave A, French Society for H, Knee (2012) Unicompartmental knee arthroplasty modes of failure: wear is not the main reason for failure: a multicentre study of 418 failed knees. Orthop Traumatol Surg Res 98(6 Suppl):S124–130CrossRefPubMed Epinette JA, Brunschweiler B, Mertl P, Mole D, Cazenave A, French Society for H, Knee (2012) Unicompartmental knee arthroplasty modes of failure: wear is not the main reason for failure: a multicentre study of 418 failed knees. Orthop Traumatol Surg Res 98(6 Suppl):S124–130CrossRefPubMed
25.
go back to reference Liddle AD, Judge A, Pandit H, Murray DW (2014) Adverse outcomes after total and unicompartmental knee replacement in 101,330 matched patients: a study of data from the National Joint Registry for England and Wales. Lancet 18(314):1437–1445CrossRef Liddle AD, Judge A, Pandit H, Murray DW (2014) Adverse outcomes after total and unicompartmental knee replacement in 101,330 matched patients: a study of data from the National Joint Registry for England and Wales. Lancet 18(314):1437–1445CrossRef
26.
go back to reference Behrend H, Giesinger K, Giesinger JM, Kuster MS (2012) The “forgotten joint” as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty 27(3):430–436 (e431) CrossRefPubMed Behrend H, Giesinger K, Giesinger JM, Kuster MS (2012) The “forgotten joint” as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty 27(3):430–436 (e431) CrossRefPubMed
27.
go back to reference Murray D, Fitzpatrick R, Rogers K, Pandit H, Beard D, Carr A, Dawson J (2007) The use of the Oxford hip and knee scores. J Bone Jt Surg Br 89(8):1010–1014CrossRef Murray D, Fitzpatrick R, Rogers K, Pandit H, Beard D, Carr A, Dawson J (2007) The use of the Oxford hip and knee scores. J Bone Jt Surg Br 89(8):1010–1014CrossRef
28.
go back to reference Thompson M, Conditt M, Otto J, Abassi A, Redish M (2010) The importance of a good cement mantle with an all-poly inlay UKA. Poster No. 2121. In: 56th Annual meeting of the Orthopaedic Research Society, New Orleans, LA. Orthopaedic Research Society Thompson M, Conditt M, Otto J, Abassi A, Redish M (2010) The importance of a good cement mantle with an all-poly inlay UKA. Poster No. 2121. In: 56th Annual meeting of the Orthopaedic Research Society, New Orleans, LA. Orthopaedic Research Society
29.
go back to reference AOA (2014) Australian Orthopaedic Association National Joint Replacement Registry, Annual report AOA (2014) Australian Orthopaedic Association National Joint Replacement Registry, Annual report
30.
go back to reference Kohan L, Field C, Kerr D (2013) Minimum 10-year follow-up of Repicci unicompartmental knee arthroplasty. Bone Jt J 95-B(SUPP 15):228 Kohan L, Field C, Kerr D (2013) Minimum 10-year follow-up of Repicci unicompartmental knee arthroplasty. Bone Jt J 95-B(SUPP 15):228
31.
go back to reference Becker R, Mauer C, Starke C, Brosz M, Zantop T, Lohmann CH, Schulze M (2013) Anteroposterior and rotational stability in fixed and mobile bearing unicondylar knee arthroplasty: a cadaveric study using the robotic force sensor system. Knee Surg Sports Traumatol Arthrosc 21(11):2427–2432CrossRefPubMed Becker R, Mauer C, Starke C, Brosz M, Zantop T, Lohmann CH, Schulze M (2013) Anteroposterior and rotational stability in fixed and mobile bearing unicondylar knee arthroplasty: a cadaveric study using the robotic force sensor system. Knee Surg Sports Traumatol Arthrosc 21(11):2427–2432CrossRefPubMed
32.
