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Return to sports after medial unicompartmental knee arthroplasty in patients with concomitant patella-femoral osteoarthritis: multicenter retrospective cohort study with minimum 5-year follow-up

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Abstract

Purpose

The purpose of our study was to evaluate clinical outcomes and return to sports after medial unicompartmental knee arthroplasty (UKA) in middle-aged active patients with concomitant patella-femoral joint (PFJ) osteoarthritis at time of surgery.

Methods

One-hundred and fifty-one patients who underwent medial fixed-bearing cemented UKA, between 2012 and 2015, for medial unicompartmental osteoarthritis of the knee, were retrospectively reviewed with a minimum 5-year follow-up. The mean age at surgery was 54.3 years (range 47 to 60 years). Radiological evaluation of patella-femoral joint (PFJ) osteoarthritis was performed according to Sperner classification to select a control-group (< grade III) and case-group (≥ grade III). The visual analog scale (VAS) for pain and Knee Society score (KSS) was used to evaluate preoperative and final outcomes. Physical activity level before and after the surgery was assessed by the use of UCLA score.

Results

One-hundred and thirty-seven patients (89 males and 48 females) were available at last follow-up. The mean follow-up was 6.2 years (range 5.2 to 7.5 years). At last follow-up improvements of VAS and KSS scores revealed not significant correlation with PFJ osteoarthritis. The majority of patients (87.7%) returned to their sports activity after UKA surgery.

Conclusions

Improved quality of life and sports activity level resulted in middle-aged, active patients after UKAs. PFJ osteoarthritis showed no significant correlation with poorer outcomes at 5-year follow-up.

Level of Evidence

III, multicenter retrospective cohort study.

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Funding

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript. The authors have no financial or proprietary interests in any material discussed in this article.

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Authors and Affiliations

  1. Orthopedics and Traumatology Unit, “PIO XI” Hospital, Rome, Italy

    Massoni Carlo & Maiotti Marco

  2. Department of Orthopedics, University Federico II, Naples, Italy

    Casciano Eduardo

  3. Orthopaedics and Traumatology Unit, Department Emergency and Acceptance, San Camillo Forlanini Hospital, Rome, Italy

    Basile Attilio, Marco Spoliti & Riccardo Maria Lanzetti

  4. Orthopedics and Traumatology Unit, “San Clemente” Hospital, Mantua, Italy

    Zanini Antonio

  5. Orthopedics and Traumatology Unit, “Sant’Anna” Hospital, Brescia, Italy

    Bettinsoli Pierfrancesco

  6. Orthopedics and Traumatology Unit, “Nuova Itor” Hospital, Rome, Italy

    Marconi Alessandro

  7. Orthopedics and Traumatology Unit, “Pineta Grande” Hospital, Castelvolturno, Italy

    Russo Raffaele

  8. Orthopedics and Traumatology Unit, “Mediterranea” Hospital, Naples, Italy

    Amato Massimiliano & Santoro Giuseppe

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  1. Massoni Carlo
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Correspondence to Riccardo Maria Lanzetti.

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Carlo, M., Eduardo, C., Attilio, B. et al. Return to sports after medial unicompartmental knee arthroplasty in patients with concomitant patella-femoral osteoarthritis: multicenter retrospective cohort study with minimum 5-year follow-up. Eur J Orthop Surg Traumatol 32, 55–61 (2022). https://doi.org/10.1007/s00590-021-02925-1

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