Previous arthroscopy does not decrease survivorship or functional outcomes for unicompartmental knee arthroplasty patients
Introduction Arthroscopic procedures for osteoarthritis (OA), in particular arthroscopic meniscectomy, have poorer long-term clinical outcomes compared to those managed non-operatively. In addition, previous arthroscopy is associated with worse outcomes following subsequent total knee arthroplasty (...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2024-09, Vol.144 (9), p.4053-4058 |
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| creator | Prankerd-Gough, Anneke Tay, Mei Lin Bolam, Scott M. Monk, A. Paul Young, Simon W. |
| description | Introduction
Arthroscopic procedures for osteoarthritis (OA), in particular arthroscopic meniscectomy, have poorer long-term clinical outcomes compared to those managed non-operatively. In addition, previous arthroscopy is associated with worse outcomes following subsequent total knee arthroplasty (TKA), however there is limited data on the impact on subsequent unicompartmental knee arthroplasty (UKA) outcomes. The aim of the study is to investigate whether patients who had arthroscopy prior to UKA have differences in survivorship or functional outcomes compared to those with no prior arthroscopy.
Methods
All patients who received either a primary medial or lateral UKA at four large tertiary hospitals were included (
n
= 2,272). Patient data (age, sex, ethnicity, body mass index (BMI), American Society of Anesthesiologists (ASA) status and surgical data) was recorded following systematic review of all clinical notes and radiographs. Differences between survival curves were analysed using log-rank curves. Differences between categorical data was compared using Fisher’s exact or Chi-squared tests, and differences between continuous variables were compared using t-tests.
Results
There was no difference between the survival curves for UKA patients with previous arthroscopy compared to those with no previous arthroscopy (10 years: 91% UKA with previous arthroscopy vs. 92% no previous arthroscopy; 15 years: 78% previous arthroscopy vs. 86% no previous arthroscopy;
p
= 0.50). Oxford Knee Score (OKS) was comparable between patients who had previous arthroscopy and those who had no previous arthroscopy at 6 months (38.8 vs. 39.3,
p
= 0.45), 5 years (42.0 vs. 40.4,
p
= 0.11) and 10 years (40.8 vs. 40.2,
p
= 0.71).
Discussion
In this large patient cohort with comprehensive review of clinical data and outcomes, we found that prior arthroscopy did not affect survivorship or functional outcomes of UKA patients. |
| doi_str_mv | 10.1007/s00402-024-05441-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3080638252</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3128482312</sourcerecordid><originalsourceid>FETCH-LOGICAL-c256t-2ebed5db1ab99cceff3da71be53a70ef403517a4d00da6c10aa6dc682d669c8b3</originalsourceid><addsrcrecordid>eNp9kcuO1DAQRS0EYh7wAyyQJTZsAuVHnGSJRgODNBIsYG05doXJkMTBdlrq_noKunmIBauyfU9dq-oy9kzAKwHQvM4AGmQFUldQay2qwwN2LrTSleqEefjX-Yxd5HwPIGTbwWN2pjqAFhpzzg4fE-7GuGXuUrlLMfu47nmImPkSCw_oE7qMPG9pN-5iynfjymPiw7b4MsbFTTxuxceZGgZ635aRLiuZzbgUUr8uiCfvdXK57PnqykhafsIeDW7K-PRUL9nnt9efrm6q2w_v3l-9ua28rE2pJPYY6tAL13ed9zgMKrhG9Fgr1wAOGlQtGqcDQHDGC3DOBG9aGYzpfNurS_by6Lum-G3DXOw8Zo_T5Bakwa2iVRjVyloS-uIf9D5uiYYkinanW0mFKHmkPO0rJxzsmsbZpb0VYH8kY4_JWErG_kzGHqjp-cl662cMv1t-RUGAOgKZpOULpj9__8f2OxzrnlQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3128482312</pqid></control><display><type>article</type><title>Previous arthroscopy does not decrease survivorship or functional outcomes for unicompartmental knee arthroplasty patients</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Prankerd-Gough, Anneke ; Tay, Mei Lin ; Bolam, Scott M. ; Monk, A. Paul ; Young, Simon W.</creator><creatorcontrib>Prankerd-Gough, Anneke ; Tay, Mei Lin ; Bolam, Scott M. ; Monk, A. Paul ; Young, Simon W.</creatorcontrib><description>Introduction
Arthroscopic procedures for osteoarthritis (OA), in particular arthroscopic meniscectomy, have poorer long-term clinical outcomes compared to those managed non-operatively. In addition, previous arthroscopy is associated with worse outcomes following subsequent total knee arthroplasty (TKA), however there is limited data on the impact on subsequent unicompartmental knee arthroplasty (UKA) outcomes. The aim of the study is to investigate whether patients who had arthroscopy prior to UKA have differences in survivorship or functional outcomes compared to those with no prior arthroscopy.
