Back
 JBM  Vol.5 No.12 , December 2017
A Research on the Early Effect of Unicompartmental Knee Arthroplasty for Unicompartment Osteoarthritis of the Knee
Abstract: Objective: To evaluate the early clinical effect of unicompartmental knee arthroplasty (UKA) for medial unicompartment osteoarthritis of knee in the old people, providing the evidence for the treatment of clinic. Methods: From January of 2016 to January of 2017, 20 cases of knee osteoarthritis in medial unicompartment were treated by unicompartmental knee arthroplasty. The knee joint range of motion (ROM), visual analogue scale (VAS) and knee functional Hospital for Special Surgery (HSS) scores were preoperatively recorded. The loss of blood and time of operation were intraoperative recorded. The satisfaction of patient, knee joint range of motion (ROM) and knee functional special surgical hospital score (HSS score) were postoperatively recorded at one year. Results: All patients have been followed up at an average of twelve months. The operation time was 94 - 135 min, mean 105.6 min. The blood loss was 150 - 500 ml, mean 315 ml. The postoperative HSS and ROM were both reduced. The last follow-up, there were no meniscus subluxation, loose prosthesis, and lateral ventricular osteoarthritis or other complications. Conclusion: Unicompartmental knee arthroplasty has the advantages of small operation trauma, early postoperative effect and quick recovery.
Cite this paper: Kong, X. , Zhang, M. and Li, J. (2017) A Research on the Early Effect of Unicompartmental Knee Arthroplasty for Unicompartment Osteoarthritis of the Knee. Journal of Biosciences and Medicines, 5, 118-124. doi: 10.4236/jbm.2017.512012.
References

[1]   Insall, J. and Walker, P. (1976) Unicondylar Knee Replacement. Clinical Orthopaedics and Related Research, 120, 83-85.

[2]   Squire, M.W., Callaghan, J.J., Goetz, D.D., et al. (1999) Unicompartmental Knee Replacement: A Minimum 15 Year Follow-Up Study. Clinical Orthopaedics and Related Research, 367, 61-72.

[3]   Manzotti, A., Confalonieri, N. and Pullen, C. (2007) Unicompartmental versus Computer-Assisted Total Knee Replacement for Medial Compartment Knee Arthritis: A Matched Paired Study. International Orthopaedics, 31, 315-319.
https://doi.org/10.1007/s00264-006-0184-x

[4]   Canale, S.T. and James, H. (2015) Campbell’s Orthopedic Surgery. Wang, Y., Trans., People’s Military Medical Publishing House, Beijing, 387 p.

[5]   Griffin, T., Rowden, N., Morgan, D., et al. (2007) Unicompartmental Knee Arthroplasty for the Treatment of Unicompartmental Osteoarthritis: A Systematic Study. ANZ Journal of Surgery, 77, 214-221.
https://doi.org/10.1111/j.1445-2197.2007.04021.x

[6]   Vardi, G. and Strover, A.E. (2004) Early Complications of Unicompartmental Knee Replacement: The Droitwich Experience. The Knee, 11, 389-394.
https://doi.org/10.1016/j.knee.2004.02.005

[7]   Riddle, D.L., Jiranek, W.A. and Mcglynn, F.J. (2008) Yearly Incidence of Unicompartmental Knee Arthroplasty in the United States. The Journal of Arthroplasty, 23, 408-412.
https://doi.org/10.1016/j.arth.2007.04.012

[8]   Berger, R.A., Nedeff, D.D., Barden, R.M., et al. (1999) Unicompartmental Knee Arthroplasty. Clinical Experience at 6 to 10 Year Follow-Up. Clinical Orthopaedics and Related Research, 367, 50-60.

[9]   Berend, K.R., Lombardi, A.V., Mallory, T.H., et al. (2005) Early Failure of Minimally Invasive Unicompartmental Knee Arthroplasty Is Associated with Obesity. Clinical Orthopaedics and Related Research, 440, 60-66.

[10]   Scott, R.D., Cobb, A.G., Mc Queary, F.G., et al. (1991) Unicompartmental Knee Arthroplasty. Eight to 12 Year Follow-Up Evaluation with Survivorship Analysis. Clinical Orthopaedics and Related Research, 271, 96-100.

[11]   Berger, R.A., Meneghini, R.M., Sheinkop, M.B., et al. (2004) The Progression of Patellofemoral Arthrosis after Medial Unicompartmental Replacement: Results 11 to 15 Years. Clinical Orthopaedics and Related Research, 428, 92-99.

[12]   Beard, D.J., Pandit, H., Gill, H.S., et al. (2007) The Influence of the Presence and Severity of Pre-Existing Patellofemoral Degenerative Changes on the Outcome of the Oxford Medial Unicompartmental Knee Replacement. The Journal of Bone and Joint Surgery, 89, 1597-1601.

[13]   Kennedy, W.R. and White, R.P. (1987) Unicompartmental Arthroplasty of the Knee: Postoperative Alignment and Its Influence on Overall Results. Clinical Orthopaedics and Related Research, 221, 278-285.

[14]   Argenson, J.A. and Flecher, X. (2004) Minimally Invasive Unicompartmental Knee Arthroplasty. Knee, 11, 341-347.
https://doi.org/10.1016/j.knee.2003.12.002

 
 
Top