Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2007-7-16
pubmed:abstractText
The advantages of Unicompartmental Knee Replacement (UKR) over Total Knee Replacement (TKR) includes the preservation of soft tissue as well as bone stock, and better function with improved range of motion and more natural gait. It is therefore believed that the revision of failed UKR to TKR is technically easier than revision of failed TKR. In our study we tested this hypothesis by assessing the reconstruction requirements and early clinical and radiological outcome following the revision of UKR to TKR. During a 15-year period 1060 primary Oxford medial UKR procedures were performed at three centres, 36 of which underwent revision to TKR due to aseptic failure. The mean operating time for revision surgery was 113 min. Among the revision prostheses used, 28 were standard TKRs, six were constrained, and two were semi-constrained. Thirty had no intramedullary stems whereas six had intramedullary stems. In 30 cases reconstruction for bone loss was not required whereas metal augmentation was used in two knees, contained peg defects in the femur were filled with cement in two knees and contained keel defects in the tibia were grafted using the bone from revision cuts in two knees. After a mean follow-up of 2 years, the mean 'total knee score' was 86.3 and the mean functional score was 78.5. These findings suggest that the complexity of operation and complications encountered during Oxford medial UKR revision and the clinical outcome compare favorably with those of TKR revision.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0968-0160
pubmed:author
pubmed:issnType
Print
pubmed:volume
14
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
275-9
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
Revision of Oxford medial unicompartmental knee arthroplasty to total knee arthroplasty - results of a multicentre study.
pubmed:affiliation
East Cheshire NHS Trust, Macclesfield, United Kingdom.
pubmed:publicationType
Journal Article, Multicenter Study