Midterm Outcomes of Unicompartmental Knee Arthroplasty for the Treatment of Knee Medial Compartment Osteoarthritis: A Retrospective Study

Document Type : RESEARCH PAPER

Authors

1 Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran

2 1 Bone and Joint Reconstruction Research Center, Department of Orthopedics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran 2 Department of Orthopedic surgery, Farhikhtegan Hospital, Faculty of Medicine, Tehran Medical Sciences Islamic Azad University, Tehran, Iran

Abstract

Objectives: Many surgeons avoid performing unicompartmental knee arthroplasty (UKA) due to various 
concerns. Cohort studies showing the satisfactory outcomes of UKA can convince surgeons to use this 
technique. In this study, we report the mid-term outcomes of UKA in a series of patients with medial 
compartment knee osteoarthritis.
Methods: Seventeen patients with unicompartmental degenerative joint disease of the knee that underwent UKA 
and were available for final evaluation were included. The mean age of the patients was 63 ± 5.1 years. The mean 
follow-up of the patients was 37.2 ± 18.3 months. The outcome measures were the Oxford Knee Score (OKS), Knee 
Society Score (KSS) for knee score and knee function, Knee injury and Osteoarthritis Outcome Score (KOOS), knee 
range of motion (ROM), and satisfaction rate on a 5-point Likert scale.
Results: In the last follow-up visit, the mean of OKS and knee score section of the KSS were 44.6 ± 3.2 and 83.8 
± 2.1, respectively. The mean knee function section of the KSS was measured at 98.2 ± 7.2. The mean KOOS score 
and the mean knee ROM were 84 ± 9.4 and 134.4 ± 7º, respectively. The mean VAS for pain was 8.9 ± 1.1 (range 
8-10) before the operation and 1.2 ± 0.8 (range 0-2) at the last follow-up. All the patients were very satisfied (n=14) 
or satisfied (n=3) with the results. No postoperative complication or reoperation was recorded during the follow-up.
Conclusion: Unicompartmental knee arthroplasty provides satisfactory outcomes and a high survival rate, at least 
in mid-term follow-up. These findings suggest increased use of UKA in future workups.
 Level of evidence: IV

Keywords

Main Subjects

References

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The Archives of Bone and Joint Surgery
Volume 11, Issue 5
May 2023
Pages 326-329

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History

  • Receive Date: 25 July 2022
  • Revise Date: 08 January 2023
  • Accept Date: 23 January 2023

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