Abstract
Treatment of younger patients with medial unicompartmental disease of the knee joint remains a challenging therapeutic dilemma. With the refinement of implant design, fixation and the minimally invasive techniques employed with unicompartmental knee replacement, indications have expanded to include its use in young patients. A prospective cohort of 46 unicompartmental knee procedures were performed with a 2-year minimum and 6-year maximum follow-up, using the Oxford phase III unicompartmental knee arthroplasty, in the younger patient group (age 60 or younger). We conclude that the unicompartmental knee arthroplasty is an important option for the treatment of medial compartment disease for patients 60 years or younger. Obesity can cause technical difficulties, increased risk of complications and early failure of this prosthesis.
Similar content being viewed by others
References
Ahlback S (1968) Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Diagn (Stockh) Suppl 277:7–72
Berend KR, Lombardi AV Jr et al (2005) Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity. Clin Orthop Relat Res 440:60–66
Bray GA (1987) Overweight is risking fate. Definition, classification, prevalence, and risks. Ann N Y Acad Sci 499:14–28
Broughton NS, Newman JH et al (1986) Unicompartmental replacement and high tibial osteotomy for osteoarthritis of the knee. A comparative study after 5–10 years’ follow-up. J Bone Joint Surg Br 68(3):447–452
Brouwer RW, Jakma TS et al (2005) Osteotomy for treating knee osteoarthritis. Cochrane Database Syst Rev(1):CD004019
Deshmukh RG, Hayes JH et al (2002) Does body weight influence outcome after total knee arthroplasty? A 1-year analysis. J Arthroplasty 17(3):315–319
Deshmukh RV, Scott RD (2002) Unicompartmental knee arthroplasty for younger patients: an alternative view. Clin Orthop Relat Res(404):108–112
Foran JR, Mont MA et al (2004) The outcome of total knee arthroplasty in obese patients. J Bone Joint Surg Am 86-A(8):1609–1615
Foran JR, Mont MA et al (2004) Total knee arthroplasty in obese patients: a comparison with a matched control group. J Arthroplasty 19(7):817–824
Hanssen AD, Stuart MJ et al (2001) Surgical options for the middle-aged patient with osteoarthritis of the knee joint. Instr Course Lect 50:499–511
Ivarsson I, Gillquist J (1991) Rehabilitation after high tibial osteotomy and unicompartmental arthroplasty. A comparative study. Clin Orthop Relat Res (266):139–144
Jackson RW (1998) Surgical treatment. Osteotomy and unicompartmental arthroplasty. Am J Knee Surg 11(1):55–57
Murray DW (2005) Mobile bearing unicompartmental knee replacement. Orthopedics 28(9):985–987
Murray DW, Goodfellow JW et al (1998) The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg Br 80(6):983–989
Pandit H, Jenkins C et al (2006) The Oxford medial unicompartmental knee replacement using a minimally-invasive approach. J Bone Joint Surg Br 88(1):54–60
Pennington DW, Swienckowski JJ et al (2003) Unicompartmental knee arthroplasty in patients sixty years of age or younger. J Bone Joint Surg Am 85-A(10):1968–1973
Price AJ, Dodd CA et al (2005) Oxford medial unicompartmental knee arthroplasty in patients younger and older than 60 years of age. J Bone Joint Surg Br 87(11):1488–1492
Price AJ, Waite JC et al (2005) Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res(435):171–180
Price AJ, Webb J et al (2001) Rapid recovery after oxford unicompartmental arthroplasty through a short incision. J Arthroplasty 16(8):970–976
Rees JL, Price AJ et al (2004) Minimally invasive Oxford unicompartmental knee arthroplasty: functional results at 1 year and the effect of surgical inexperience. Knee 11(5):363–367
Repicci JA (2003) Mini-invasive knee unicompartmental arthroplasty: bone-sparing technique. Surg Technol Int 11:282–286
Romanowski MR, Repicci JA (2002) Minimally invasive unicondylar arthroplasty: eight-year follow-up. J Knee Surg 15(1):17–22
Schmalzried TP, Szuszczewicz ES et al (1998) Quantitative assessment of walking activity after total hip or knee replacement. J Bone Joint Surg Am 80(1):54–59
Stickles B, Phillips L et al (2001) Defining the relationship between obesity and total joint arthroplasty. Obes Res 9(3):219–1223
Stukenborg-Colsman C, Wirth CJ et al (2001) High tibial osteotomy versus unicompartmental joint replacement in unicompartmental knee joint osteoarthritis: 7–10-year follow-up prospective randomised study. Knee 8(3):187–194
Svard UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 83(2):191–194
Tabor OB Jr, Tabor OB et al (2005) Unicompartmental knee arthroplasty: long-term success in middle-age and obese patients. J Surg Orthop Adv 14(2):59–63
Tibrewal SB, Grant KA et al (1984) The radiolucent line beneath the tibial components of the Oxford meniscal knee. J Bone Joint Surg Br 66(4):523–528
Weale AE, Newman JH (1994). Unicompartmental arthroplasty and high tibial osteotomy for osteoarthrosis of the knee. A comparative study with a 12- to 17-year follow-up period. Clin Orthop Relat Res (302):134–137
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kort, N.P., van Raay, J.J.A.M. & van Horn, J.J. The Oxford phase III unicompartmental knee replacement in patients less than 60 years of age. Knee Surg Sports Traumatol Arthrosc 15, 356–360 (2007). https://doi.org/10.1007/s00167-006-0204-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00167-006-0204-9