Murray, DW;
Liddle, AD;
Dodd, CAF;
Pandit, H;
(2015)
Unicompartmental knee arthroplasty: is the glass half full or half empty?
The Bone & Joint Journal
, 97-B
(10 SA)
pp. 3-8.
10.1302/0301-620X.97B10.36542.
Preview |
Text
Unicompartmental knee arthroplasty: is the glass half full or half empty?.pdf - Published Version Download (544kB) | Preview |
Abstract
There is a large amount of evidence available about the relative merits of unicompartmental and total knee arthroplasty (UKA and TKA). Based on the same evidence, different people draw different conclusions and as a result, there is great variability in the usage of UKA. The revision rate of UKA is much higher than TKA and so some surgeons conclude that UKA should not be performed. Other surgeons believe that the main reason for the high revision rate is that UKA is easy to revise and, therefore, the threshold for revision is low. They also believe that UKA has many advantages over TKA such as a faster recovery, lower morbidity and mortality and better function. They therefore conclude that UKA should be undertaken whenever appropriate. The solution to this argument is to minimise the revision rate of UKA, thereby addressing the main disadvantage of UKA. The evidence suggests that this will be achieved if surgeons use UKA for at least 20% of their knee arthroplasties and use implants that are appropriate for these broad indications.
| Type: | Article |
|---|---|
| Title: | Unicompartmental knee arthroplasty: is the glass half full or half empty? |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1302/0301-620X.97B10.36542 |
| Publisher version: | http://dx.doi.org/10.1302/0301-620X.97B10.36542 |
| Language: | English |
| Additional information: | This is an open-access article distributed under the terms of the Creative Commons Attributions licence CC-BY-NC, which permits unrestricted use, distribution, and reproduction in any medium, but not for commercial gain, provided the original author and source are credited. |
| Keywords: | unicompartmental knee replacement; unicompartmental knee arthroplasty, Arthroplasty, Replacement, Knee, Attitude of Health Personnel, Hemiarthroplasty, Humans, Knee Prosthesis, Osteoarthritis, Knee, Registries, Reoperation, Treatment Outcome |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10050864 |
Archive Staff Only
 |
View Item |
