Outcome of simultaneous bi-unicompartmental knee arthroplasty: a systematic review.
| Autor: | Akkawi I; Villa Erbosa Hospital 50/2, 40129, Bologna, Italy. i.akkawi@libero.it., Draghetti M; Orthopaedics and Traumatology Unit, Villa Erbosa Hospital, Bologna, Italy. mauriziodraghetti@gmail.it., Zmerly H; Orthopaedics and Traumatology Unit, Villa Erbosa Hospital, Bologna, Italy. hzmerly@hotmail.it. |
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| Jazyk: | angličtina |
| Zdroj: | Acta bio-medica : Atenei Parmensis [Acta Biomed] 2023 Dec 05; Vol. 94 (6), pp. e2023240. Date of Electronic Publication: 2023 Dec 05. |
| DOI: | 10.23750/abm.v94i6.15006 |
| Abstrakt: | Background and Aim: Simultaneous medial and lateral tibiofemoral osteoarthritis (OA) could be treated with bi-unicompartmental knee arthroplasty (Bi-UKA) as an alternative to total knee arthroplasty (TKA). The present systematic review aims to assess if simultaneous Bi-UKA is a feasible option for treating medial and lateral tibiofemoral OA. Materials and Methods: A comprehensive search of PubMed, MEDLINE, Cochrane Library, and Google Scholar was performed to find studies that reported on the outcome of simultaneous Bi-UKA for both medial and lateral tibiofemoral OA. Results: Seven studies were considered eligible for inclusion in the present systematic review. Intraoperative fractures occurred 8 times. Overall, there were 22 revisions of the prosthetic components for any reason with a survival rate that ranged from 83 to 100%. Of these, 16 revisions were for the aseptic loosening of the prosthetic components. Out of 302 surgeries, three were revised due to symptomatic OA progression in the patello-femoral joint. All clinical scores improved at the latest follow-up compared to preoperative values. Moreover, there were no differences in clinical scores of Bi-UKA compared to unicompartmental knee arthroplasty (UKA), or medial UKA plus patello-femoral prosthesis. Whereas, compared to TKA, Bi-UKA patients had comparable or superior scores. Finally, the Bi-UKA group had a significantly shorter hospital stay compared to the TKA group. Conclusions: The use of simultaneous Bi-UKA is a valid option to address bicompartmental knee OA in selected patients with low intraoperative fracture rate, low revision rate, satisfactory clinical outcome, and fast recovery. |
| Databáze: | MEDLINE |
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