Objective To conclude the research progress of unicompartmental knee arthroplasty (UKA) in the treatment of elderly patients with knee osteoarthritis (KOA). Methods The literature on UKA at home and abroad in recent years was reviewed to summarize the clinical characteristics of elderly patients with KOA, perioperative management (including evaluating indications preoperatively, intraoperative prosthesis selection, postoperative complication management, etc). Results Through reasonable preoperative evaluation, prosthesis selection, and advanced perioperative management, for elderly patients with KOA who meet the indications, UKA can be considered. Compared with total knee arthroplasty, the incidence of postoperative complications in elderly patients undergoing UKA is lower, joint awareness is reduced, functional improvement and satisfaction are higher. Meanwhile, choosing appropriate prostheses and fixation methods can lead to a good survival rate. Conclusion UKA can provide a safe and effective treatment option for elderly patients with KOA within a certain range of indications.
Citation：
HUAN Rui, GUAN Shikun, GUO Shuxin, LIU Xuejian, LIU Ning. Research progress on unicompartmental knee arthroplasty for elderly patients with knee osteoarthritis. Chinese Journal of Reparative and Reconstructive Surgery, 2024, 38(8): 1022-1026. doi: 10.7507/1002-1892.202403092
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Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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Teo BJX, Yeo W, Chong HC, et al. Surgical site infection after primary total knee arthroplasty is associated with a longer duration of surgery. J Orthop Surg (Hong Kong), 2018, 26(2): 2309499018785647.
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Moore HG, Schneble CA, Kahan JB, et al. Unicompartmental knee arthroplasty in octogenarians: A national database analysis including over 700 octogenarians. Arthroplast Today, 2022, 15: 55-60.
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Iacono F, Raspugli GF, Akkawi I, et al. Unicompartmental knee arthroplasty in patients over 75 years: a definitive solution? Arch Orthop Trauma Surg, 2016, 136(1): 117-123.
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Plancher KD, Brite JE, Briggs KK, et al. Patient-acceptable symptom state for reporting outcomes following unicompartmental knee arthroplasty : a matched pair analysis comparing UKA in ACL-deficient versus ACL-intact knees. Bone Joint J, 2021, 103-B(8): 1367-1372.
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van der List JP, Zuiderbaan HA, Pearle AD. Why do medial unicompartmental knee arthroplasties fail today? J Arthroplasty, 2016, 31(5): 1016-1021.
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Cheng J, Feng M, Cao G, et al. Patient outcomes in anteromedial osteoarthritis patients over 80 years old undergoing Oxford Unicompartmental knee Arthroplasty in China. BMC Musculoskelet Disord, 2020, 21(1): 446.
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