The mid-term clinical results of the phase 3 Oxford unicompartmental knee arthroplasty: a 6- to 8-year follow-up |
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Authors: | Toby O Smith Allan Clark Malcolm M S Glasgow Simon T Donell |
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Institution: | (1) Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, Norfolk, NR4 7UY, UK;(2) Department of Orthopaedics and Trauma, Norfolk and Norwich University NHS Hospital Foundation Trust, Norwich, Norfolk, UK;(3) Institute of Orthopaedics, Norfolk and Norwich University NHS Hospital Foundation Trust, Norwich, Norfolk, UK |
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Abstract: | Unicompartmental knee arthroplasty (UKA) is widely performed in the United Kingdom for the management of patients with symptomatic
osteoarthritis of the medial compartment of the tibiofemoral joint. A limited number of papers have presented the findings
of mid-term clinical and survival data with sufficiently large patient numbers following mobile-bearing UKA. The purpose of
this study was to present the 6- to 8-year follow-up data on a series of 230 minimally invasive medial Oxford Phase 3 mobile-bearing
UKAs in our institution. Data on surgical procedure, postoperative rehabilitation requirement, complications, revision procedures
and Oxford Knee Score (OKS), Short Form-12 (SF-12) and visual analogue scale (VAS) pain scores were analysed. The results
indicated that the majority of patient’s recoveries were uneventful, with 96% experiencing no postoperative complications.
The mean OKS, VAS pain and SF-12 scores indicated good functional outcomes and acceptable perceived general health for this
age group. Twenty-one patients underwent revision surgery, indicating a survival rate of 85% (95% CI: 0.76–0.91) during the
6- to 8-year follow-up period. The most frequently cited indication for revision was due to progression of osteoarthritis
to the lateral component. To conclude, this series indicated that the mobile-bearing Oxford UKA provides good clinical outcomes
at 6- to 8-year follow-up, with minimal requirement for postoperative rehabilitation, few complications and an acceptable
survivorship in the mid-term. |
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