دورية أكاديمية
Severe patellofemoral arthritis does not compromise 6-month post-operative range of motion or function following unicondylar knee arthroplasty.
| العنوان: | Severe patellofemoral arthritis does not compromise 6-month post-operative range of motion or function following unicondylar knee arthroplasty. |
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| المؤلفون: | Singh D; University of Hawai'I, John A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA., Lawton D; University of Hawai'I, John A Burns School of Medicine, 651 Ilalo Street, Honolulu, HI, 96813, USA.; Straub Medical Center, Bone and Joint Center, 888 South King Street, Honolulu, HI, 96813, USA., Weldon RH; Office of Public Health Studies, University of Hawai'I, 1960 East-West Road, Honolulu, HI, 96822, USA., Au DLMT; Straub Medical Center, Bone and Joint Center, 888 South King Street, Honolulu, HI, 96813, USA., Nakasone CK; Straub Medical Center, Bone and Joint Center, 888 South King Street, Honolulu, HI, 96813, USA. onohunter@icloud.com.; Department of Surgery, University of Hawai'i, John A Burns School of Medicine, 1356 Lusitana Street, Honolulu, HI, 96813, USA. onohunter@icloud.com. |
| المصدر: | Archives of orthopaedic and trauma surgery [Arch Orthop Trauma Surg] 2023 Nov; Vol. 143 (11), pp. 6791-6797. Date of Electronic Publication: 2023 Jul 07. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Verlag Country of Publication: Germany NLM ID: 9011043 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-3916 (Electronic) Linking ISSN: 09368051 NLM ISO Abbreviation: Arch Orthop Trauma Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Berlin : Springer Verlag Original Publication: Berlin : Springer International, c1989- |
| مواضيع طبية MeSH: | Arthroplasty, Replacement, Knee*/methods , Osteoarthritis, Knee*/surgery , Knee Prosthesis*, Humans ; Treatment Outcome ; Knee Joint/surgery ; Retrospective Studies ; Range of Motion, Articular |
| مستخلص: | Background: The presence of significant patellofemoral arthritis (PFA) is still considered a contraindication for unicondylar knee arthroplasty (UKA) by many surgeons. The purpose of this study was to determine if the presence of severe PFA at the time of UKA compromised early (< 6 months) post-operative knee range of motion or functional outcomes. Methods: This retrospective review evaluated unilateral and bilateral UKA (323 patients; 418 knees) between 2015 and 2019. Procedures were grouped by degree of PFA present at the time of surgery, including mild PFA (Group 1; N = 266), moderate to severe PFA (Group 2; N = 101), and severe PFA with lateral compartment bone-on-bone contact (Group 3; N = 51). Knee range of motion and Knee Society Knee (KSS-K) and Function (KSS-F) scores were collected both before and at 6 months following surgery. Group differences were evaluated with Kruskal-Wallis and Chi-square tests for continuous and categorical variables, respectively. Univariate and multivariable logistic regressions were performed to determine influential variables associated with post-operative knee flexion being ≤ 120° and presented as odds ratios (OR) and 95% confidence intervals (CI). Results: Pre-operative flexion was lowest in Group 3 (p = 0.010) with 17.6% of knees having flexion ≤ 120°. Post-operative flexion was lowest in Group 3 (119.1° ± 8.4°, p = 0.003) with 19.6% knees having flexion ≤ 120° compared to 9.8% and 8.9% in Groups 1 and 2, respectively. No significant difference in KSS-F following surgery was found; all three groups demonstrated similar clinical improvement. Increased age (OR 1.089, CI 1.036-1.144; p = 0.001) and body mass index (OR 1.082, CI 1.006-1.163; p = 0.034) were found to be associated with post-operative knee flexion ≤ 120°, while high pre-operative flexion (OR 0.949, CI 0.921-0.978; p = 0.001) was found to be inversely associated with poor knee flexion following surgery. Conclusion: Patients with severe PFA demonstrate similar clinical improvement following UKA at 6 months as patients with less severe PFA. (© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Function; Patellofemoral arthritis; Range of motion; Unicompartmental knee arthroplasty |
| تواريخ الأحداث: | Date Created: 20230707 Date Completed: 20231023 Latest Revision: 20231023 |
| رمز التحديث: | 20231023 |
| DOI: | 10.1007/s00402-023-04978-9 |
| PMID: | 37418007 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1434-3916 |
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| DOI: | 10.1007/s00402-023-04978-9 |