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Differences in Patient-Reported Outcomes Between Unicompartmental and Total Knee Arthroplasties: A Propensity Score-Matched Analysis.

作者信息

Kim Man S, Koh In J, Choi Young J, Lee Jong Y, In Yong

机构信息

Department of Orthopaedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

J Arthroplasty. 2017 May;32(5):1453-1459. doi: 10.1016/j.arth.2016.11.034. Epub 2016 Nov 27.


DOI:10.1016/j.arth.2016.11.034
PMID:27979407
Abstract

BACKGROUND: The purpose of this study was to compare the patient-reported outcomes regarding joint awareness, function, and satisfaction after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). METHODS: We identified all patients who underwent a UKA or TKA at our institution between September 2011 and March 2014, with a minimum follow-up of 2 years. Propensity score matching was performed for age, gender, body mass index, operation side, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. One hundred UKAs to 100 TKAs were matched. Each knee was evaluated according to the WOMAC score, Forgotten Joint Score (FJS), High Flexion Knee Score (HFKS) and patient's satisfaction at postoperative 2 years. RESULTS: There was no significant difference in WOMAC score at postoperative 2 years between UKA and TKA groups. However, the FJS of the UKA group was significantly higher than that of the TKA group (67.3 ± 19.8 and 60.6 ± 16.6, respectively; P = .011). The HFKS was also significantly higher in the UKA group compared with the TKA group (34.4 ± 6.4 and 31.3 ± 5.2, respectively; P < .001). Eighty-six percent of all patients who underwent UKA were satisfied compared with 71% of those who underwent TKA (P = .027). CONCLUSION: Patients who underwent UKA had higher FJS, HFKS, and satisfaction rate when compared with patients who underwent TKA, indicating that UKA facilitated less knee awareness and better function and satisfaction than TKA.

摘要

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引用本文的文献

[1]
Unicompartmental Knee Arthroplasty Offers More Natural Feeling Joints Compared with Total Knee Arthroplasty: A Systematic Review and Meta-Analysis.

JB JS Open Access. 2025-5-8

[2]
Thromboembolic and infectious complication risks in TKA and UKA: evidence from a Japanese nationwide cohort.

Knee Surg Relat Res. 2025-5-8

[3]
Wear patterns of compartments in varus knee osteoarthritis among an asian population: A cross-sectional study with radiographic and intraoperative analysis.

Int Orthop. 2025-4-29

[4]
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J Orthop Surg Res. 2024-10-21

[5]
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J Orthop Surg Res. 2024-10-14

[6]
Sagittal plane knee kinematics can be measured during activities of daily living following total knee arthroplasty with two IMU.

PLoS One. 2024

[7]
Predicting postoperative coronal alignment after fixed-bearing unicompartmental knee arthroplasty using a new morphological assessment method: the arithmetic hip-knee-ankle angle.

Int Orthop. 2024-4

[8]
The effect of femoral prosthesis design on patellofemoral contact stresses in total knee arthroplasty: a case-control study with mid-term follow-up minimum 3-year follow-up.

J Orthop Surg Res. 2023-10-18

[9]
Clinical relevance of joint line obliquity after high tibial osteotomy for medial knee osteoarthritis remains controversial: a systematic review.

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[10]
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