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Minimally invasive Oxford medial unicompartmental knee arthroplasty

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Abstract

We present the peak outcome results of the Oxford medial unicompartmental arthroplasty through a minimally invasive ssurgical incision. This prospective study included 78 Oxford medial unicompartmental knee replacements in 68 patients. At the 2 year review the patients achieved a mean Oxford Knee Score of 38.3. This was not significantly different to the 2 year results of the phase 2 Oxford knee carried out using a standard parapatellar approach when patients achieved a mean OKS of 36.0. Four unicompartmental knee replacements required revision for unexplained pain, deep infection, aseptic loosening and bearing dislocation. Minimally invasive joint replacement is attractive to both patients and surgeons, but is technically demanding with complications inherent to limited access.

Résumé

Nous présentons les résultats de la prothèse Oxford unicompartimentale interne après MIS. Grâce à une étude prospective qui a inclus 78 prothèses chez 68 patients. Après 2 ans de recul, le score moyen d’Oxford est de 38.3. Il n’y a pas de résultats significativement différents entre MIS et un abord para patellaire standard (score OKS 36.0). Quatre prothèses ont nécessité une révision pour des douleurs inexpliquées, une infection profonde, un descellement aseptique ou une dislocation rotatoire. La mise en place d’une prothèse unicompartimentale par MIS apparaît satisfaisante pour les patients. Elle est néanmoins techniquement difficile pour les chirurgiens avec un risque de complications inhérent à l’accès limité de l’abord.

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References

  1. Ahlback S, (1968) Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol 277:7–71

    Google Scholar 

  2. Carr A, KeyesG et al (1993) Medial unicompartmental arthroplasty. A survival study of the Oxford meniscal knee. Clin Orthop 295:205–213

    PubMed  Google Scholar 

  3. Charnley J (1972) The long-term results of low friction arthroplasty of the hip performed as a primary intervention. JBJS 54B:61–76

    Google Scholar 

  4. Dawson J, Fitzpatrick R et al (1998) Questionnaire on the perceptions of patients about total knee replacement. J Bone Jt Surg Br 80(1):63–69

    Article  CAS  Google Scholar 

  5. Dunbar MJ, Robertsson O et al (2001) Appropriate questionnaires for knee arthroplasty. Results of a survey of 3,600 patients from the Swedish knee arthroplasty registry. J Bone Jt Surg Br 83(3):339–344

    Article  CAS  Google Scholar 

  6. Harcourt WG, White SH et al (2001) Specificity of the Oxford knee status questionnaire. The effect of disease of the hip or lumbar spine on patients’ perception of knee disability. J Bone Jt Surg Br 83(3):345–347

    Article  CAS  Google Scholar 

  7. Knutson K, Lewold S et al (1994) The Swedish knee arthroplasty register. A nation-wide study of 30,003 knees 1976–1992. Acta Orthop Scand 65(4):375–386

    Article  PubMed  CAS  Google Scholar 

  8. Knutson K, Lindstrand A et al (1986) Survival of knee arthroplasties. A nation-wide multicentre investigation of 8,000 cases. J Bone Jt Surg Br 68(5):795–803

    CAS  Google Scholar 

  9. Konig A, Scheidler M et al (1997) The need for a dual rating system in total knee arthroplasty. Clin Orthop 345:161–167

    PubMed  Google Scholar 

  10. Lewold S, Goodman S et al (1995) Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. A Swedish multicenter survival study. J Arthroplasty 10(6):722–731

    PubMed  CAS  Google Scholar 

  11. Murray DW, Goodfellow JW et al (1998) The Oxford medial unicompartmental arthroplasty: a 10-year survival study. J Bone Jt Surg Br 80(6):983–989

    Article  CAS  Google Scholar 

  12. Price AJ, Webb J et al (2001) Rapid recovery after Oxford unicompartmental arthroplasty through a short incision. J Arthroplasty 16(8):970–976

    Article  PubMed  CAS  Google Scholar 

  13. Svard UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Jt Surg Br 83(2):191–194

    Article  CAS  Google Scholar 

  14. Weale AE, Halabi OA et al (2001) Perceptions of outcomes after unicompartmental and total knee replacements. Clin Orthop 382:143–153

    Article  PubMed  Google Scholar 

  15. White SH, Ludkowski PF et al (1991) Anteromedial osteoarthritis of the knee. J Bone Jt Surg Br 73(4):582–586

    CAS  Google Scholar 

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Authors and Affiliations

  1. Specialist Registrar Orthopaedic Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, England, UK

    J. Lim

  2. Professor of Statistics, Keele University, Keele, Staffordshire, UK

    P. W. Jones

  3. Consultant Orthopaedic Surgery, The Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, England, UK

    S. H. White

  4. Field House, Cherry Tree Lane, Woore, Shropshire, CW3 9SR, UK

    K. L. Luscombe

Authors
  1. K. L. Luscombe
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  2. J. Lim
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  3. P. W. Jones
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  4. S. H. White
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Correspondence to K. L. Luscombe.

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Luscombe, K.L., Lim, J., Jones, P.W. et al. Minimally invasive Oxford medial unicompartmental knee arthroplasty. International Orthopaedics (SICOT) 31, 321–324 (2007). https://doi.org/10.1007/s00264-006-0202-z

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  • DOI: https://doi.org/10.1007/s00264-006-0202-z

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