Differences in Patient-Reported Outcomes Between Unicompartmental and Total Knee Arthroplasties: A Propensity Score-Matched Analysis

• Published in: The Journal of arthroplasty Vol. 32; no. 5; pp. 1453 - 1459
• Main Authors: Kim, Man S., MD, Koh, In J., MD, PhD, Choi, Young J., MD, Lee, Jong Y., MD, In, Yong, MD, PhD
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.05.2017
• Subjects: Aged; Arthroplasty, Replacement, Knee - methods; Body Mass Index; Female; Humans; Knee Joint - surgery; Male; Middle Aged; Orthopedics; Osteoarthritis, Knee - surgery; Patient Reported Outcome Measures; Patient Satisfaction; patient-reported outcome measure; Postoperative Period; Propensity Score; propensity score matching; Retrospective Studies; Severity of Illness Index; total knee arthroplasty; Treatment Outcome; unicompartmental knee arthroplasty; patient satisfaction; total knee arthroplasty; propensity score matching; unicompartmental knee arthroplasty; patient-reported outcome measure
• ISSN: 0883-5403; 1532-8406
• DOI: 10.1016/j.arth.2016.11.034

Abstract Background The purpose of this study was to compare the patient-reported outcomes regarding joint awareness, function, and satisfaction after unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA). Methods We identified all patients who underwent a UKA or TKA at our institution between September 2011 and March 2014, with a minimum follow-up of 2 years. Propensity score matching was performed for age, gender, body mass index, operation side, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score. One hundred UKAs to 100 TKAs were matched. Each knee was evaluated according to the WOMAC score, Forgotten Joint Score (FJS), High Flexion Knee Score (HFKS) and patient's satisfaction at postoperative 2 years. Results There was no significant difference in WOMAC score at postoperative 2 years between UKA and TKA groups. However, the FJS of the UKA group was significantly higher than that of the TKA group (67.3 ± 19.8 and 60.6 ± 16.6, respectively; P  = .011). The HFKS was also significantly higher in the UKA group compared with the TKA group (34.4 ± 6.4 and 31.3 ± 5.2, respectively; P < .001). Eighty-six percent of all patients who underwent UKA were satisfied compared with 71% of those who underwent TKA ( P  = .027). Conclusion Patients who underwent UKA had higher FJS, HFKS, and satisfaction rate when compared with patients who underwent TKA, indicating that UKA facilitated less knee awareness and better function and satisfaction than TKA.