CAUSES OF REVISION SURGERY AFTER UNICOMPARTMENTAL KNEE ARTHROPLASTY

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Abstract

Objective - to study the structure of complications developing after unicompartmental knee arthroplasty and to analyze its causes. Material and methods. The causes of 18 revision interventions after 142 consecutive UKA that have been performed in 137 patients since 2001 till 2012 were evaluated. The main reason for revision surgeries in these series was traumatic damage of different knee structures (7 cases): 3 - medial femur or tibia condyle fractures due to fall from height or collision, 1 - ACL rupture and one bearing dislocation both during mountain skiing injury, 1 - lateral menisci tear after rotational trauma, 1 - loose body formation caused by direct blow. All traumatic events took place during first five years after surgery. Other indications for revision were aseptic loosening of tibial component in 6 patients (after 4,8 years in average), disease progression in 2 (after 3 years in average), early infection in 1 and late hematogenous infection in 2 cases. In 16 patients revision TKA were performed with 10 cruciate-retaining, 5 posterior stabilized and 1 varus-valgus constrained implants. In 2 patients with lateral menisci tear and loose body arthroscopical intervention resolved the problem. Surprisingly in this cohort of patients acute trauma especially during sport activities shared the first place with aseptic loosening among the reasons for revision after UKA. This indirectly evidences that patients after UKA retained high level of physical activities and less restricted in sport that after TKA.

