Medial Mobile Bearing Unicompartmental Knee Arthroplasty: Early Survivorship and Analysis of Failures in 1000 Consecutive Cases

Unicompartmental knee arthroplasty (UKA) is a less invasive treatment for medial gonarthrosis. However, registry data have demonstrated higher revision and early failure rates. The purpose of this study is to report the early survivorship and failure modes in a series of 1000 consecutive medial mobi...

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Veröffentlicht in:The Journal of arthroplasty 2013-10, Vol.28 (9), p.172-175
Hauptverfasser: Bergeson, Adam G., Berend, Keith R., Lombardi, Adolph V., Hurst, Jason M., Morris, Michael J., Sneller, Michael A.
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container_end_page 175
container_issue 9
container_start_page 172
container_title The Journal of arthroplasty
container_volume 28
creator Bergeson, Adam G.
Berend, Keith R.
Lombardi, Adolph V.
Hurst, Jason M.
Morris, Michael J.
Sneller, Michael A.
description Unicompartmental knee arthroplasty (UKA) is a less invasive treatment for medial gonarthrosis. However, registry data have demonstrated higher revision and early failure rates. The purpose of this study is to report the early survivorship and failure modes in a series of 1000 consecutive medial mobile bearing UKA. UKA patients with a minimum of 2year follow-up or those meeting the study endpoint (UKA failure or death) were included. Demographic variables, pre and post-operative clinical variables, and mode of failure were analyzed. Eight hundred and thirty-nine knees were included in the analysis. Forty revisions were performed at an average of 23.1months (range, 2.3–74.2) following UKA for a survivorship of 95.2%. Indications for revision were aseptic loosening (15), tibial collapse (7), mobile bearing dislocation (2), persistent pain (12), progression of disease (2), infection (1), and tibiofemoral instability (1). These results are from a single center and may not be comparable to those of larger reports such as national registries.
doi_str_mv 10.1016/j.arth.2013.01.005
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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adult
Aged
Aged, 80 and over
Arthroplasty, Replacement, Knee
Female
Humans
Joint Diseases - surgery
Knee Prosthesis
Male
medial unicompartmental knee arthroplasty
Middle Aged
minimally invasive
mobile bearing
Osteoarthritis, Knee - surgery
Prosthesis Failure
rapid recovery protocol
Reoperation
survivorship
Treatment Outcome
title Medial Mobile Bearing Unicompartmental Knee Arthroplasty: Early Survivorship and Analysis of Failures in 1000 Consecutive Cases
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