gms | German Medical Science

54. Jahrestagung der Norddeutschen Orthopädenvereinigung e. V.

Norddeutsche Orthopädenvereinigung

16.06. bis 18.06.2005, Hamburg

Results of medial unicompartmental knee replacement Oxford III with reduced invasive approach

Meeting Abstract

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  • corresponding author M. Heyden - Georg-August Universtät Göttingen, Orthopädie, Göttingen
  • G. Schwarz - Göttingen
  • W. Schultz - Göttingen

Norddeutsche Orthopädenvereinigung. 54. Jahrestagung der Norddeutschen Orthopädenvereinigung e.V.. Hamburg, 16.-18.06.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05novEP74

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/nov2005/05nov148.shtml

Veröffentlicht: 13. Juni 2005

© 2005 Heyden et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Unicompartmental arthroplasty for selected cases of anteromedial osteoarthritis of the knee has many potential advantages over total knee replacement. These include a faster postoperative rehabilitation, better range of motion and more physiological function. Aim of this study was to determine clinical and radiological results of Oxford III Unicompartmental knee replacement performed with a short medial incision.

Between October 2002 and December 2004, unicompartmental arthroplasty with Oxford III was performed in 31 knees in 29 patients with symptomatic anteromedial osteoarthritis. All patients were examined clinically and radiologically. The American Knee Society Score was assesed pre- and postoperatively.

At 1 year and 6 months mean follow-up (5 - 30 months) the average AKS Score improved from 62 to 91. 48% of the patients were pleased, 48% satisfied and 4% not satisfied. The postoperative mean range of motion was 131° (120° - 140°). Radiologically, no dislocation or loosening of the components was observed. 2 deep vein thrombosis occurred, 1 prothesis was revised for tibial fracture in a patient with a inflammatory arthritis.

Oxford III Unicompartmental knee replacement can be implanted reliably with a minimally invasive approach. If patients are selected appropriately, this implant reduces postoperative morbidity and complications and provides good clinical results.