Methods
All patients who received either a primary medial or lateral UKA at four large tertiary hospitals were included (
n
= 2,272). Patient data (age, sex, ethnicity, body mass index (BMI), American Society of Anesthesiologists (ASA) status and surgical data) was recorded following systematic review of all clinical notes and radiographs. Differences between survival curves were analysed using log-rank curves. Differences between categorical data was compared using Fisher’s exact or Chi-squared tests, and differences between continuous variables were compared using t-tests.
Results
There was no difference between the survival curves for UKA patients with previous arthroscopy compared to those with no previous arthroscopy (10 years: 91% UKA with previous arthroscopy vs. 92% no previous arthroscopy; 15 years: 78% previous arthroscopy vs. 86% no previous arthroscopy;
p
= 0.50). Oxford Knee Score (OKS) was comparable between patients who had previous arthroscopy and those who had no previous arthroscopy at 6 months (38.8 vs. 39.3,
p
= 0.45), 5 years (42.0 vs. 40.4,
p
= 0.11) and 10 years (40.8 vs. 40.2,
p
= 0.71).
Discussion
In this large patient cohort with comprehensive review of clinical data and outcomes, we found that prior arthroscopy did not affect survivorship or functional outcomes of UKA patients.</description><identifier>ISSN: 1434-3916</identifier><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-024-05441-z</identifier><identifier>PMID: 39008076</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Aged ; Arthroplasty, Replacement, Knee - methods ; Arthroscopy - methods ; Female ; Humans ; Joint replacement surgery ; Knee Arthroplasty ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - surgery ; Patients ; Retrospective Studies ; Survivor ; Treatment Outcome</subject><ispartof>Archives of orthopaedic and trauma surgery, 2024-09, Vol.144 (9), p.4053-4058</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-2ebed5db1ab99cceff3da71be53a70ef403517a4d00da6c10aa6dc682d669c8b3</cites><orcidid>0000-0002-7486-2522</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-024-05441-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-024-05441-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39008076$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prankerd-Gough, Anneke</creatorcontrib><creatorcontrib>Tay, Mei Lin</creatorcontrib><creatorcontrib>Bolam, Scott M.</creatorcontrib><creatorcontrib>Monk, A. Paul</creatorcontrib><creatorcontrib>Young, Simon W.</creatorcontrib><title>Previous arthroscopy does not decrease survivorship or functional outcomes for unicompartmental knee arthroplasty patients</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Introduction
Arthroscopic procedures for osteoarthritis (OA), in particular arthroscopic meniscectomy, have poorer long-term clinical outcomes compared to those managed non-operatively. In addition, previous arthroscopy is associated with worse outcomes following subsequent total knee arthroplasty (TKA), however there is limited data on the impact on subsequent unicompartmental knee arthroplasty (UKA) outcomes. The aim of the study is to investigate whether patients who had arthroscopy prior to UKA have differences in survivorship or functional outcomes compared to those with no prior arthroscopy.
Methods
All patients who received either a primary medial or lateral UKA at four large tertiary hospitals were included (
n
= 2,272). Patient data (age, sex, ethnicity, body mass index (BMI), American Society of Anesthesiologists (ASA) status and surgical data) was recorded following systematic review of all clinical notes and radiographs. Differences between survival curves were analysed using log-rank curves. Differences between categorical data was compared using Fisher’s exact or Chi-squared tests, and differences between continuous variables were compared using t-tests.
Results
There was no difference between the survival curves for UKA patients with previous arthroscopy compared to those with no previous arthroscopy (10 years: 91% UKA with previous arthroscopy vs. 92% no previous arthroscopy; 15 years: 78% previous arthroscopy vs. 86% no previous arthroscopy;
p
= 0.50). Oxford Knee Score (OKS) was comparable between patients who had previous arthroscopy and those who had no previous arthroscopy at 6 months (38.8 vs. 39.3,
p
= 0.45), 5 years (42.0 vs. 40.4,
p
= 0.11) and 10 years (40.8 vs. 40.2,
p
= 0.71).
