Unicompartmental knee arthroplasty

Bone and Joint Journal - Tập 97-B Số 10_Supple_A - Trang 3-8 - 2015
D.W. Murray1, Alexander D. Liddle1, Caf Dodd2, Hemant Pandit1
1University of Oxford, Windmill Road, Oxford OX3 7LD, UK.
2Oxford University Hospitals NHS Trust, Windmill Road, Oxford OX3 7HE, UK.

Tóm tắt

There is a large amount of evidence available about the relative merits of unicompartmental and total knee arthroplasty (UKA and TKA). Based on the same evidence, different people draw different conclusions and as a result, there is great variability in the usage of UKA. The revision rate of UKA is much higher than TKA and so some surgeons conclude that UKA should not be performed. Other surgeons believe that the main reason for the high revision rate is that UKA is easy to revise and, therefore, the threshold for revision is low. They also believe that UKA has many advantages over TKA such as a faster recovery, lower morbidity and mortality and better function. They therefore conclude that UKA should be undertaken whenever appropriate. The solution to this argument is to minimise the revision rate of UKA, thereby addressing the main disadvantage of UKA. The evidence suggests that this will be achieved if surgeons use UKA for at least 20% of their knee arthroplasties and use implants that are appropriate for these broad indications. Cite this article: Bone Joint J 2015;97-B(10 Suppl A):3–8.

Từ khóa


Tài liệu tham khảo

10.1002/art.24021

Kurtz S, 2007, J Bone Joint Surg [Am], 89, 780, 10.2106/00004623-200704000-00012

No authors listed. 11th Annual Report of the National Joint Registry for England, Wales and Northern Ireland. National Joint Registry. http://www.njrcentre.org.uk/njrcentre/default.aspx (date last accessed 20 July 2015).

10.1016/S0140-6736(14)60419-0

10.1016/j.knee.2009.04.006

No authors listed. 10th Annual Report of the National Joint Registry for England, Wales and Northern Ireland. National Joint Registry. http://www.njrcentre.org.uk/njrcentre/default.aspx (date last accessed 20 July 2015).

10.1302/0301-620X.94B7.28436

10.1080/000164700317411852

Briggs T. A national review of adult elective orthopaedic services in England. Getting it right first time. https://www.boa.ac.uk/wp-content/uploads/2015/03/GIRFT-National-Report-Mar15.pdf (date last accessed 20 July 2015).

No authors listed. Hip and Knee Arthroplasty Annual Report. Australian Orthopaedic Association National Joint Replacement Registry. https://aoanjrr.dmac.adelaide.edu.au/ (date last accessed 20 July 2015).

No authors listed. Annual Report 2013. Swedish Knee Arthoplasty Register. http://myknee.se/pdf/SKAR2013_Eng.pdf (date last accessed 20 July 2015).

10.2106/00004623-198971010-00023

10.1016/j.knee.2010.08.004

10.1016/j.knee.2010.05.003

10.1302/0301-620X.92B12.25193

10.1302/0301-620X.89B8.19424

No authors listed. Fifteen Year Report. January 1999 to December 2013. The New Zealand Joint Registry. http://www.nzoa.org.nz/system/files/NZJR2014Report.pdf (date last accessed 20 July 2015).

10.1016/j.arth.2005.04.017

No authors listed. 7th Annual Report. National Joint Registry for England and Wales. http://www.njrcentre.org.uk/njrcentre/Home/tabid/36/Default.aspx (date last accessed 20 July 2015).

10.1302/0301-620X.97B6.35155

10.1093/rheumatology/36.5.551

No authors listed. The New Zealand Joint Registry. Ten year report: January 1999 – December 2008. http://nzoa.org.nz/system/files/NJR%2010%20Year%20Report.pdf (date last accessed 20 July 2015).

No authors listed. Survey undertaken at the Knee Society Open meeting. American Academy of Orthopaedic Surgeons Annual Meeting, 2013.

No authors listed. Danish Knee Arthoplasty Register Annual Report 2010. https://www.knee.dk/groups/dkr/pdf/DKRreportEnglish2010.pdf (date last accessed 20 July 2015).

Liddle AD, Pandit H, Judge A, Murray DW. The effect of surgical caseload on revision rate following total and unicompartmental knee replacement. J Bone Joint Surg Am . In press.

10.2106/JBJS.L.00963

10.1302/0301-620X.93B5.26214

Stern SH, 1993, Clin Orthop Relat Res, 286, 143

Liddle AD, Pandit H, Judge A, Murray DW. Optimizing Outcomes Following Unicompartmental Knee Replacement: Insights from a Study of 25,982 Cases (Scientific Exhibit SE11) [abstract]. American Academy of Orthopaedic Surgeons Annual Meeting , 2015.

Thông tin
Thông tin xuất bản

Bone and Joint Journal

Tập 97-B Số 10_Supple_A

3-8

Thông tin tác giả