Efficacy of unicompartmental knee arthroplasty on forgotten joint score in patients with knee osteoarthritis: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

LU Ran ^1,2 , CHEN Neng ^1,2 , LIU Shaonan ^1,3 , YANG Lihong ^1,3 ,  GUO Xinfeng ^1,3

1. The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510120, P.R.China;
2. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Zhuhai Hospital of Guangdong Province Traditional Chinese Medical Hospital, Zhuhai 519000, P.R.China;
3. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Hospital of Chinese Medicine, Guangzhou 510120, P.R.China;

Corresponding author：

GUO Xinfeng, Email: guoxinfeng@gzucm.edu.cn

Keywords：

Unicompartmental knee arthroplasty; Knee osteoarthritis; Forgotten joint score; Meta-analysis; Systematic review; Randomized controlled trial; Cohort study

DOI：

10.7507/1672-2531.202002109

Video：

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Objectives To systematically review the efficacy of unicompartmental knee arthroplasty on forgotten joint score (FJS) in patients with knee osteoarthritis.Methods PubMed, EMbase, The Cochrane Library, Web of Science, CNKI, CBM, WanFang Data and VIP databases were electronically searched to collect randomized controlled trials (RCTs) and cohort studies on unicompartmental knee arthroplasty on FJS in patients with knee osteoarthritis from inception to December 31^st, 2019. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies, then, meta-analysis was performed by using RevMan 5.3 software.Results A total of 2 RCTs and 11 cohort studies were included. The results of meta-analysis based on RCTs showed that: compared to posterior stabilized total knee arthroplasty (PS-TKA), unicompartmental knee arthroplasty could improve FJS on 12-month (MD=9.23, 95%CI 0.53 to 17.93, P=0.04) after operation. The results of meta-analysis based on cohort studies showed that: compared to PS-TKA, unicompartmental knee arthroplasty could improve FJS on 6-week (MD=8.90, 95%CI 6.87 to 10.94, P<0.000 01), 6-month (MD=18.72, 95%CI 8.71 to 28.74, P=0.000 2), 1-year after operation (MD=13.41, 95%CI 8.87 to 17.95, P<0.000 01), and the last follow-up (MD=0.99, 95%CI 0.47 to 1.54, P=0.000 2).Conclusions Current evidence shows that, comparing with PS-TKA, unicompartmental knee arthroplasty in knee osteoarthritis shows advantage in the improvement of FJS. Due to limited quality and quantity of the included studies, more high-quality studies are required to verify above conclusions.

Citation： LU Ran, CHEN Neng, LIU Shaonan, YANG Lihong, GUO Xinfeng. Efficacy of unicompartmental knee arthroplasty on forgotten joint score in patients with knee osteoarthritis: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2020, 20(8): 956-961. doi: 10.7507/1672-2531.202002109 Copy

1.	赵东方, 孔祥朋, 王毅, 等. 第三代Oxford单髁假体安放位置对人工单髁关节置换术近期疗效的影响. 中国修复重建外科杂志, 2018, 32(12): 1518-1523.
2.	王方兴, 薛华明, 马童, 等. 人工单髁关节置换术治疗超高龄膝关节骨关节炎患者的近期疗效. 中国修复重建外科杂志, 2019, 33(8): 947-952.
3.	Thomsen MG, Latifi R, Kallemose T, et al. Does knee awareness differ between different knee arthroplasty prostheses? A matched, case-control, cross-sectional study. BMC Musculoskelet Disord, 2016, 17: 141.
4.	Behrend H, Giesinger K, Giesinger JM, et al. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty, 2012, 27(3): 430-436.
5.	Peersman G, Verhaegen J, Favier B. The forgotten joint score in total and unicompartmental knee arthroplasty: a prospective cohort study. Int Orthop, 2019, 43(12): 2739-2745.
6.	雷堃, 张文, 高磊, 等. 膝关节单髁置换术治疗膝关节内侧间室骨关节炎的近期疗效评价. 中华骨与关节外科杂志, 2019, 12(3): 201-205.
7.	Baumann F, Krutsch W, Worlicek M, et al. Reduced joint-awareness in bicruciate-retaining total knee arthroplasty compared to cruciate-sacrificing total knee arthroplasty. Arch Orthop Trauma Surg, 2018, 138(2): 273-279.
8.	朱冬, 朱梦龙, 姚舒馨. 不同术式治疗内侧间室膝骨关节炎的疗效比较. 临床医学研究与实践, 2018, 3(26): 69-70.
9.	王家伟, 尹宗生, 马广文, 等. 单髁置换术与全膝关节置换术后人工关节遗忘程度的比较. 实用骨科杂志, 2018, 24(5): 464-467.
10.	Wautier D, Thienpont E. Changes in anteroposterior stability and proprioception after different types of knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2017, 25(6): 1792-1800.
11.	Kim MS, Koh IJ, Choi YJ, et al. Differences in patient-reported outcomes between unicompartmental and total knee arthroplasties: a propensity score-matched analysis. J Arthroplasty, 2017, 32(5): 1453-1459.
12.	Zuiderbaan HA, van der List JP, Khamaisy S, et al. Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 681-686.
13.	张炜, 王双磊, 丁裕润, 等. 单髁置换和全膝置换治疗内侧间室膝骨关节炎的早中期疗效比较. 临床骨科杂志, 2017, 20(4): 424-427.
14.	Fabre-Aubrespy M, Ollivier M, Pesenti S, et al. Unicompartmental knee arthroplasty in patients older than 75 results in better clinical outcomes and similar survivorship compared to total knee arthroplasty. a matched controlled study. J Arthroplasty, 2016, 31(12): 2668-2671.
15.	曾兵. 微创单髁置换及全膝置换治疗内侧间室骨性关节炎早期临床疗效对比研究. 大连: 大连医科大学, 2016.
16.	米尔阿里木·木尔提扎, 王利, 赵巍, 等. 单间室膝关节与双间室膝关节置换术被患者自我化程度之间的比较. 实用骨科杂志, 2016, 22(9): 795-798.
17.	Thienpont E, Opsomer G, Koninckx A, et al. Joint awareness in different types of knee arthroplasty evaluated with the forgotten joint score. J Arthroplasty, 2014, 29(1): 48-51.
18.	胡德庆, 黄子达, 张文明, 等. 单髁关节置换治疗膝关节自发性骨坏死的疗效分析. 中国修复重建外科杂志, 2019, 33(1): 13-17.
19.	胡海波, 郑志永. 应用内轴型膝关节假体行人工全膝关节置换的研究进展. 世界最新医学信息文摘, 2019, 19(71): 161-162.
20.	McCulloch P, Feinberg J, Philippou Y, et al. Progress in clinical research in surgery and IDEAL. Lancet, 2018, 392(10141): 88-94.

