Hao N, Yu KX, Ran JW. How to manage and avoid revision after unicompartmental knee arthroplasty? World J Clin Cases 2024; 12(31): 6428-6430 [PMID: 39507112 DOI: 10.12998/wjcc.v12.i31.6428]
Corresponding Author of This Article
Jin-Wei Ran, MD, Chief Doctor, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, No. 6 Panxi Seventh Branch Road, Jiangbei District, Chongqing 400021, China. ranjinwei@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Nov 6, 2024; 12(31): 6428-6430 Published online Nov 6, 2024. doi: 10.12998/wjcc.v12.i31.6428
How to manage and avoid revision after unicompartmental knee arthroplasty?
Na Hao, Ke-Xiao Yu, Jin-Wei Ran
Na Hao, Ke-Xiao Yu, Jin-Wei Ran, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, Chongqing 400021, China
Author contributions: Hao N wrote the manuscript; Yu KX contributed to design of the study; Ran JW contributed to revise the manuscript; All authors approved the final version of the manuscript and agreed to be accountable for all the aspect of the work.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Jin-Wei Ran, MD, Chief Doctor, Department of Orthopedics, Chongqing Hospital of Traditional Chinese Medicine, No. 6 Panxi Seventh Branch Road, Jiangbei District, Chongqing 400021, China. ranjinwei@163.com
Received: March 12, 2024 Revised: June 28, 2024 Accepted: July 25, 2024 Published online: November 6, 2024 Processing time: 182 Days and 18.1 Hours
Abstract
The article by Zhao et al presents a retrospective case series on the reasons for initial revision after unicompartmental knee arthroplasty (UKA). Clarifying the reasons that may cause UKA revision can further reduce the rate of revision UKA, focusing on gasket dislocation, osteophytes, intra-articular loose bodies, and tibial prosthesis loosening. This article provides valuable insights, not only by detailing the revision status of 13 patients who underwent revision after initial UKA but also by providing a comprehensive analysis of the incidence of revision after initial UKA. By reviewing and analyzing the causes, they established references for the early detection of risk factors for revision in clinical practice and for formulating surgical strategies and rehabilitation programmes. This commentary emphasizes the need for a meticulous understanding and an analysis of the revision rate following initial UKA and related management strategies. The implant rates, regional variation, and benefits of uncemented Oxford UKA have been explored, particularly in terms of bone preservation, appropriate surgical techniques, and weight management to control complications and improve patient prognosis.
Core Tip: Unicompartmental knee arthroplasty (UKA) revision risks vary based on factors such as lateral vs medial approach, total knee arthroplasty conversion, and implant type. Uncemented Oxford UKA, bone preservation, and appropriate surgical techniques contribute to lower revision rates. Obesity increases the risk of revision following total knee arthroplasty, particularly in the short term.
