Wang HR, Li ZL, Li J, Wang YX, Zhao ZD, Li W. Arthroscopy combined with unicondylar knee arthroplasty for treatment of isolated unicompartmental knee arthritis: A long-term comparison. World J Clin Cases 2019; 7(24): 4196-4207 [PMID: 31911900 DOI: 10.12998/wjcc.v7.i24.4196]
Corresponding Author of This Article
Zhong-Li Li, PhD, Chief Physician, Professor, Department of Orthopedics, General Hospital of People’s Liberation Army, No. 28, Fuxing Road, Haidian District, Beijing 100853, China. lizhongli@263.net
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Dec 26, 2019; 7(24): 4196-4207 Published online Dec 26, 2019. doi: 10.12998/wjcc.v7.i24.4196
Table 1 Comparison of the patients' data between groups A and B
Characteristic
Group A
Group B
t/Z/X2
P
Number of UKA
60
58
0.416
0.519
Bilateral surgeries
6
7
Age (yr)
61.2 ± 8.4
63.0 ± 8.1
1.169
0.245
Gender (Male/Female)
12/48
19/39
2.478
0.115
Side (Left/Right)
21/39
27/31
1.631
0.212
Height (cm)
160 (156-163)
160 (156-167)
1.190
0.234
Weight (kg)
69.0 (63.0-75.8)
70.0 (64.5-78.3)
0.989
0.323
Body mass index (kg/m²)
27.1 ± 3.2
27.2 ± 3.5
0.167
0.868
Etiology (OA/Post-traumatic arthritis)
57/3
55/3
0.142
0.766
Follow-up period (yr)
7.08 (6.42-7.83)
7.08 (6.42-7.83)
0.100
0.921
Table 2 Inpatient information of the two groups
Group A
Group B
Z/X2
P
Hospitalization time (d)
12.0 (11.0-14.75)
10.5 (9.0-13.3)
2.246
0.025
Hemorrhage during operation (mL)
100 (50-100)
50 (50-100)
1.484
0.138
Total volume of blood transfusion (mL)
0 (0-350)
350 (0-565)
3.325
0.001
Percentage of patients receiving blood transfusion (%)
40
67.2
8.795
0.003
Percentage of patients developing complications after operation (%)
1.7
1.7
0.475
0.491
Table 3 Modes of failure in both groups and follow-up
Group
Number of of knees
Mean time to revision (yr)
Follow-up years
Group A
Progression of arthritis
2
6.92
7.42
Aseptic loosening
1
6.33
7.33
Group B
Progression of arthritis
3
6.33
6.86
Bearing dislocation
1
1
9.58
Table 4 Outcome scores and radiological information of the two groups at pre-operation and last follow-up
Group
Pre-operation
Last follow-up
mean difference (95%CI)
P
Group A
HSS score
59.6 ± 10.9
82.7 ± 9.3
23.2 (19.3-27.0)
0.000
Knee society score
47.3 ± 6.3
76.2 ± 13.1
28.9 (25.1-32.7)
0.000
Knee function score
57.5 ± 6.3
75.1 ± 19.6
17.5 (12.1-23.0)
0.000
FTA
179.9 ± 3.5
175.2 ± 2.5
4.7 (3.5-5.8)
0.000
HKA
175.1 ± 2.8
176.7 ± 3.1
1.6 (0.4-2.7)
0.008
ROM
121.5 ± 8.2
129.1 ± 11.5
7.6 (4.1-11.2)
0.000
Group B
HSS score
59.3 ± 15.6
84.3 ± 10.1
23.7 (18.9-28.5)
0.000
Knee society score
49.1 ± 9.2
75.1 ± 13.2
24.7 (19.9-29.5)
0.000
Knee function score
59.3 ± 9.0
77.4 ± 13.8
17.2 (12.8-21.6)
0.000
FTA
181.5 ± 5.0
175.0 ± 3.7
6.2 (4.5-7.8)
0.000
HKA
173.9 ± 3.7
176.5 ± 3.2
2.5 (1.0-4.0)
0.001
ROM
116.1 ± 17.3
131.1 ± 14.1
14.2 (8.7-19.7)
0.000
Citation: Wang HR, Li ZL, Li J, Wang YX, Zhao ZD, Li W. Arthroscopy combined with unicondylar knee arthroplasty for treatment of isolated unicompartmental knee arthritis: A long-term comparison. World J Clin Cases 2019; 7(24): 4196-4207