Document Detail


A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty.
MedLine Citation:
PMID:  20706811     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The role of unicompartmental arthroplasty in managing osteoarthritis of the knee remains controversial. The Oxford medial unicompartmental arthroplasty employs a fully congruent mobile bearing intended to reduce wear and increase the lifespan of the implant. Long-term second decade results are required to establish if the design aim can be met.
QUESTIONS/PURPOSES: We report the (1) 20-year survivorship for the Oxford mobile bearing medial unicompartmental knee arthroplasty; (2) reasons for the revisions; and (3) time to revision.
METHODS: We reviewed a series of 543 patients who underwent 682 medial Oxford meniscal bearing unicompartmental knee arthroplasties performed between 1983 and January 2005. The mean age at implantation was 69.7 years (range, 48-94 years). The median followup was 5.9 years (range, 0.5 to 22 years). One hundred and forty-one patients (172 knees) died. None were lost to followup. The primary outcome was 20-year survival, a key variable in assessing the longevity of arthroplasty.
RESULTS: The 16-year all cause revision cumulative survival rate was 91.0% (CI 6.4, 71 at risk) and survival was maintained to 20 years (91.0%, CI 36.2, 14 at risk). There had been 29 revision procedures: 10 for lateral arthrosis, nine for component loosening, five for infection, two bearing dislocations, and three for unexplained pain. In addition, five patients had undergone bearing exchange, four for dislocation and one for bearing fracture. The mean time to revision was 3.3 years (range, 0.3-8.9 years).
CONCLUSIONS: Mobile bearing unicompartmental knee arthroplasty is durable during the second decade after implantation.
LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
Authors:
Andrew J Price; Ulf Svard
Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  469     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-24     Completed Date:  2011-01-25     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  174-9     Citation Subset:  AIM; IM    
Affiliation:
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, Biomedical Research Unit, Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, UK. andrew.price@ndorms.ox.ac.uk
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee / adverse effects,  instrumentation*,  methods*
England
Female
Humans
Knee Dislocation / etiology,  surgery
Knee Joint / physiopathology,  radiography,  surgery*
Knee Prosthesis*
Life Tables
Male
Middle Aged
Osteoarthritis, Knee / physiopathology,  radiography,  surgery*
Pain, Postoperative / etiology,  surgery
Prosthesis Design
Prosthesis Failure
Prosthesis-Related Infections / etiology,  surgery
Reoperation
Sweden
Time Factors
Treatment Outcome
Comments/Corrections

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