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 |
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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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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.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.01.005</identifier><identifier>PMID: 23523498</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>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</subject><ispartof>The Journal of arthroplasty, 2013-10, Vol.28 (9), p.172-175</ispartof><rights>2013</rights><rights>Copyright © 2013. 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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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Diseases - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>medial unicompartmental knee arthroplasty</subject><subject>Middle Aged</subject><subject>minimally invasive</subject><subject>mobile bearing</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Prosthesis Failure</subject><subject>rapid recovery protocol</subject><subject>Reoperation</subject><subject>survivorship</subject><subject>Treatment Outcome</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1kU1P3DAQhq0KVBboH-gB-dhL0nFsZx3EZbviowLUQ-FseZ0JeOXYqZ2stKf-dbICTnOYR--M3oeQ7wxKBqz-uS1NGl_LChgvgZUA8gtZMMmrQgmoj8gClOKFFMBPyGnOWwDGpBRfyUnFZcVFoxbk_yO2znj6GDfOI_2FJrnwQp-Ds7Ef5vwewzjv7wMiXc3nUhy8yeP-kl6b5Pf075R2bhdTfnUDNaGlq2D8PrtMY0dvjPNTwkxdoAwA6DqGjHYa3Q7p2mTM5-S4Mz7jt495Rp5vrp_Wd8XDn9vf69VDgVUtxgKh7aBTqlWsrTnveMugWSqBrOOW4bISVjZCLRlu6k2lTM1BWMtV3SyFMLLhZ-THe-6Q4r8J86h7ly16bwLGKWsmhOCNBHFALz7QadNjq4fkepP2-rO0Gbh6B3B-eOcw6WwdBjs3mdCOuo1OM9AHR3qrD470wZEGpmdH_A3hXYQq</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Bergeson, Adam G.</creator><creator>Berend, Keith R.</creator><creator>Lombardi, Adolph V.</creator><creator>Hurst, Jason M.</creator><creator>Morris, Michael J.</creator><creator>Sneller, Michael A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Medial Mobile Bearing Unicompartmental Knee Arthroplasty: Early Survivorship and Analysis of Failures in 1000 Consecutive Cases</title><author>Bergeson, Adam G. ; Berend, Keith R. ; Lombardi, Adolph V. ; Hurst, Jason M. ; Morris, Michael J. ; Sneller, Michael A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e264t-e0df0f88d81d633f3d109784e1f3c1e724c594871eb6b28a6304cc3869744a593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Diseases - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>medial unicompartmental knee arthroplasty</topic><topic>Middle Aged</topic><topic>minimally invasive</topic><topic>mobile bearing</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Prosthesis Failure</topic><topic>rapid recovery protocol</topic><topic>Reoperation</topic><topic>survivorship</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bergeson, Adam G.</creatorcontrib><creatorcontrib>Berend, Keith R.</creatorcontrib><creatorcontrib>Lombardi, Adolph V.</creatorcontrib><creatorcontrib>Hurst, Jason M.</creatorcontrib><creatorcontrib>Morris, Michael J.</creatorcontrib><creatorcontrib>Sneller, Michael A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bergeson, Adam G.</au><au>Berend, Keith R.</au><au>Lombardi, Adolph V.</au><au>Hurst, Jason M.</au><au>Morris, Michael J.</au><au>Sneller, Michael A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medial Mobile Bearing Unicompartmental Knee Arthroplasty: Early Survivorship and Analysis of Failures in 1000 Consecutive Cases</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>28</volume><issue>9</issue><spage>172</spage><epage>175</epage><pages>172-175</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>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.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23523498</pmid><doi>10.1016/j.arth.2013.01.005</doi><tpages>4</tpages></addata></record> |
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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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