About the authors

N. N. Kornilov

Vreden Russian Research Institute of Traumatology and Orthopedics

Author for correspondence.
Email: drkornilov@hotmail.com
Russian Federation

T. A. Kulyaba

Vreden Russian Research Institute of Traumatology and Orthopedics

Email: taraskulyaba@hotmail.com
Russian Federation

R. E. Fedorov

Smolensk Regional Clinical Hospital

Email: fedorov.ruslan.8@mail.ru
Russian Federation

References

  1. Ageberg E., Engstrom G., Gerhardsson de Verdier M., Rollof J., Roos E.M., Lohmander L.S. Effect of leisure time physical activity on severe knee or hip osteoarthritis leading to total joint replacement: a population-based prospective cohort study. BMC Musculoskelet Disord. 2012;17;13:73.
  2. Baker P.N., Jameson S.S., Deehan D.J., Gregg P.J., Porter M., Tucker K. Mid-term equivalent survival of medial and lateral unicondylar knee replacement: An analysis of data from a National Joint Registry. J Bone Joint Surg. Br. 2012;94(12):1641-1648.
  3. Berger R.A., Nedeff D.D., Barden R.M., Sheinkop M.M., Jacobs J.J., Rosenberg A.G, Galante J.O. Unicompartmental knee arthroplasty. Clinical experience at 6- to 10-year follow-up. Clin. Orthop. 1999; 367:50-60.
  4. Dervin G.F., Madden S.M., Crawford-Newton B.A., Lane A.T., Evans H.C. Outpatient unicompartment knee arthroplasty with indwelling femoral nerve catheter. J. Arthroplasty. 2012;27(6):1159-1165.
  5. Engh G.A., Dwyer K.A., Hanes C.K. Polyethylene wear of metal-backed tibial components in total and unicompartmental knee prostheses. J. Bone Joint Surg. Br. 1992;74:9-17.
  6. Fisher N., Agarwal M. Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty. Knee 2006; 13(4): 296-300.
  7. Goodfellow J.W., O'Connor J.J., Shrive N.G. Endoprosthetic knee joint devices. Br. Patent N 1534263, 1974.
  8. Jeer P.J., Keene G.C., Gill P. Unicompartmental knee arthroplasty: an intermediate report of survivorship after the introduction of a new system with analysis of failures. Knee 2004; 11: 369-374.
  9. Knutson K., Robertsson O. The Swedish Knee Arthroplasty Register (www.knee.se). Acta Orthop. 2010;81(1):5-7.
  10. Krishnan S.R., Randle R. ACL reconstruction with unicondylar replacement in knee with functional instability and osteoarthritis. J. Orthop. Surg. Res. 200917;4:43.
  11. Kuipers B.M., Kollen B.J., Bots P.C., Burger B.J., van Raay J.J., Tulp N.J., Verheyen C.C. Factors associated with reduced early survival in the Oxford phase III medial unicompartment knee replacement. Knee. 2010;17(1):48-52.
  12. Laskin R.S. Unicompartmental knee replacement: some unanswered questions. Clin. Orthop. 2001; 392: 267-271.
  13. Lewold S., Goodman S., Knutson K., Robertsson O., Lidgren L. Oxford meniscal bearing knee versus the Marmor knee in unicompartmental arthroplasty for arthrosis. A Swedish multicenter survival study. J. Arthroplasty. 1995; 10: 722-731.
  14. Lidgren L., Knutson K., Robertsson O. Swedish Knee Arthroplasty Register: Annual Report 2004. Lund: Swedish Knee Arthroplasty Register, 2004.
  15. Murray D.W., Goodfellow J.W. The Oxford medial unicompartmental arthroplasty. A ten-year survival study. J. Bone Joint Surg. Br. 1998;80:983-989.
  16. Naal F.D., Fischer M., Preuss A., Goldhahn J., von Knoch F., Preiss S., Munzinger U., Drobny T. Return to sports and recreational activity after unicompartmental knee arthroplasty. Am. J. Sports Med. 2007; 35(10):1688-1695.
  17. Pabinger C., Berghold A., Boehler N., Labek G. Revision rates after knee replacement. Cumulative results from worldwide clinical studies versus joint registers. Osteoarthritis Cartilage. 2013;21(2):263-268.
  18. Pandit H., Jenkins C., Barker K., Dodd C.A.F., Murray D.W. The Oxford medial unicompartmental knee replacement using a minimally invasive approach. J. Bone Joint Surg. 2006;88-B: 54-60.
  19. Paxton E.W., Furnes O., Namba R.S., Inacio M.C., Fenstad A.M., Havelin L.I. Comparison of the Norwegian knee arthroplasty register and a United States arthroplasty registry. J. Bone Joint Surg. Am. 2011;93 Suppl3:20-30.
  20. Price A.J., Waite J.C., Svard U. Long-term cninical results of the medical Oxford unicompartmental knee arthroplasty. Clin. Orthop. 2005; 435: 171-180.
  21. Robertsson O., Bizjajeva S., Fenstad A.M., Furnes O., Lidgren L., Mehnert F., Odgaard A., Pedersen A.B., Havelin L.I. Knee arthroplasty in Denmark, Norway and Sweden. Acta Orthop. 2010;81(1):82-89.
  22. Siddiqui N.A., Ahmad Z.M. Revision of unicondylar to total knee arthroplasty: a systematic review. Open. Orthop. J. 2012;6:268-275.
  23. Sikorski J.M., Sikorska J.Z. Relative risk of different operations for medial compartment osteoarthritis of the knee. Orthopedics. 2011;34(12):e847-854.
  24. Sloper P.J., Hing C.B., Donell S.T., Glasgow M.M. Intra-operative tibial plateau fracture during unicompartmental knee replacement: a case report. Knee. 2003; 10: 367-369.
  25. Soininvaara T.A., Harju K.A., Miettinen H.J., Kroger H.P. Periprosthetic bone mineral density changes after unicondylar knee arthroplasty. Knee. 2012; 20(2) :120-127.
  26. Swanson A.B., Swanson G.D., Powers T., Khalil M.A., Maupin B.K., Mayhew D.E., Moss S.H. Unicompartmental and bicompartmental arthroplasty of the knee with a finned metal tibial-plateau implant. J. Bone Joint Surg. Am. 1985; 67-A: 1175-1182.
  27. van der Veen H.C., van Raay J.J. Fracture of an Oxford femoral component: a case report. Knee. 2012. http:// dx.doi.org/10.1016/j.knee.2012.10.002

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