Rapid recovery after Oxford unicompartmental arthroplasty through a short incision

Price, Andrew; Webb, Jason; Topf, Hans-Georg; Dodd, Christopher; Goodfellow, John; Murray, David; Hip, Oxford

doi:10.1054/arth.2001.25552

Cited by 367 publications

(154 citation statements)

References 13 publications

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“…Moreover, if arthroplasty is required, one should favor the use of TKA implants (Gill et al 1995). Similarly, in our hospital HTO is chosen for younger, active patients with unicompartmental medial osteoarthritis (Gill et al 1995, Price et al 2001) combined with a limb deformity, and who have a projected life expectancy of 20 years or more (Iorio et al 2003). For other patients, we favor UKA or TKA.…”

Section: Discussionmentioning

confidence: 99%

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Unicondylar knee replacement for primary osteoarthritis: A prospective follow-up study of 1,819 patients from the Finnish Arthroplasty Register

et al. 2007

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Background The choice and use of unicondylar knee arthroplasty (UKA) has gone through a nation wide resurgence at the start of the 21st century in Finland. We evaluated the population-based survival of UKA in patients with primary osteoarthritis (OA) in Finland, and the factors affecting their survival.Method The Finnish Arthroplasty Register was established in 1980. During the years 1985-2003, 1,928 primary UKAs were recorded in the register; 1,819 of these were performed for primary OA. Of these 1,819 UKAs, we selected for further analysis implants that had been used in more than 100 operations during the study period. The survival rates of UKAs were analyzed using Kaplan-Meier analysis and the Cox regression model.Results Analysis of the whole study period showed that UKAs had a 73% (95% CI: 70-76) survival rate at 10 years, with revision for any reason as the end point. Those patients who received the Oxford menisceal bearing unicondylar (n = 1145) had a survival rate of 81% (95% CI: 72-89) at 10 years. The group that received the Miller-Galante II unicondylar (n = 330) had a 79% survival rate (95% CI: 71-87) at 10 years, whereas the Duracon (n = 196) had a survival rate of 78% (95% CI: 72-84) and the PCA (n = 146) had a survival rate of 53% (95% CI: 45-60) at 10 years. The number of UKA operations in Finland has increased markedly in recent years. At the time of operation, the mean age of the patients was 65 (38-91) years. Younger patients (≤ 65 years of age) were found to have a 1.5-fold (95% CI:

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Section: Discussionmentioning

confidence: 99%

“…Some orthopedic surgeons recommend that these patients should be treated with a UKA implant because of better rehabilitation (Price et al 2001). The other point of view is to make a permanent solution for the elderly on the basis of their projected life expectancy and choose a TKA because of the better long-term implant survival rates.…”

Section: Discussionmentioning

confidence: 99%

Unicondylar knee replacement for primary osteoarthritis: A prospective follow-up study of 1,819 patients from the Finnish Arthroplasty Register

et al. 2007

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“…This is because clinical studies have shown that, if appropriate indications and techniques are used, UKR tends to give a faster recovery, lower costs, fewer and less severe complications and better function than a total knee replacement (TKR) [1][2][3] . National joint registers support these conclusions as they demonstrate that, compared with TKR, UKR have shorter inpatient stays, lower mortality, lower incidence of major complications such as infection and better outcome scores, although adjusted change scores are similar [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

Does body mass index affect the outcome of unicompartmental knee replacement?

et al. 2013

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“…Since 1998, the phase 3 instrumentation allows for a minimally invasive surgical approach. The advantages of this procedure are less postoperative pain, faster recovery, and better joint mobility in the long term [1,18,22].…”

Section: Introductionmentioning

confidence: 99%

Correlation of positioning and clinical results in Oxford UKA

Clarius

Hauck

Seeger

et al. 2009

International Orthopaedics (SICOT)

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In a prospective clinical study, 59 patients with anteromedial osteoarthritis of the knee (61 knee joints) underwent minimally invasive medial Oxford unicompartmental arthroplasty phase 3. Clinical and radiographic examinations of 56 knees were carried out at five (4-7) years. American Knee Society (AKS) scores improved from mean 45.5 (20-80) points (knee score) and 55 (15-100) points (function score) before surgery to 90 (30-100) points in both scores after surgery. The position of each implant was determined on screened radiographs using an image intensifier. The implant position was analysed according to the Oxford X-ray rating system. We evaluated nine measures, and there was no detectable correlation between implant position and clinical result. However, long-term studies are needed before it is possible to elaborate an evidence-based guideline on positioning.

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Rapid recovery after Oxford unicompartmental arthroplasty through a short incision

Cited by 367 publications

References 13 publications

Unicondylar knee replacement for primary osteoarthritis: A prospective follow-up study of 1,819 patients from the Finnish Arthroplasty Register

Unicondylar knee replacement for primary osteoarthritis: A prospective follow-up study of 1,819 patients from the Finnish Arthroplasty Register

Does body mass index affect the outcome of unicompartmental knee replacement?

Correlation of positioning and clinical results in Oxford UKA

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