No difference in return to amateur sports after medial and lateral unicompartmental knee arthroplasty in patients younger than 65 years
| Autor: | Chiara Ursino, Nicola Ursino, Fabio Valerio Sciarretta, Riccardo D’Ambrosi, Federico Valli, Ilaria Mariani, Jari Dahmen, Katia Corona |
|---|---|
| Přispěvatelé: | Graduate School, Orthopedic Surgery and Sports Medicine, Amsterdam Movement Sciences |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Knee Joint medicine.medical_treatment Osteoarthritis film.subject Cohort Studies 03 medical and health sciences 0302 clinical medicine Unicompartmental knee arthroplasty Settore MED/33 - Malattie Apparato Locomotore Humans Medicine Orthopedics and Sports Medicine Knee Knee osteoarthritis Return to sports Sports activity Unicondylar knee replacement Arthroplasty Replacement Knee Retrospective Studies Amateur sports 030222 orthopedics business.industry 030229 sport sciences Osteoarthritis Knee medicine.disease Arthroplasty Return to Sport Surgery Unicondylar Knee Replacement Treatment Outcome Sample size determination film Orthopedic surgery Keywords: Knee Knee Prosthesis business human activities Cohort study |
| Zdroj: | Knee surgery, sports traumatology, arthroscopy. Springer Verlag |
| ISSN: | 0942-2056 |
| DOI: | 10.1007/s00167-021-06526-7 |
| Popis: | Purpose:The aim of this study was to assess the return to amateur sports of patients under 65 years, following medial unicompartmental knee arthroplasty (mUKA) versus lateral unicompartmental knee arthroplasty (lUKA). It was hypothesized that patients younger than 65 years who underwent lateral or medial unicondylar knee replacement will result in similar rates to amateur sports, at a minimum follow-up of 2 years. Method:Patients who underwent medial or lateral UKA participated in a 2-year follow-up program, where they were clinically evaluated for their return to amateur sports, using the University of California, Los Angeles (UCLA) activity scale and the High-Activity Arthroplasty Score (HAAS). Furthermore, subgroup analyses by gender and age were performed. Power analysis was performed to ensure sample size considering that lUKA is implanted ten times less frequently than its medial counterpart. Results:There were 85 patients who completed the entire minimum 2-year follow-up of which 73 belonged to the mUKA group and 12 to the lUKA group. No preoperative differences were found between the groups regarding the gender, the affected side, age, and mean follow-up. Both groups showed statistically significant improvement (p < 0.05) in their return to amateur sports in all parameters (UCLA and HAAS). No differences among the two groups were found at T0and T1(n.s.).All subgroups showed a statistically significant improvement (p < 0.05) with respect to the preoperative value, except for UCLA for lUKA with less than 60 years and HAAS for males in the lUKA group (n.s.). No differences were found among subgroups both at Toand T1(n.s.). Conclusion:Both mUKA and lUKA procedures enabled all young and active patients a certain return to amateur sports 2 years after surgery, regardless of age and gender. UKA, medial or lateral, should always be considered for the treatment of isolated osteoarthritis in young and active patients with high functional demands. Level of evidence:Cohort Study, Level of Evidence III. Registration:Researchregistry6221 - Research Registry www.researchregistry.com . |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink