Literature DB >> 23180099

Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect?

Matthias F Pietschmann1, Lisa Wohlleb, Patrick Weber, Florian Schmidutz, Andreas Ficklscherer, Mehmet F Gülecyüz, Elem Safi, Thomas R Niethammer, Volkmar Jansson, Peter E Müller.   

Abstract

PURPOSE: Excellent long-term results have been reported for implantation of unicompartmental knee arthroplasty (UKA). In many patients the desire for improvement in function often includes an aspiration to return to sports. The purpose of our study was to evaluate physical activities after medial Oxford-III (Biomet) UKA surgery.
METHODS: Patients' physical activity before and after the surgery was assessed using a self reporting questionnaire. We used the Oxford knee scoring system (OKS), the WOMAC-, the Knee society- (KSS) and the UCLA-score to assess postoperative knee function. The mean follow-up was 4.2 years. The female-to-male ratio was 1.3:1. The mean age at surgery was 65.3 years.
RESULTS: Of the 131 patients studied 78 participated in some kind of sports before surgery (mean age 64.4 years), while 53 patients did not perform any sports (mean age 66.5 years) (p > 0.05). At follow-up the patients in the active group were significantly younger than the patients in the inactive group (p < 0.05). The majority of patients (80.1 %) returned to their level of sports activity after UKA surgery. Six patients took up sports after surgery while 15 patients stopped their sports. Among the active patients we found a shift from high- towards low-impact sports. The active patients had significantly higher scores for the OKS, KSS, WOMAC and UCLA score. The complication rate was comparable in both groups.
CONCLUSION: Our study demonstrates that a high degree of patient satisfaction in terms of sports activity can be achieved using the Oxford-III UKA for medial osteoarthritis.

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Year:  2012        PMID: 23180099      PMCID: PMC3532643          DOI: 10.1007/s00264-012-1710-7

Source DB:  PubMed          Journal:  Int Orthop        ISSN: 0341-2695            Impact factor:   3.075


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3.  Pre-operative patellofemoral degenerative changes do not affect the outcome after medial Oxford unicompartmental knee replacement: a report from an independent centre.

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9.  Participation in sporting activities following knee replacement: total versus unicompartmental.

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3.  Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study.

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4.  Survivorship and patient satisfaction of robotic-assisted medial unicompartmental knee arthroplasty at a minimum two-year follow-up.

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5.  Sports activities before and after medial unicompartmental knee arthroplasty using the new Heidelberg Sports Activity Score.

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9.  Return to sports, recreational activity and patient-reported outcomes after lateral unicompartmental knee arthroplasty.

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