Papalia Rocco, Zampogna Biagio, Torre Guglielmo, Diaz Balzani Lorenzo Alirio, Vasta Sebastiano, Papalia Giuseppe, De Vincentis Antonio, Denaro Vincenzo
Deaprtment of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, Via A. Del Portillo, 21, 00128 Rome, Italy.
Department of Internal Medicine and Gerontology, Campus Bio-Medico University of Rome, Via A. Del Portillo, 21, 00128 Rome, Italy.
J Clin Med. 2020 Jun 5;9(6):1756. doi: 10.3390/jcm9061756.
In patients with knee osteoarthritis, when only medial or lateral compartment of the knee is involved, unicompartimental knee arthroplasty (UKA) is a reliable option for addressing the symptoms and restore function. The main aim of the present review is to systematically collect the available evidence concerning the return to sport activity in the elderly patients after UKA. An electronic search was carried out on the following databases; Pubmed-Medline, Cochrane central, and Scopus, searching for randomized controlled trials, prospective cohort studies, retrospective case-control studies, and case series. Data concerning the evaluation of the return to sport (RTS) and of functional outcomes in the elderly patients after UKA surgery. MINORS score was used to assess the risk of methodological biases. Odds ratios and raw proportions were used to report the pooled effect of UKA on the return to sport in comparative and non-comparative studies, respectively. Same level RTS in elderly patients was of 86% (pooled return proportion 0.86, 95%CI 0.78, 0.94), showing also better relative RTS and time to RTS of patients undergoing UKA, in comparison to those undergoing TKA. Sport-specific RTS showed that higher return rates were observed for low-impact sports, whereas high-impact sports prevented a full return to activities. UKA is a valid and reliable option for elderly patients to satisfactorily resume their sport practice, especially for low impact activities. The rate of return to sports following UKA is higher than TKA.
在膝关节骨关节炎患者中，当仅膝关节的内侧或外侧间室受累时，单髁膝关节置换术（UKA）是缓解症状和恢复功能的可靠选择。本综述的主要目的是系统收集有关老年患者UKA术后恢复体育活动的现有证据。在以下数据库中进行了电子检索：PubMed-Medline、Cochrane中心和Scopus，检索随机对照试验、前瞻性队列研究、回顾性病例对照研究和病例系列。数据涉及UKA手术后老年患者恢复运动（RTS）的评估和功能结果。使用MINORS评分评估方法学偏倚的风险。优势比和原始比例分别用于报告UKA在比较性和非比较性研究中对恢复运动的综合影响。老年患者的同等水平RTS为86%（合并恢复比例0.86，95%CI 0.78，0.94），与接受全膝关节置换术（TKA）的患者相比，接受UKA的患者还显示出更好的相对RTS和RTS时间。特定运动的RTS表明，低冲击力运动的恢复率较高，而高冲击力运动则阻碍了完全恢复活动。UKA是老年患者令人满意地恢复体育锻炼的有效且可靠的选择，尤其是对于低冲击力活动。UKA术后的运动恢复率高于TKA。
