CLINICAL APPLICATION OF OXFORD MOBILE-BEARING BIPOLAR PROSTHESIS UNICOMPARTMENTAL KNEE ARTHROPLASTY FOR SINGLE COMPARTMENTAL KNEE OSTEOARTHRITIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WANGShangzeng ¹ , CHENGShao ² ,  WANGYisheng ¹

1. Department of Orthopaedics, the First Affiliated Hospital of Zhengzhou University, Zhengzhou Henan, 450002, P. R. China;
2. Henan College of Traditional Chinese Medicine;

Corresponding author：

WANGYisheng, Email: whangz74@163.com

Keywords：

Unicompartmental knee arthroplasty; Single compartmental knee osteoarthritis; Mobile-bearing bipolar prosthesis

DOI：

10.7507/1002-1892.20160001

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effectiveness of Oxford mobile-bearing bipolar prosthesis unicompartmental knee arthroplasty (UKA) in the treatment of single compartmental knee osteoarthritis. Methods Between June 2011 and July 2013, 22 cases of single compartmental knee osteoarthritis were treated by Oxford mobile-bearing bipolar prosthesis UKA. Of 22 cases, 8 were male and 14 were female with an average age of 65 years (range, 45-80 years); the left knee was involved in 12 cases, and the right knee in 10 cases, with a mean disease duration of 32.5 months (range, 8-90 months). The mean weight was 55.2 kg (range, 50-65 kg), and the mean body mass index was 20.8 kg/m²(range, 17-25 kg/m²). Osteoarthritis involved in the single knee medial compartment in all patients. Knee society score (KSS) and range of motion (ROM) were measured to evaluate the knee joint function. Results Primary healing of incision was obtained in all patients, and there was no complication of infection, bedsore, or deep venous thrombosis. Postoperative follow-up was 2-4 years (mean, 3.2 years). The X-ray films showed good position of prosthesis, no prosthesis dislocation, or periprosthetic infection during follow-up. Knee ROM, KSS function score, and KSS clinical score were significantly improved at 1 week after operation and at last follow-up when compared with preoperative ones (P＜0.05), but no significant difference was shown between at 1 week and at last follow-up (P>0.05). Conclusion Oxford mobile-bearing bipolar prosthesis UKA is an effective method to treat single compartmental knee osteoarthritis, with the advantages of less trauma, earlier rehabilitation exercise, near physiological state in joint function, and less risk of complications.

Citation： WANGShangzeng, CHENGShao, WANGYisheng. CLINICAL APPLICATION OF OXFORD MOBILE-BEARING BIPOLAR PROSTHESIS UNICOMPARTMENTAL KNEE ARTHROPLASTY FOR SINGLE COMPARTMENTAL KNEE OSTEOARTHRITIS. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(1): 1-5. doi: 10.7507/1002-1892.20160001 Copy

1.	Foran JR, Brown NM, Della Valle CJ, et al. Long-term survivor ship and failure modes of unicompartmental knee arthroplasty. Clin Orthop Relat Res, 2013, 471(1):102-108.
2.	Riddle DL, Jiranek WA, McGlynn FJ. Yearly incidence of unicompartmental knee arthroplasty in the United States. J Arthroplasty, 2008, 23(3):408-412.
3.	Scott RD. Lateral unicompartmental replacement:a road lesstravelled. Orthopedics, 2005, 28(9):983-984.
4.	Kozinn SC, Scott R. Unicompartmental knee arthroplasty. J Bone Joint Surge (Am), 1989, 71(1):145-150.
5.	Pandit H, Jenkins C, Gill HS, et al. Unnecessary contraindications for mobile-bearing unicompartmental knee replacement. J Bone Joint Surg (Br), 2011, 93(5):622-628.
6.	6何川,冯建民,刘志宏,等.髌股关节退变对Oxford内侧单髁置换疗效的影响.中华关节外科杂志(电子版), 2013, 7(4):459-463.
7.	7何川,燕宇飞,冯建民,等.外侧髌股关节退变对膝关节内侧单髁置换疗效的影响.生物骨科材料与临床研究, 2015, 4(2):29-32.
8.	Beard DJ, Pandit H, Ostlere S, et al. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg (Br), 2007, 89(12):1602-1607.
9.	Insall JN, Scott WN.吕厚山,译.膝关节外科学.北京:人民卫生出版社, 2006:1532.
10.	White SH, Roberts S, Jones PW. The Twin Peg Oxford partial knee replacement:the first 100 cases. Knee, 2012, 19(1):36-40.
11.	Morris MJ, Molli RG, Berend KR, et al. Mortality and perioperative complications after unicompartmental knee arthroplasty. Knee, 2013, 20(3):218-220.
12.	12马广文,尹宗生,黄斐.单髁置换术治疗膝关节内侧间室骨关节炎初期疗效.中国修复重建外科杂志, 2014, 28(10):1208-1211.
13.	Berger RA, Meneghini RM, Jacobs JJ, et al. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg (Am), 2005, 87(5):999-1006.
14.	Furnes O, Espehaug B, Lie SA, et al. Failure mechanisms after unicom-partmental and tricompartmental primary knee replacement withcement. J Bone Joint Surg (Am), 2007, 89(3):519-525.
15.	Isaac SM, BarkerKL, Danial IN, et al. Does arthroplasty typeinfluence knee jointproprioception? A longitudinal prospective study comparing total and unicompart-mental arthroplasty. Knee, 2007, 14(3):212-217.
16.	Mounasamy V, Sambandam S. Surgical management of young arthritic knee:a review. Eur J Orthop Surg Traumatol, 2008, 18(8):555-564.
17.	Scott RD, Cobb AG, McQueary FG, et al. Unicompartmental knee arthroplasty. Eight-to 12-year follow-up evaluation with survivorship analysis. Clin Orthop Relat Res,1991, (271):96-100.
18.	Argenson JN, Parratte S, Flecher X, et al. Unicompartmental knee ar-throplasty:technique through a mini-incision. Clin Orthop Relat Res, 2007, (464):32-36.