1. 赵东方, 孔祥朋, 王毅, 等. 第三代Oxford单髁假体安放位置对人工单髁关节置换术近期疗效的影响. 中国修复重建外科杂志, 2018, 32(12): 1518-1523.
2. 王方兴, 薛华明, 马童, 等. 人工单髁关节置换术治疗超高龄膝关节骨关节炎患者的近期疗效. 中国修复重建外科杂志, 2019, 33(8): 947-952.
3. Thomsen MG, Latifi R, Kallemose T, et al. Does knee awareness differ between different knee arthroplasty prostheses? A matched, case-control, cross-sectional study. BMC Musculoskelet Disord, 2016, 17: 141.
4. Behrend H, Giesinger K, Giesinger JM, et al. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty, 2012, 27(3): 430-436.
5. Peersman G, Verhaegen J, Favier B. The forgotten joint score in total and unicompartmental knee arthroplasty: a prospective cohort study. Int Orthop, 2019, 43(12): 2739-2745.
6. 雷堃, 张文, 高磊, 等. 膝关节单髁置换术治疗膝关节内侧间室骨关节炎的近期疗效评价. 中华骨与关节外科杂志, 2019, 12(3): 201-205.
7. Baumann F, Krutsch W, Worlicek M, et al. Reduced joint-awareness in bicruciate-retaining total knee arthroplasty compared to cruciate-sacrificing total knee arthroplasty. Arch Orthop Trauma Surg, 2018, 138(2): 273-279.
8. 朱冬, 朱梦龙, 姚舒馨. 不同术式治疗内侧间室膝骨关节炎的疗效比较. 临床医学研究与实践, 2018, 3(26): 69-70.
9. 王家伟, 尹宗生, 马广文, 等. 单髁置换术与全膝关节置换术后人工关节遗忘程度的比较. 实用骨科杂志, 2018, 24(5): 464-467.
10. Wautier D, Thienpont E. Changes in anteroposterior stability and proprioception after different types of knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2017, 25(6): 1792-1800.
11. Kim MS, Koh IJ, Choi YJ, et al. Differences in patient-reported outcomes between unicompartmental and total knee arthroplasties: a propensity score-matched analysis. J Arthroplasty, 2017, 32(5): 1453-1459.
12. Zuiderbaan HA, van der List JP, Khamaisy S, et al. Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 681-686.
13. 张炜, 王双磊, 丁裕润, 等. 单髁置换和全膝置换治疗内侧间室膝骨关节炎的早中期疗效比较. 临床骨科杂志, 2017, 20(4): 424-427.
14. Fabre-Aubrespy M, Ollivier M, Pesenti S, et al. Unicompartmental knee arthroplasty in patients older than 75 results in better clinical outcomes and similar survivorship compared to total knee arthroplasty. a matched controlled study. J Arthroplasty, 2016, 31(12): 2668-2671.
15. 曾兵. 微创单髁置换及全膝置换治疗内侧间室骨性关节炎早期临床疗效对比研究. 大连: 大连医科大学, 2016.
16. 米尔阿里木·木尔提扎, 王利, 赵巍, 等. 单间室膝关节与双间室膝关节置换术被患者自我化程度之间的比较. 实用骨科杂志, 2016, 22(9): 795-798.
17. Thienpont E, Opsomer G, Koninckx A, et al. Joint awareness in different types of knee arthroplasty evaluated with the forgotten joint score. J Arthroplasty, 2014, 29(1): 48-51.
18. 胡德庆, 黄子达, 张文明, 等. 单髁关节置换治疗膝关节自发性骨坏死的疗效分析. 中国修复重建外科杂志, 2019, 33(1): 13-17.
19. 胡海波, 郑志永. 应用内轴型膝关节假体行人工全膝关节置换的研究进展. 世界最新医学信息文摘, 2019, 19(71): 161-162.
20. McCulloch P, Feinberg J, Philippou Y, et al. Progress in clinical research in surgery and IDEAL. Lancet, 2018, 392(10141): 88-94.

Chinese Journal of Evidence-Based Medicine

Efficacy of unicompartmental knee arthroplasty on forgotten joint score in patients with knee osteoarthritis: a meta-analysis

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