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Clinical Outcomes and Risks of Single-stage Bilateral Unicompartmental Knee Arthroplasty via Oxford Phase III 被引量:3

Clinical Outcomes and Risks of Single-stage Bilateral Unicompartmental Knee Arthroplasty via Oxford Phase III
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摘要 Background: Osteoarthritis often affects the joint bilaterally, and the single-stage (SS) unicompartmental knee arthroplasty (UKA) is advantageous in terms of a single anesthesia administration, a short hospital stay, lower medical costs, and enhanced patient convenience. However, the complication risk of SS UKA continues to be debated. The aim of this article was to evaluate the clinical effectiveness, complications, and functional recovery of SS and two-stage (TS) UKA. Methods: From January 2008 to December 2013, we compared a series of 36 SS UKA with 45 TS UKA for osteoarthritis. The mean age was 65.4 years (range: 55-75 years). The mean body mass index was 25.2 kg/m^2 (range: 22-29 kg/m^2). The preand post-operative Oxford Knee Scores (OKSs), complications, operative times, tourniquet times, the amount of drainage, and hemoglobin (Hb) were evaluated. The Chi-square test, Fisher's exact test, and paired and grouped t-tests were used in this study. Results: The mean tbllow-up was 50 months. No complications of death, fat embolism, deep vein thrombosis, and prosthetic infection were reported. Patients who underwent SS U KA had a shorter cumulative anesthesia time ( 113.5 vs. 133.0 rain, P 〈 0.01 ). There were no significant variations between the values of the mean tourniquet time, the amount of drainage, pre- and post-operative Hb in the different groups. No patient required a blood transfusion. No statistical differences were found in the complications between two groups (P 〉 0.05). At the final follow-up, the mean OKS improved from 39.48 ±5.69 to 18.83 ± 3.82 (P 〈 0.01 ), with no statistical differences between the two groups (P 〉 0.05). Patients who underwent SS UKA had a faster recovery. Conclusions: The single-staged UKA offers the benefits of a single anesthesia administration, redticed total anesthetic time, decreased overall rehabilitation time, and absence of an increase in perioperative mortality or complications compared with the TS bilateral UKA. Background: Osteoarthritis often affects the joint bilaterally, and the single-stage (SS) unicompartmental knee arthroplasty (UKA) is advantageous in terms of a single anesthesia administration, a short hospital stay, lower medical costs, and enhanced patient convenience. However, the complication risk of SS UKA continues to be debated. The aim of this article was to evaluate the clinical effectiveness, complications, and functional recovery of SS and two-stage (TS) UKA. Methods: From January 2008 to December 2013, we compared a series of 36 SS UKA with 45 TS UKA for osteoarthritis. The mean age was 65.4 years (range: 55-75 years). The mean body mass index was 25.2 kg/m^2 (range: 22-29 kg/m^2). The preand post-operative Oxford Knee Scores (OKSs), complications, operative times, tourniquet times, the amount of drainage, and hemoglobin (Hb) were evaluated. The Chi-square test, Fisher's exact test, and paired and grouped t-tests were used in this study. Results: The mean tbllow-up was 50 months. No complications of death, fat embolism, deep vein thrombosis, and prosthetic infection were reported. Patients who underwent SS U KA had a shorter cumulative anesthesia time ( 113.5 vs. 133.0 rain, P 〈 0.01 ). There were no significant variations between the values of the mean tourniquet time, the amount of drainage, pre- and post-operative Hb in the different groups. No patient required a blood transfusion. No statistical differences were found in the complications between two groups (P 〉 0.05). At the final follow-up, the mean OKS improved from 39.48 ±5.69 to 18.83 ± 3.82 (P 〈 0.01 ), with no statistical differences between the two groups (P 〉 0.05). Patients who underwent SS UKA had a faster recovery. Conclusions: The single-staged UKA offers the benefits of a single anesthesia administration, redticed total anesthetic time, decreased overall rehabilitation time, and absence of an increase in perioperative mortality or complications compared with the TS bilateral UKA.
出处 《Chinese Medical Journal》 SCIE CAS CSCD 2015年第21期2861-2865,共5页 中华医学杂志(英文版)
关键词 ARTHROPLASTY Bilateral: Osteoarthritis: Single-stage: Unicompartmental Arthroplasty Bilateral: Osteoarthritis: Single-stage: Unicompartmental
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  • 1Price A J, Waite JC, Svard U. Long-term clinical results of the medial Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res 2005;(435):171-80.
  • 2Pandit H, Jenkins C, Gill HS, Barker K, Minimally invasive Oxford phase 3 replacement: Results of 1000 cases. J 2011 ;93:198-204.
  • 3Dodd CA, Murray DW. unicompartmental knee Bone Joint Surg Br Ritter MA, Harty LD, Davis KE, Meding JB, Berend M. Simultaneous bilateral, staged bilateral, and unilateral total knee arthroplasty. A survival analysis. J Bone Joint Surg Am 2003;85-A: 1532-7.
  • 4Ritter M, Mamlin LA, Melfi CA, Katz BP, Freund DA, Arthur DS. Outcome implications for the timing of bilateral total knee arthroplasties. Clin Orthop Relat Res 1997; (345):99-105.
  • 5Goodfellow JW, O'Connor J J, Dodd CA, Murray DW. Unicompartmental Arthroplasty with the Oxford Knee. New York: Oxford University Press; 2006.
  • 6Whitehouse SL, Blom AW, Taylor AH, Pattison GT, Bannister GC. The Oxford Knee Score; problems and pitfalls. Knee 2005;12:287-91.
  • 7Husted H, Troelsen A, Otte KS, Kristensen BB, Holm G, Kehlet H. Fast-track surgery for bilateral total knee replacement. J Bone Joint Surg Br 2011;93:351-6.
  • 8Leonard L, Williamson DM, Ivory JP, Jennison C. An evaluation of the safety and efficacy of simultaneous bilateral total knee arthroplasty. J Arthroplasty 2003;18:972-8.
  • 9Kim YH, Choi YW, Kim JS. Simultaneous bilateral sequential total knee replacement is as safe as unilateral total knee replacement. J Bone Joint Surg Br 2009;91:64-8.
  • 10Memtsoudis SG, Ma Y, Gonzfilez Della Valle A, Mazumdar M, Gaber-Baylis LK, MacKenzie CR, et al. Perioperative outcomes after unilateral and bilateral total knee arthroplasty. Anesthesiology 2009;111:1206-16.

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