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Erschienen in: International Orthopaedics 5/2013

01.05.2013 | Original Paper

Oxford phase 3 unicondylar knee arthroplasty through a minimally invasive approach: long-term results

verfasst von: Omar Faour-Martín, Jose Antonio Valverde-García, Miguel Ángel Martín-Ferrero, Aurelio Vega-Castrillo, María Angeles de la Red Gallego, Cesar C. Suárez de Puga, Luis Amigo-Liñares

Erschienen in: International Orthopaedics | Ausgabe 5/2013

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Abstract

Purpose

Surgical treatment options for medial compartment osteoarthritis of the knee include high tibial osteotomy, total knee arthroplasty or unicompartmental knee arthroplasty (UKA), depending on the patient’s age, level of physical activity and the degree of deformity.

Methods

In this study, we evaluated the long-term results of patients who underwent the Oxford cemented meniscal-bearing unicondylar knee prosthesis through a minimally invasive approach including a clinical, functional and radiographic assessment.

Results

Favourable clinical and radiological outcomes were registered overall at ten years after surgery. Overall results of UKA according to the American Knee Society (AKS) using Insall’s criteria showed an excellent or good outcome for 492 knees (96.28 %), fair for 11 (2.15 %) and poor for eight (1.57 %) in the post-operative long term.