go back to reference Braun S, Minzlaff P, Hollweck R, Wortler K, Imhoff AB (2008) The 5.5-year results of MegaOATS—autologous transfer of the posterior femoral condyle: a case-series study. Arthritis Res Ther 10(3):R68CrossRefPubMedPubMedCentral Braun S, Minzlaff P, Hollweck R, Wortler K, Imhoff AB (2008) The 5.5-year results of MegaOATS—autologous transfer of the posterior femoral condyle: a case-series study. Arthritis Res Ther 10(3):R68CrossRefPubMedPubMedCentral
33.
go back to reference Zhang Q, Zhang Q, Guo W, Liu Z, Cheng L, Zhu G (2015) No need for use of drainage after minimally invasive unicompartmental knee arthroplasty: a prospective randomized, controlled trial. Arch Orthop Trauma Surg 135(5):709–713CrossRefPubMed Zhang Q, Zhang Q, Guo W, Liu Z, Cheng L, Zhu G (2015) No need for use of drainage after minimally invasive unicompartmental knee arthroplasty: a prospective randomized, controlled trial. Arch Orthop Trauma Surg 135(5):709–713CrossRefPubMed
34.
go back to reference Shemshaki H, Nourian SM, Nourian N, Dehghani M, Mokhtari M, Mazoochian F (2015) One step closer to sparing total blood loss and transfusion rate in total knee arthroplasty: a meta-analysis of different methods of tranexamic acid administration. Arch Orthop Trauma Surg 135(4):573–588CrossRefPubMed Shemshaki H, Nourian SM, Nourian N, Dehghani M, Mokhtari M, Mazoochian F (2015) One step closer to sparing total blood loss and transfusion rate in total knee arthroplasty: a meta-analysis of different methods of tranexamic acid administration. Arch Orthop Trauma Surg 135(4):573–588CrossRefPubMed
35.
go back to reference Hourlier H, Reina N, Fennema P (2015) Single dose intravenous tranexamic acid as effective as continuous infusion in primary total knee arthroplasty: a randomised clinical trial. Arch Orthop Trauma Surg 135(4):465–471CrossRefPubMed Hourlier H, Reina N, Fennema P (2015) Single dose intravenous tranexamic acid as effective as continuous infusion in primary total knee arthroplasty: a randomised clinical trial. Arch Orthop Trauma Surg 135(4):465–471CrossRefPubMed
36.
go back to reference Liddle AD, Pandit H, Judge A, Murray DW (2015) Patient-reported outcomes after total and unicompartmental knee arthroplasty: a study of 14 076 matched patients from the National Joint Registry for England and Wales. Bone Jt J 97-B(6):793–801CrossRef Liddle AD, Pandit H, Judge A, Murray DW (2015) Patient-reported outcomes after total and unicompartmental knee arthroplasty: a study of 14 076 matched patients from the National Joint Registry for England and Wales. Bone Jt J 97-B(6):793–801CrossRef
37.
go back to reference Pearse AJ, Hooper GJ, Rothwell A, Frampton C (2010) Survival and functional outcome after revision of a unicompartmental to a total knee replacement: the New Zealand National Joint Registry. J Bone Jt Surg Br 92(4):508–512CrossRef Pearse AJ, Hooper GJ, Rothwell A, Frampton C (2010) Survival and functional outcome after revision of a unicompartmental to a total knee replacement: the New Zealand National Joint Registry. J Bone Jt Surg Br 92(4):508–512CrossRef
38.
go back to reference Zuiderbaan HA, van der List JP, Khamaisy S, Nawabi DH, Thein R, Ishmael C, Paul S, Pearle AD (2017) Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc 25(3):681–686CrossRefPubMed Zuiderbaan HA, van der List JP, Khamaisy S, Nawabi DH, Thein R, Ishmael C, Paul S, Pearle AD (2017) Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc 25(3):681–686CrossRefPubMed
Metadata
Title
Good results with minimally invasive unicompartmental knee resurfacing after 10-year follow-up
Authors
Martin H. Redish
Peter Fennema
Publication date
01-07-2018
Publisher
Springer Paris
Published in
European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2018
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI
https://doi.org/10.1007/s00590-017-2079-5

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