Besser als ihr Ruf? - 5- bis 20-Jahres-Ergebnisse mit Unicompartment-Kniegelenksendoprothesen bei medialer Gonarthrose

Autor: Hans-Peter Jüsten, Wessinghage D, Kisslinger E
Rok vydání: 2001
Předmět:
Zdroj: Zeitschrift für Orthopädie und ihre Grenzgebiete. 139:97-101
ISSN: 1438-941X
0044-3220
DOI: 10.1055/s-2001-14975
Popis: Aim of the Study: Long-term results of unicompartmental arthroplasty (UCA) in medial osteoarthritis are analyzed and the influencing covariates were explored. Method: 261 UCA in 229 patients were evaluated mainly by use of a structured questionnaire. 98.5% of the UCA were analyzed after 10 (5-20) years. Results: In the Knee Sec. Score, the items pain and function were improved significantly. Patients were very content with the UCA. Failures (total 30) were especially caused by destruction of the non-replaced compartment (n = 11) and loosening of the tibial component (n = 5). Survival with aseptic failures as the endpoint was 84.9% after 10 and 74.4% after 20 years. Gender, age at operation, design (St. Georg, Tonnis, Endo, Wessinghage) and height of tibial component could not be proved as determining covariates with sufficient statistical significance. Conclusion: Cemented unicompartmental knee arthroplasties show good long-term results in medial osteoarthritis, when the criteria for the indication are strictly respected.
Databáze: OpenAIRE