1. Foran JR, Brown NM, Della Valle CJ, et al. Long-term survivor ship and failure modes of unicompartmental knee arthroplasty. Clin Orthop Relat Res, 2013, 471(1):102-108.
2. Riddle DL, Jiranek WA, McGlynn FJ. Yearly incidence of unicompartmental knee arthroplasty in the United States. J Arthroplasty, 2008, 23(3):408-412.
3. Scott RD. Lateral unicompartmental replacement:a road lesstravelled. Orthopedics, 2005, 28(9):983-984.
4. Kozinn SC, Scott R. Unicompartmental knee arthroplasty. J Bone Joint Surge (Am), 1989, 71(1):145-150.
5. Pandit H, Jenkins C, Gill HS, et al. Unnecessary contraindications for mobile-bearing unicompartmental knee replacement. J Bone Joint Surg (Br), 2011, 93(5):622-628.
6. 6何川,冯建民,刘志宏,等.髌股关节退变对Oxford内侧单髁置换疗效的影响.中华关节外科杂志(电子版), 2013, 7(4):459-463.
7. 7何川,燕宇飞,冯建民,等.外侧髌股关节退变对膝关节内侧单髁置换疗效的影响.生物骨科材料与临床研究, 2015, 4(2):29-32.
8. Beard DJ, Pandit H, Ostlere S, et al. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg (Br), 2007, 89(12):1602-1607.
9. Insall JN, Scott WN.吕厚山,译.膝关节外科学.北京:人民卫生出版社, 2006:1532.
10. White SH, Roberts S, Jones PW. The Twin Peg Oxford partial knee replacement:the first 100 cases. Knee, 2012, 19(1):36-40.
11. Morris MJ, Molli RG, Berend KR, et al. Mortality and perioperative complications after unicompartmental knee arthroplasty. Knee, 2013, 20(3):218-220.
12. 12马广文,尹宗生,黄斐.单髁置换术治疗膝关节内侧间室骨关节炎初期疗效.中国修复重建外科杂志, 2014, 28(10):1208-1211.
13. Berger RA, Meneghini RM, Jacobs JJ, et al. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg (Am), 2005, 87(5):999-1006.
14. Furnes O, Espehaug B, Lie SA, et al. Failure mechanisms after unicom-partmental and tricompartmental primary knee replacement withcement. J Bone Joint Surg (Am), 2007, 89(3):519-525.
15. Isaac SM, BarkerKL, Danial IN, et al. Does arthroplasty typeinfluence knee jointproprioception? A longitudinal prospective study comparing total and unicompart-mental arthroplasty. Knee, 2007, 14(3):212-217.
16. Mounasamy V, Sambandam S. Surgical management of young arthritic knee:a review. Eur J Orthop Surg Traumatol, 2008, 18(8):555-564.
17. Scott RD, Cobb AG, McQueary FG, et al. Unicompartmental knee arthroplasty. Eight-to 12-year follow-up evaluation with survivorship analysis. Clin Orthop Relat Res,1991, (271):96-100.
18. Argenson JN, Parratte S, Flecher X, et al. Unicompartmental knee ar-throplasty:technique through a mini-incision. Clin Orthop Relat Res, 2007, (464):32-36.

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CLINICAL APPLICATION OF OXFORD MOBILE-BEARING BIPOLAR PROSTHESIS UNICOMPARTMENTAL KNEE ARTHROPLASTY FOR SINGLE COMPARTMENTAL KNEE OSTEOARTHRITIS

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