Conclusions

We believe that with appropriate surgical technique, patient selection, prosthetic design and specific training, surgeons should achieve good outcomes with the added advantages of a minimally invasive approach. High volume for this technique is important in our opinion.
Literatur
1.
Zurück zum Zitat Çullu E, Aydoğdu S, Alparslan B, Sur H (2005) Tibial slope changes following dome-type high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 13:38–43PubMedCrossRef Çullu E, Aydoğdu S, Alparslan B, Sur H (2005) Tibial slope changes following dome-type high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 13:38–43PubMedCrossRef
2.
Zurück zum Zitat Kesmezacar H, Erginer R, Ögüt T, Seyahi A, Babacan M, Tenekecioğlu Y (2005) Evaluation of patellar height and measurement methods after valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 13:539–544PubMedCrossRef Kesmezacar H, Erginer R, Ögüt T, Seyahi A, Babacan M, Tenekecioğlu Y (2005) Evaluation of patellar height and measurement methods after valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 13:539–544PubMedCrossRef
3.
Zurück zum Zitat Aslan H, Ersan O, Baz AB, Duman E, Aydın E, Ateş Y (2007) Midterm results of Oxford phase 3 unicondylar knee arthroplasty for medial osteoarthritis. Acta Orthop Traumatol Turc 41:367–372PubMed Aslan H, Ersan O, Baz AB, Duman E, Aydın E, Ateş Y (2007) Midterm results of Oxford phase 3 unicondylar knee arthroplasty for medial osteoarthritis. Acta Orthop Traumatol Turc 41:367–372PubMed
4.
Zurück zum Zitat Laurencin CT, Zelicof SB, Scott RD, Ewald FC (1991) Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res 273:151–156PubMed Laurencin CT, Zelicof SB, Scott RD, Ewald FC (1991) Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res 273:151–156PubMed
5.
Zurück zum Zitat Emerson RH Jr, Higgins LL (2008) Unicompartmental knee arthroplasty with the Oxford prosthesis in patients with medial compartment arthritis. J Bone Joint Surg Am 90:118–122PubMedCrossRef Emerson RH Jr, Higgins LL (2008) Unicompartmental knee arthroplasty with the Oxford prosthesis in patients with medial compartment arthritis. J Bone Joint Surg Am 90:118–122PubMedCrossRef
6.
Zurück zum Zitat Pandit H, Jenkins C, Barker K, Dodd CA, Murray DW (2006) The Oxford medial unicompartmental knee replacement using a minimally-invasive approach. J Bone Joint Surg Br 88:54–60PubMedCrossRef Pandit H, Jenkins C, Barker K, Dodd CA, Murray DW (2006) The Oxford medial unicompartmental knee replacement using a minimally-invasive approach. J Bone Joint Surg Br 88:54–60PubMedCrossRef
7.
Zurück zum Zitat Murray DW, Goodfellow JW, O’Connor JJ (1998) The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg Br 80:983–989PubMedCrossRef Murray DW, Goodfellow JW, O’Connor JJ (1998) The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg Br 80:983–989PubMedCrossRef
8.
Zurück zum Zitat Repicci JA, Eberle RW (1999) Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 8:20–27PubMed Repicci JA, Eberle RW (1999) Minimally invasive surgical technique for unicondylar knee arthroplasty. J South Orthop Assoc 8:20–27PubMed
9.
Zurück zum Zitat Goodfellow JW, O’Connor J, Murray DW (2002) The Oxford meniscal unicompartmental knee. J Knee Surg 15:240–246PubMed Goodfellow JW, O’Connor J, Murray DW (2002) The Oxford meniscal unicompartmental knee. J Knee Surg 15:240–246PubMed
10.
Zurück zum Zitat Rajasekhar C, Das S, Smith A (2004) Unicompartmental knee arthroplasty. 2- to 12-year results in a community hospital. J Bone Joint Surg Br 86:983–985PubMedCrossRef Rajasekhar C, Das S, Smith A (2004) Unicompartmental knee arthroplasty. 2- to 12-year results in a community hospital. J Bone Joint Surg Br 86:983–985PubMedCrossRef
11.
Zurück zum Zitat Svärd U (2009) Long-term results after partial knee arthroplasty with the Oxford Knee. Dissertation, University of Gothenburg Svärd U (2009) Long-term results after partial knee arthroplasty with the Oxford Knee. Dissertation, University of Gothenburg
12.
Zurück zum Zitat Svärd UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 83:191–194PubMedCrossRef Svärd UC, Price AJ (2001) Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 83:191–194PubMedCrossRef
13.
