No Long-term Difference Between Fixed and Mobile Medial Unicompartmental Arthroplasty View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-01

AUTHORS

Sebastien Parratte, Vanessa Pauly, Jean-Manuel Aubaniac, Jean-Noel A. Argenson

ABSTRACT

BACKGROUND: Early studies in the literature reported relatively high early minor reintervention rate for the mobile-bearing unilateral knee arthroplasty (UKA) compared with short- and midterm survivorship after fixed- or mobile-bearing UKA. However, whether the long-term function and survivorship are similar is unclear. QUESTIONS/PURPOSES: We therefore asked whether (1) mobile- or fixed-bearing UKAs have comparable function (as measured by the Knee Society scores); (2) mobile- and fixed-bearing UKA have comparable Knee Society radiographic scores; and (3) the long-term survivorship is comparable. METHODS: We retrospectively reviewed 75 patients (79 knees) with a fixed-bearing UKA and 72 patients (77 knees) with a mobile-bearing UKA operated on between 1989 and 1992. Mean age of the patients was 63 years; gender and body mass index (26 kg/m(2)) were comparable in the two groups. We obtained Knee Society function and radiographic scores and determined survival. The minimum followup was 15 years (mean, 17.2 ± 4.8 years; range, 15-21.2 years). RESULTS: The mean Knee Society function and knee scores were comparable in the two groups. Radiographically, the number of overcorrections and the number of radiolucencies were statistically higher in the mobile-bearing group (69% versus 24%). At final followup, considering revision for any reason, 12 of 77 (15%) UKAs were revised (for aseptic loosening, dislocation, and arthritis progression) in the mobile-bearing group and 10 of 79 (12%) in the fixed-bearing group (for wear and arthritis progression). CONCLUSIONS: This long-term study did not demonstrate any difference in survivorship between fixed and mobile-bearing but pointed out specific modes of failure. More... »

PAGES

61-68

References to SciGraph publications

  • 2006-01. The Oxford unicompartmental knee prosthesis: an independent 10-year survival analysis in KNEE SURGERY, SPORTS TRAUMATOLOGY, ARTHROSCOPY
  • 2010-01. Does Bearing Design Influence Midterm Survivorship of Unicompartmental Arthroplasty? in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • 2010-02. Reintervention after Mobile-bearing Oxford Unicompartmental Knee Arthroplasty in CLINICAL ORTHOPAEDICS AND RELATED RESEARCH®
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s11999-011-1961-4

    DOI

    http://dx.doi.org/10.1007/s11999-011-1961-4

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1031342193

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/21732024


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