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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2023

Open Access 25-08-2022 | Osteoarthrosis | KNEE

Combined treatment with medial unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction is effective on long-term follow-up

Authors: Ayham Jaber, Chang min Kim, Alexander Barié, Marcus Streit, Holger Schmitt, Michael Clarius, Christian Merle, Yannic Bangert

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2023

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Abstract

Purpose

The purpose of the present study was to evaluate the long-term outcome of combined medial unicompartmental knee arthroplasty (UKA) and anterior cruciate ligament reconstruction (ACLR). The authors hypothesized that the combined procedure leads to good long-term outcome in patients with isolated medial knee osteoarthritis (OA) and anterior cruciate ligament (ACL) deficiency.

Methods

Twenty-three patients with ACL deficiency and concomitant medial knee OA were treated from 2008 to 2016 with a combined UKA (Oxford Partial Knee) and ACLR using a hamstring tendon autograft. The follow-up assessment included VAS pain score, Lysholm score, Oxford Knee Score (OKS), American Knee Society scores (AKSS), International Knee Documentation Committee (IKDC 2000), Tegner and UCLA activity scores. Instrumented laxity test was done using the KT-1000 arthrometer. Survivorship analysis was performed using the Kaplan–Meier method. Implant loosening and disease progression was assessed by conventional radiography.

Results

Average follow-up duration was 10 years (6–14.5). VAS, Lysholm, Tegner and UCLA scores improved significantly. OKS, AKSS and IKDC 2000 showed excellent results on follow-up. Implant survivorship was 91.4% at 14.5 years. There were 2 revisions with conversion to total knee arthroplasty at 6 and 12 years postoperatively due to trauma and disease progression, respectively. There were no radiological or clinical signs of instability or disease progression in any of the remaining knees. The side-to-side difference using the KT-1000 arthrometer was insignificant.

Conclusions

UKA combined with ACLR is an effective therapeutic option with good outcome and return to sport rate on the long-term.

Level of evidence

IV.
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Metadata
Title
Combined treatment with medial unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction is effective on long-term follow-up
Authors
Ayham Jaber
Chang min Kim
Alexander Barié
Marcus Streit
Holger Schmitt
Michael Clarius
Christian Merle
Yannic Bangert
Publication date
25-08-2022
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2023
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-022-07102-3

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