Zurück zum Zitat Skowroński J, Jatskewych J, Długosz J, Skowroński R, Bielecki M (2005) The Oxford II medial unicompartmental knee replacement. A minimum 10-year follow-up study. Ortop Traumatol Rehabil 7:620–625PubMed Skowroński J, Jatskewych J, Długosz J, Skowroński R, Bielecki M (2005) The Oxford II medial unicompartmental knee replacement. A minimum 10-year follow-up study. Ortop Traumatol Rehabil 7:620–625PubMed
14.
Zurück zum Zitat Argenson JN, Parratte S, Bertani A, Flecher X, Aubaniac JM (2008) Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res 466:2686–2693PubMedCrossRef Argenson JN, Parratte S, Bertani A, Flecher X, Aubaniac JM (2008) Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res 466:2686–2693PubMedCrossRef
15.
Zurück zum Zitat Kendrick BJ, Longino D, Pandit H, Svard U, Gill HS, Dodd CA, Murray DW, Price AJ (2010) Polyethylene wear in Oxford unicompartmental knee replacement: a retrieval study of 47 bearings. J Bone Joint Surg Br 92:367–373PubMedCrossRef Kendrick BJ, Longino D, Pandit H, Svard U, Gill HS, Dodd CA, Murray DW, Price AJ (2010) Polyethylene wear in Oxford unicompartmental knee replacement: a retrieval study of 47 bearings. J Bone Joint Surg Br 92:367–373PubMedCrossRef
16.
Zurück zum Zitat Psychoyios V, Crawford RW, O’Connor JJ, Murray DW (1998) Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg Br 80:976–982PubMedCrossRef Psychoyios V, Crawford RW, O’Connor JJ, Murray DW (1998) Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg Br 80:976–982PubMedCrossRef
17.
Zurück zum Zitat Kim KT, Lee S, Park HS, Cho KH, Kim KS (2007) A prospective analysis of Oxford phase 3 unicompartmental knee arthroplasty. Orthopedics 30(Suppl):15–18PubMed Kim KT, Lee S, Park HS, Cho KH, Kim KS (2007) A prospective analysis of Oxford phase 3 unicompartmental knee arthroplasty. Orthopedics 30(Suppl):15–18PubMed
18.
Zurück zum Zitat Carr A, Keyes G, Miller R, O’Connor J, Goodfellow J (1993) Medial unicompartmental arthroplasty. A survival study of the Oxford meniscal knee. Clin Orthop Relat Res 295:205–213PubMed Carr A, Keyes G, Miller R, O’Connor J, Goodfellow J (1993) Medial unicompartmental arthroplasty. A survival study of the Oxford meniscal knee. Clin Orthop Relat Res 295:205–213PubMed
19.
Zurück zum Zitat Kozinn SC, Scott R (1989) Unicondylar knee arthroplasty. J Bone Joint Surg Am 71:145–150PubMed Kozinn SC, Scott R (1989) Unicondylar knee arthroplasty. J Bone Joint Surg Am 71:145–150PubMed
20.
Zurück zum Zitat Langdown AJ, Pandit H, Price AJ et al (2005) Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee. Acta Orthop 76:688–692PubMedCrossRef Langdown AJ, Pandit H, Price AJ et al (2005) Oxford medial unicompartmental arthroplasty for focal spontaneous osteonecrosis of the knee. Acta Orthop 76:688–692PubMedCrossRef
21.
Zurück zum Zitat Lisowski LA, van den Bekerom MP, Pilot P, van Dijk CN, Lisowski AE (2011) Oxford Phase 3 unicompartmental knee arthroplasty: medium-term results of a minimally invasive surgical procedure. Knee Surg Sports Traumatol Arthrosc 19:277–284PubMedCrossRef Lisowski LA, van den Bekerom MP, Pilot P, van Dijk CN, Lisowski AE (2011) Oxford Phase 3 unicompartmental knee arthroplasty: medium-term results of a minimally invasive surgical procedure. Knee Surg Sports Traumatol Arthrosc 19:277–284PubMedCrossRef
22.
Zurück zum Zitat Murray DW, Goodfellow JW, O’Connor JJ, Dodd CA (1999) Oxford unicompartmental knee: manual of the surgical technique. Biomet, Bridgend, pp 1–40 Murray DW, Goodfellow JW, O’Connor JJ, Dodd CA (1999) Oxford unicompartmental knee: manual of the surgical technique. Biomet, Bridgend, pp 1–40
23.
Zurück zum Zitat Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed Insall JN, Dorr LD, Scott RD, Scott WN (1989) Rationale of the Knee Society clinical rating system. Clin Orthop Relat Res 248:13–14PubMed
24.
Zurück zum Zitat Goodfellow JW, Kershaw CJ, Benson MK, O’Connor JJ (1988) The Oxford Knee for unicompartmental osteoarthritis. The first 103 cases. J Bone Joint Surg Br 70:692–701PubMed Goodfellow JW, Kershaw CJ, Benson MK, O’Connor JJ (1988) The Oxford Knee for unicompartmental osteoarthritis. The first 103 cases. J Bone Joint Surg Br 70:692–701PubMed
25.
Zurück zum Zitat Pandit H, Jenkins C, Gill HS, Barker K, Dodd CA, Murray DW (2011) Minimally invasive Oxford phase 3 unicompartmental knee replacement: results of 1000 cases. J Bone Joint Surg Br 93:198–204PubMedCrossRef Pandit H, Jenkins C, Gill HS, Barker K, Dodd CA, Murray DW (2011) Minimally invasive Oxford phase 3 unicompartmental knee replacement: results of 1000 cases. J Bone Joint Surg Br 93:198–204PubMedCrossRef
26.
Zurück zum Zitat Pietschmann MF, Wohlleb L, Weber P et al (2013) Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect? Int Orthop 37:31–37PubMedCrossRef Pietschmann MF, Wohlleb L, Weber P et al (2013) Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect? Int Orthop 37:31–37PubMedCrossRef
27.
Zurück zum Zitat Vardi G, Strover AE (2004) Early complications of unicompartmental knee replacement; the Droitwich experience. Knee 11:389–394PubMedCrossRef Vardi G, Strover AE (2004) Early complications of unicompartmental knee replacement; the Droitwich experience. Knee 11:389–394PubMedCrossRef
28.
Zurück zum Zitat Kim KT, Lee S, Bae EH et al (2005) Short-term results and early complications of minimally invasive unicompartmental knee arthroplasty. J Korean Knee Soc 17:119–126 Kim KT, Lee S, Bae EH et al (2005) Short-term results and early complications of minimally invasive unicompartmental knee arthroplasty. J Korean Knee Soc 17:119–126
29.
Zurück zum Zitat Lewold S, Goodman S, Knutson K, Robertsson O, Lidgren L (1995) Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. A Swedish multicenter survival study. J Arthroplasty 10:722–731PubMedCrossRef Lewold S, Goodman S, Knutson K, Robertsson O, Lidgren L (1995) Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. A Swedish multicenter survival study. J Arthroplasty 10:722–731PubMedCrossRef
30.
Zurück zum Zitat Saragaglia D, Picard F, Refaie R (2012) Navigation of the tibial plateau alone appears to be sufficient in computer-assisted unicompartmental knee arthroplasty. Int Orthop 36:2479–2483PubMedCrossRef Saragaglia D, Picard F, Refaie R (2012) Navigation of the tibial plateau alone appears to be sufficient in computer-assisted unicompartmental knee arthroplasty. Int Orthop 36:2479–2483PubMedCrossRef
31.
Zurück zum Zitat Järvenpää J, Kettunen J, Miettinen H, Kröger H (2010) The clinical outcome of revision knee replacement after unicompartmental knee arthroplasty versus primary total knee arthroplasty: 8–17 years follow-up study of 49 patients. Int Orthop 34:649–653PubMedCrossRef Järvenpää J, Kettunen J, Miettinen H, Kröger H (2010) The clinical outcome of revision knee replacement after unicompartmental knee arthroplasty versus primary total knee arthroplasty: 8–17 years follow-up study of 49 patients. Int Orthop 34:649–653PubMedCrossRef
32.
Zurück zum Zitat Clarius M, Hauck C, Seeger JB, James A, Murray DW, Aldinger PR (2009) Pulsed lavage reduces the incidence of radiolucent lines under the tibial tray of Oxford unicompartmental knee arthroplasty: pulsed lavage versus syringe lavage. Int Orthop 33:1585–1590PubMedCrossRef Clarius M, Hauck C, Seeger JB, James A, Murray DW, Aldinger PR (2009) Pulsed lavage reduces the incidence of radiolucent lines under the tibial tray of Oxford unicompartmental knee arthroplasty: pulsed lavage versus syringe lavage. Int Orthop 33:1585–1590PubMedCrossRef
33.
Zurück zum Zitat Mercier N, Wimsey S, Saragaglia D (2010) Long-term clinical results of the Oxford medial unicompartmental knee arthroplasty. Int Orthop 34:1137–1143PubMedCrossRef Mercier N, Wimsey S, Saragaglia D (2010) Long-term clinical results of the Oxford medial unicompartmental knee arthroplasty. Int Orthop 34:1137–1143PubMedCrossRef
34.
Zurück zum Zitat Luscombe KL, Lim J, Jones PW, White SH (2007) Minimally invasive Oxford medial unicompartmental knee arthroplasty. A note of caution! Int Orthop 31:321–324PubMedCrossRef Luscombe KL, Lim J, Jones PW, White SH (2007) Minimally invasive Oxford medial unicompartmental knee arthroplasty. A note of caution! Int Orthop 31:321–324PubMedCrossRef
Metadaten
Titel
Oxford phase 3 unicondylar knee arthroplasty through a minimally invasive approach: long-term results
verfasst von
Omar Faour-Martín
Jose Antonio Valverde-García
Miguel Ángel Martín-Ferrero
Aurelio Vega-Castrillo
María Angeles de la Red Gallego
Cesar C. Suárez de Puga
Luis Amigo-Liñares
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 5/2013
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-1830-8

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