Discussion
In this large patient cohort with comprehensive review of clinical data and outcomes, we found that prior arthroscopy did not affect survivorship or functional outcomes of UKA patients.</description><subject>Aged</subject><subject>Arthroplasty, Replacement, Knee - methods</subject><subject>Arthroscopy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Joint replacement surgery</subject><subject>Knee Arthroplasty</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Patients</subject><subject>Retrospective Studies</subject><subject>Survivor</subject><subject>Treatment Outcome</subject><issn>1434-3916</issn><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcuO1DAQRS0EYh7wAyyQJTZsAuVHnGSJRgODNBIsYG05doXJkMTBdlrq_noKunmIBauyfU9dq-oy9kzAKwHQvM4AGmQFUldQay2qwwN2LrTSleqEefjX-Yxd5HwPIGTbwWN2pjqAFhpzzg4fE-7GuGXuUrlLMfu47nmImPkSCw_oE7qMPG9pN-5iynfjymPiw7b4MsbFTTxuxceZGgZ635aRLiuZzbgUUr8uiCfvdXK57PnqykhafsIeDW7K-PRUL9nnt9efrm6q2w_v3l-9ua28rE2pJPYY6tAL13ed9zgMKrhG9Fgr1wAOGlQtGqcDQHDGC3DOBG9aGYzpfNurS_by6Lum-G3DXOw8Zo_T5Bakwa2iVRjVyloS-uIf9D5uiYYkinanW0mFKHmkPO0rJxzsmsbZpb0VYH8kY4_JWErG_kzGHqjp-cl662cMv1t-RUGAOgKZpOULpj9__8f2OxzrnlQ</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Prankerd-Gough, Anneke</creator><creator>Tay, Mei Lin</creator><creator>Bolam, Scott M.</creator><creator>Monk, A. Paul</creator><creator>Young, Simon W.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7486-2522</orcidid></search><sort><creationdate>20240901</creationdate><title>Previous arthroscopy does not decrease survivorship or functional outcomes for unicompartmental knee arthroplasty patients</title><author>Prankerd-Gough, Anneke ; Tay, Mei Lin ; Bolam, Scott M. ; Monk, A. Paul ; Young, Simon W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-2ebed5db1ab99cceff3da71be53a70ef403517a4d00da6c10aa6dc682d669c8b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Aged</topic><topic>Arthroplasty, Replacement, Knee - methods</topic><topic>Arthroscopy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Joint replacement surgery</topic><topic>Knee Arthroplasty</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Patients</topic><topic>Retrospective Studies</topic><topic>Survivor</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prankerd-Gough, Anneke</creatorcontrib><creatorcontrib>Tay, Mei Lin</creatorcontrib><creatorcontrib>Bolam, Scott M.</creatorcontrib><creatorcontrib>Monk, A. Paul</creatorcontrib><creatorcontrib>Young, Simon W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prankerd-Gough, Anneke</au><au>Tay, Mei Lin</au><au>Bolam, Scott M.</au><au>Monk, A. Paul</au><au>Young, Simon W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Previous arthroscopy does not decrease survivorship or functional outcomes for unicompartmental knee arthroplasty patients</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>144</volume><issue>9</issue><spage>4053</spage><epage>4058</epage><pages>4053-4058</pages><issn>1434-3916</issn><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Introduction
Arthroscopic procedures for osteoarthritis (OA), in particular arthroscopic meniscectomy, have poorer long-term clinical outcomes compared to those managed non-operatively. In addition, previous arthroscopy is associated with worse outcomes following subsequent total knee arthroplasty (TKA), however there is limited data on the impact on subsequent unicompartmental knee arthroplasty (UKA) outcomes. The aim of the study is to investigate whether patients who had arthroscopy prior to UKA have differences in survivorship or functional outcomes compared to those with no prior arthroscopy.
Methods
All patients who received either a primary medial or lateral UKA at four large tertiary hospitals were included (
n
= 2,272). Patient data (age, sex, ethnicity, body mass index (BMI), American Society of Anesthesiologists (ASA) status and surgical data) was recorded following systematic review of all clinical notes and radiographs. Differences between survival curves were analysed using log-rank curves. Differences between categorical data was compared using Fisher’s exact or Chi-squared tests, and differences between continuous variables were compared using t-tests.
Results
There was no difference between the survival curves for UKA patients with previous arthroscopy compared to those with no previous arthroscopy (10 years: 91% UKA with previous arthroscopy vs. 92% no previous arthroscopy; 15 years: 78% previous arthroscopy vs. 86% no previous arthroscopy;
p
= 0.50). Oxford Knee Score (OKS) was comparable between patients who had previous arthroscopy and those who had no previous arthroscopy at 6 months (38.8 vs. 39.3,
p
= 0.45), 5 years (42.0 vs. 40.4,
p
= 0.11) and 10 years (40.8 vs. 40.2,
p
= 0.71).
Discussion
In this large patient cohort with comprehensive review of clinical data and outcomes, we found that prior arthroscopy did not affect survivorship or functional outcomes of UKA patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39008076</pmid><doi>10.1007/s00402-024-05441-z</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-7486-2522</orcidid></addata></record> |
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| ispartof | Archives of orthopaedic and trauma surgery, 2024-09, Vol.144 (9), p.4053-4058 |
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| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Aged Arthroplasty, Replacement, Knee - methods Arthroscopy - methods Female Humans Joint replacement surgery Knee Arthroplasty Male Medicine Medicine & Public Health Middle Aged Orthopedics Osteoarthritis, Knee - surgery Patients Retrospective Studies Survivor Treatment Outcome |
| title | Previous arthroscopy does not decrease survivorship or functional outcomes for unicompartmental knee arthroplasty patients |
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