Panzram Benjamin, Bertlich Ines, Reiner Tobias, Walker Tilman, Hagmann Sébastien, Gotterbarm Tobias
Clinic of Orthopaedic and Trauma Surgery, University of Heidelberg, Schlierbacher Landstr. 200a, 69118, Heidelberg, Germany.
BMC Musculoskelet Disord. 2018 Jan 17;19(1):18. doi: 10.1186/s12891-017-1883-8.
Physical activity and regular participation in recreational sports gain importance in patients' lifestyle after knee arthroplasty. Cementless unicompartimental Knee replacement with the Oxford System has been introduced into clinical routine. Currently there is no data reporting on the physical activity, return to sports rate and quality of live after medial cementless Oxford Unicompartimental Knee Replacement (OUKR).
This retrospective cohort study reports on the functional outcome of the first 27 consecutive patients (30 knees) that were consecutively treated with a cementless medial OUKR between 2007 and 2009 in our hospital. Physical activity and quality of life were measured using the Tegner-Score, the UCLA-Activity Score, the Schulthess Clinical Activity Questionnaire and the SF-36 Score. The patients' satisfaction with the outcome was measured using a visual analogue scale.
Mean age at surgery was 62.5 years. Patients showed a rapid recovery with 17 out of 27 patients returning to sports within 3 months, 24 within 6 months after surgery. The Return-to-activity-rate was 100%. 10 out of 27 patients showed a high activity level (UCLA ≥7 points) with a mean postoperative UCLA-Score of 6.1 points.
Patients recover rapidly after cementless OUKR with a return to sports rate of 100% and patients are able to participate in high impact sports disciplines.
膝关节置换术后，身体活动及定期参与娱乐性运动在患者生活方式中变得愈发重要。采用牛津系统的非骨水泥单髁膝关节置换术已应用于临床常规治疗。目前尚无关于非骨水泥内侧牛津单髁膝关节置换术（OUKR）后患者身体活动、恢复运动率及生活质量的相关数据报道。
这项回顾性队列研究报告了2007年至2009年期间在我院连续接受非骨水泥内侧OUKR治疗的首批27例患者（30膝）的功能结局。采用Tegner评分、UCLA活动评分、舒尔特斯临床活动问卷及SF - 36评分来衡量身体活动及生活质量。使用视觉模拟量表来评估患者对治疗结果的满意度。
手术时的平均年龄为62.5岁。患者恢复迅速，27例患者中有17例在术后3个月内恢复运动，24例在术后6个月内恢复运动。恢复运动率为100%。27例患者中有10例表现出较高的活动水平（UCLA≥7分），术后UCLA评分平均为6.1分。
非骨水泥OUKR术后患者恢复迅速，恢复运动率达100%，且患者能够参与高强度运动项目。
