Few reports have been published about patient-perceived outcomes and return to sport following total knee arthroplasty (TKA) compared with unicompartmental knee arthroplasty (UKA). This article compares the two procedures using self-assessment questionnaires to determine whether there was a difference in patient-perceived Oxford scores, return to sport, and return to work.Patient-perceived outcomes of mini-incision UKA (Oxford; Biomet Inc, Warsaw, Ind) and TKA were retrospectively reviewed at a minimum of 12 months after surgery. A total of 150 patients underwent 183 UKAs (mean age: 71.5 years; standard deviation [SD]: 9.85) and 120 patients underwent 142 TKAs (mean age: 71.53 years; SD: 9.87). Oxford knee questionnaires were used assessing modifi ed Grimby score, sports, and work activities. Mean Oxford knee score (22.17; SD: 9.03) for UKA was superior to TKA (24.5; SD: 9.68) (Pϭ.04) scores. Mean modifi ed Grimby score for UKA (3.89; SD:1.27) was superior to TKA (2.76; SD:1.12) (PϽ.0001). More patients returned to or increased sports following UKA (Pϭ.0003), but no sooner than TKA patients. Patient-perceived Oxford and modifi ed Grimby scores were better and sporting activity was greater following mini-incision UKA compared to TKA.

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We reviewed 150 patients (183 knees) who underwent mini-incision unicompartmental knee arthroplasty (Oxford). Mean age was 71.5 (36-92) years. Review was conducted at least 12 months following surgery. To assess results, we used the Oxford knee questionnaire, modified Grimby score, return to sport and work, knee "normality" and patient general health. The mean Oxford knee score was 22.17 (range 12-54). Kneeling scored worse than other activities. No significant age or gender difference was found. Mean modified Grimby score was 3.89, equating to moderate exercise less than 2 h a week. Patients with "artificial-feeling" knees had significantly worse scores than patients with normal/near-normal-feeling knees. Patients who returned to/increased sporting activity had better Oxford scores than those who did not. Ninety-four percent of patients working pre-operatively returned to work. Sixty-seven percent continued at the same level of or increased sporting activity. Oxford knee scores and return to sport compared well to published data. Results regarding modified Grimby score, return to work and pain relief were encouraging. The best results were achieved in active patients who felt their health was good and their knee felt normal or near normal following surgery.

Therapeutic hip arthroscopy for the treatment of chondral degeneration remains controversial. A retrospective cohort study examined 70 patients of mean age 47 (range 22-87) years who had undergone hip arthroscopy and assessed them for evidence of chondral degeneration using radiological and arthroscopic means. Clinical outcome was assessed using a modified Farjo and Glick classification. Thirty-nine patients had evidence of chondral degeneration on arthroscopy with or without radiological diagnosis, and 31 had alternative pathology. If patients were found to have chondral degeneration at arthroscopy, they were significantly more likely to have a poor clinical result than if an alternative diagnosis such as a loose body or labral tear was made (p<0.0001). Patients with evidence of degenerative changes on plain hip radiographs were significantly more likely to have a poor clinical result following hip arthroscopy than patients with unremarkable hip radiographs (p<0.0001). Therapeutic hip arthroscopy for osteoarthritis should be used with caution, as a poor clinical result is significantly more likely compared to other pathologies such as a labral tear or loose body.Résumé L'arthroscopie thérapeutique de la Hanche pour le traitement des chondropathies reste controversé. Une étude rétrospective d'une cohorte de 70 malades d'âge moyen 47 ans (22-87) qui avait subi arthroscopie de la hanche a été faite avec étude de la chondropathie à partir des données radiologiques et arthroscopiques. Le résultat clinique a été noté en utilisant une classification modifié de Farjo et Glick. Thirty-nine malades avaient une chondropathie arthroscopique, avec ou sans diagnostic radiologique, et 31 avaient une pathologie alternative. Si les malades avaient une chondropathie, ils avaient significativement un plus mauvais résultat clinique que s'ils avaient une autre pathologie, comme un corps étranger ou une déchirure du labrum (p<0.0001). Les patients avec des signes radiologiques dégénératifs avaient un plus mauvais résultat clinique que ceux avec une radiographie normale (p<0.0001). Les arthroscopies thérapeutiques pour arthrose devraient être utilisées avec prudence car le résultat cinique est moins bon que dans les autres pathologies comme les corps étrangers ou les déchirures du labrum.

We report the rare combination of a closed fracture of the upper third of the radius with ipsilateral posterior dislocation of the elbow joint and disruption of the superior radio-ulnar joint. Although in the Bado classification there is a fourth type that describes fractures of both radius and ulna with dislocation of the superior radio-ulnar joint, it does not include the injury we report. We review of the literature and put forward an extension of Bado's classification so that fractures of either, or both, the radius and ulna associated with pericubital dislocations will be included.