My orthopaedic surgeon suggests a unicompartmental knee replacement: a detailed look at the long-term outcomes of a single surgeon’s practice Article Swipe
Samuel J. Lynskey
,
Christopher Frampton
,
T. Lynskey
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.26635/6965.6198
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.26635/6965.6198
aim: This single surgeon case series with up to 29-year follow-up evaluated the survival of the Oxford unicompartmental knee replacement (UKR) for isolated medial compartment osteoarthritis. method: Four hundred and four knees in 330 patients were followed for between 12 days to 29 years, with an average of 13 years. Kaplan–Meier survival estimates were calculated using revision for total knee replacement and re-operation for any reason over 5-year intervals. Revision and reoperation rates per 100 component years were used to compare subsets, cemented and uncemented prostheses and Phase 2 and Phase 3 instrumentation. results: Of 404 UKRs, 292 (72%) were cemented, 96 (24%) uncemented and 16 hybrid (4%); 137 (34%) were undertaken using Phase 2 instrumentation and 267 (66%) Phase 3 instrumentation. Estimated revision-free implant survival at 20 years was 78%, and estimated reoperation-free survival at 20 years was 72%. conclusion: Unicompartmental knee replacement is a very successful procedure, with 78% of knees remaining revision-free at 20 years. Progression of lateral compartment arthritis was the most common cause for revision, affecting 60% of revision cases. There was no significant difference in the revision or reoperation rate between cemented and uncemented prostheses or Phase 2 and minimally invasive Phase 3 instrumentation.
Related Topics
Concepts
Medicine
Unicompartmental knee arthroplasty
Surgery
Osteoarthritis
Total knee replacement
Orthopedic surgery
Implant
Knee replacement
Overall survival
Pathology
Alternative medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.26635/6965.6198
- https://nzmj.org.nz/media/pages/journal/vol-137-no-1588/my-orthopaedic-surgeon-suggests-a-unicompartmental-knee-replacement-a-detailed-look-at-the-long-term-outcomes-of-a-single-surgeo/e40acf84ec-1705608439/6198.pdf
- OA Status
- hybrid
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4391174211
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4391174211Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.26635/6965.6198Digital Object Identifier
- Title
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My orthopaedic surgeon suggests a unicompartmental knee replacement: a detailed look at the long-term outcomes of a single surgeon’s practiceWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
-
2024-01-18Full publication date if available
- Authors
-
Samuel J. Lynskey, Christopher Frampton, T. LynskeyList of authors in order
- Landing page
-
https://doi.org/10.26635/6965.6198Publisher landing page
- PDF URL
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https://nzmj.org.nz/media/pages/journal/vol-137-no-1588/my-orthopaedic-surgeon-suggests-a-unicompartmental-knee-replacement-a-detailed-look-at-the-long-term-outcomes-of-a-single-surgeo/e40acf84ec-1705608439/6198.pdfDirect link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
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hybridOpen access status per OpenAlex
- OA URL
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https://nzmj.org.nz/media/pages/journal/vol-137-no-1588/my-orthopaedic-surgeon-suggests-a-unicompartmental-knee-replacement-a-detailed-look-at-the-long-term-outcomes-of-a-single-surgeo/e40acf84ec-1705608439/6198.pdfDirect OA link when available
- Concepts
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Medicine, Unicompartmental knee arthroplasty, Surgery, Osteoarthritis, Total knee replacement, Orthopedic surgery, Implant, Knee replacement, Overall survival, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- References (count)
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23Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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