Oxford medial unicompartmental knee arthroplasty

British Editorial Society of Bone & Joint Surgery - Tập 83-B Số 2 - Trang 191-194 - 2001
Ulf Svard1, Andrew Price2,3
1Department of Orthopaedic Surgery, Skaraborgs Sjukhus Kärnsjukhuset, 451 85 Skövde, Sweden.
2Oxford Orthopaedic Engineering Centre, Nuffield Department of Orthopaedic Surgery, Oxford Orthopaedic Engineering Centre, Nuffield Orthopaedic Centre, Windmill Road, Headington, Oxford OX3 7LD, UK.
3Research Fellow.

Tóm tắt

We describe the outcome of a series of 124 Oxford meniscal-bearing unicompartmental arthroplasties carried out for osteoarthritis of the medial compartment. They had been undertaken more than ten years ago in a non-teaching hospital in Sweden by three surgeons. All the knees had an intact anterior cruciate ligament, a correctable varus deformity and full-thickness cartilage in the lateral compartment. Thirty-seven patients had died; the mean time since operation for the remainder was 12.5 years (10.1 to 15.6). Using the endpoint of revision for any cause, the outcome for every knee was established. Six had been revised (4.8%). At ten years there were 94 knees still at risk and the cumulative survival rate was 95.0% (95% confidence interval 90.8 to 99.3). This figure is similar to that reported by the designers of the prosthesis and to the best published results for independent series of total knee replacement. If patients are selected appropriately, this implant is a reliable treatment for anteromedial osteoarthritis of the knee.

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