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Survival of Bicompartmental Knee Arthroplasty at 5 to 23 Years

  • Symposium: Papers Presented at the Annual Meetings of the Knee Society
  • Published:
Clinical Orthopaedics and Related Research®

Abstract

Recent literature suggests patients achieve substantial short-term functional improvement after combined bicompartmental implants but longer-term durability has not been documented. We therefore asked whether (1) bicompartmental arthroplasty (either combined medial unicompartmental knee arthroplasty (UKA) and femoropatellar arthroplasty (PFA) or medial UKA/PFA, or combined medial and lateral UKA or bicompartmental UKA) reliably improved Knee Society pain and function scores; (2) bicompartmental arthroplasty was durable (survivorship, radiographic loosening, or symptomatic disease progression); (3) we could achieve durable alignment; and (4) the arthritis would progress in the unresurfaced compartment. We retrospectively reviewed 84 patients (100 knees) with bicompartmental UKA and 71 patients (77 knees) with medial UKA/PFA. Clinical and radiographic evaluations were performed at a minimum followup of 5 years (mean, 12 years; range, 5–23 years). Bicompartmental arthroplasty reliably alleviated pain and improved function. Prosthesis survivorship at 17 years was 78% in the bicompartmental UKA group and 54% in the medial UKA/PFA group. The high revision rate, compared with total knee arthroplasty, may be related to several factors such as implant design, patient selection, crude or absent instrumentation, or component malalignment, which can all contribute to the relatively high failure rate in this series.

Level of Evidence: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.

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Acknowledgments

We thank Mrs Suzanne Aznavourian for clinical review of the patients.

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Authors and Affiliations

  1. Service de Chirurgie Orthopediquem, Center for Arthritis Surgery, Aix-Marseille University, Hôpital Sainte Marguerite, 270, Boulevard Sainte-Marguerite, 13009, Marseille, France

    Sebastien Parratte MD, Vanessa Pauly MS, Jean-Manuel Aubaniac MD & Jean-Noel A. Argenson MD

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  1. Sebastien Parratte MD
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  2. Vanessa Pauly MS
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  3. Jean-Manuel Aubaniac MD
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  4. Jean-Noel A. Argenson MD
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Correspondence to Jean-Noel A. Argenson MD.

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Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

Each author certifies that his or her institution has approved the human protocol for this investigation, that all investigations were conducted in conformity with ethical principles of research, and that informed consent for participation in the study was obtained.

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Parratte, S., Pauly, V., Aubaniac, JM. et al. Survival of Bicompartmental Knee Arthroplasty at 5 to 23 Years. Clin Orthop Relat Res 468, 64–72 (2010). https://doi.org/10.1007/s11999-009-1018-0

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  • DOI: https://doi.org/10.1007/s11999-009-1018-0

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