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Medial Unicompartmental Knee Arthroplasty in Patients Less Than 55 Years Old: Minimum of Two Years of Follow-Up
Abstract Eighty-five fixed bearing medial unicompartmental arthroplasties were performed in 42 men and 33 women with a mean age of 49 years (range, thirty-three to fifty-five years old) at the time of surgery. At a mean of 4.0 years (range two to twelve years), the mean pre-operative Knee Society sc...
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Published in: | The Journal of arthroplasty 2014, Vol.29 (1), p.101-105 |
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container_title | The Journal of arthroplasty |
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creator | Biswas, Debdut, MD Van Thiel, Geoffrey S., MD Wetters, Nathan G., MD Pack, Bryan J., MD Berger, Richard A., MD Della Valle, Craig J., MD |
description | Abstract Eighty-five fixed bearing medial unicompartmental arthroplasties were performed in 42 men and 33 women with a mean age of 49 years (range, thirty-three to fifty-five years old) at the time of surgery. At a mean of 4.0 years (range two to twelve years), the mean pre-operative Knee Society score improved from 49 to 95.1 points ( P < 0.0001) and the mean UCLA activity score was 7.5 (range 5 to 9). Three knees underwent revision to a total knee arthroplasty; two for arthritic progression in the lateral compartment and one for pain. At the time of final follow-up, two knees (2.4%) demonstrated progressive Grade 4 arthritis of the patellofemoral compartment but were asymptomatic. There was no radiographic evidence of loosening, osteolysis, or premature polyethylene wear. Estimated survivorship was 96.5% at 10 years. UKA offered excellent early outcomes in this cohort of younger, active patients. |
doi_str_mv | 10.1016/j.arth.2013.04.046 |
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At a mean of 4.0 years (range two to twelve years), the mean pre-operative Knee Society score improved from 49 to 95.1 points ( P < 0.0001) and the mean UCLA activity score was 7.5 (range 5 to 9). Three knees underwent revision to a total knee arthroplasty; two for arthritic progression in the lateral compartment and one for pain. At the time of final follow-up, two knees (2.4%) demonstrated progressive Grade 4 arthritis of the patellofemoral compartment but were asymptomatic. There was no radiographic evidence of loosening, osteolysis, or premature polyethylene wear. Estimated survivorship was 96.5% at 10 years. UKA offered excellent early outcomes in this cohort of younger, active patients.</description><identifier>ISSN: 0883-5403</identifier><identifier>EISSN: 1532-8406</identifier><identifier>DOI: 10.1016/j.arth.2013.04.046</identifier><identifier>PMID: 23731786</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Arthroplasty, Replacement, Knee ; Female ; Follow-Up Studies ; Humans ; Knee Joint - diagnostic imaging ; Knee Joint - surgery ; Knee Prosthesis ; Male ; Middle Aged ; Orthopedics ; Osteoarthritis, Knee - surgery ; Radiography ; Range of Motion, Articular</subject><ispartof>The Journal of arthroplasty, 2014, Vol.29 (1), p.101-105</ispartof><rights>Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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At a mean of 4.0 years (range two to twelve years), the mean pre-operative Knee Society score improved from 49 to 95.1 points ( P < 0.0001) and the mean UCLA activity score was 7.5 (range 5 to 9). Three knees underwent revision to a total knee arthroplasty; two for arthritic progression in the lateral compartment and one for pain. At the time of final follow-up, two knees (2.4%) demonstrated progressive Grade 4 arthritis of the patellofemoral compartment but were asymptomatic. There was no radiographic evidence of loosening, osteolysis, or premature polyethylene wear. Estimated survivorship was 96.5% at 10 years. UKA offered excellent early outcomes in this cohort of younger, active patients.</description><subject>Adult</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee Joint - diagnostic imaging</subject><subject>Knee Joint - surgery</subject><subject>Knee Prosthesis</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNo1UU1r3DAQFSWl2Sb9AzkEHXPxdvS5cg6BEJq2ZEMK2T30JGR7TLSRLceyG_bfVyEbGBhm3uMx7w0hZwyWDJj-vlu6cXpacmBiCTKX_kQWTAleGAn6iCzAGFEoCeKYfE1pB8CYUvILOeZiJdjK6AWJ99h4F-i293XshizYYT_lxV2PSK-z_hiH4NK0p76nf9zkM5zoGlOimyfXU6XoX3Rjog-huaT3vvfd3NHY0s1rPCB5uI0hxNdiO5ySz60LCb8d-gnZ3v7Y3Pwq1g8_f99crwtkpZ6KluuqNsZxAKVNWVYgGLQ1b0vTGgDHmrpqFK9Ao1S6bWXpwGDVGGxUzbgSJ-TiXXcY48uMabKdTzWG4HqMc7JMai1WsjQyU88P1LnqsLHD6Ds37u1HSJlw9U7AfPA_j6OtQ_ZZu_CMe0y7OI999mKZTdyCfXyL_S11JgCEyt_5Dz26fqE</recordid><startdate>2014</startdate><enddate>2014</enddate><creator>Biswas, Debdut, MD</creator><creator>Van Thiel, Geoffrey S., MD</creator><creator>Wetters, Nathan G., MD</creator><creator>Pack, Bryan J., MD</creator><creator>Berger, Richard A., MD</creator><creator>Della Valle, Craig J., MD</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2014</creationdate><title>Medial Unicompartmental Knee Arthroplasty in Patients Less Than 55 Years Old: Minimum of Two Years of Follow-Up</title><author>Biswas, Debdut, MD ; Van Thiel, Geoffrey S., MD ; Wetters, Nathan G., MD ; Pack, Bryan J., MD ; Berger, Richard A., MD ; Della Valle, Craig J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-e196t-f26bc88a20056899b0310fc2f98f800a1dcbd52b06e456ff49a08ebd8ed5c1253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee Joint - diagnostic imaging</topic><topic>Knee Joint - surgery</topic><topic>Knee Prosthesis</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Biswas, Debdut, MD</creatorcontrib><creatorcontrib>Van Thiel, Geoffrey S., MD</creatorcontrib><creatorcontrib>Wetters, Nathan G., MD</creatorcontrib><creatorcontrib>Pack, Bryan J., MD</creatorcontrib><creatorcontrib>Berger, Richard A., MD</creatorcontrib><creatorcontrib>Della Valle, Craig J., MD</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>Biswas, Debdut, MD</au><au>Van Thiel, Geoffrey S., MD</au><au>Wetters, Nathan G., MD</au><au>Pack, Bryan J., MD</au><au>Berger, Richard A., MD</au><au>Della Valle, Craig J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medial Unicompartmental Knee Arthroplasty in Patients Less Than 55 Years Old: Minimum of Two Years of Follow-Up</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>2014</date><risdate>2014</risdate><volume>29</volume><issue>1</issue><spage>101</spage><epage>105</epage><pages>101-105</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Abstract Eighty-five fixed bearing medial unicompartmental arthroplasties were performed in 42 men and 33 women with a mean age of 49 years (range, thirty-three to fifty-five years old) at the time of surgery. 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subjects | Adult Arthroplasty, Replacement, Knee Female Follow-Up Studies Humans Knee Joint - diagnostic imaging Knee Joint - surgery Knee Prosthesis Male Middle Aged Orthopedics Osteoarthritis, Knee - surgery Radiography Range of Motion, Articular |
title | Medial Unicompartmental Knee Arthroplasty in Patients Less Than 55 Years Old: Minimum of Two Years of Follow-Up |
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