Influence of patellofemoral osteoarthritis on functional outcome after unicondylar knee arthroplasty
Patellofemoral osteoarthritis is generally considered a contraindication for unicondylar knee arthroplasty. Therefore, even with an intact lateral compartment, bicondylar surface replacement is preferred when patellofemoral osteoarthritis is present, despite comparatively worse functional results. I...
Saved in:
Published in | Der Orthopäde Vol. 34; no. 11; pp. 1088, 1090 - 1088 |
---|---|
Main Authors | , , , , , |
Format | Journal Article |
Language | German |
Published |
Germany
01.11.2005
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Patellofemoral osteoarthritis is generally considered a contraindication for unicondylar knee arthroplasty. Therefore, even with an intact lateral compartment, bicondylar surface replacement is preferred when patellofemoral osteoarthritis is present, despite comparatively worse functional results. In the present study, the influence of patellofemoral osteoarthritis on the outcome of the Oxford III unicondylar implant was investigated.
The HSS and the patella score according to Turba were used to retrospectively evaluate the outcome of 44 Oxford III unicondylar implants at an average follow-up of 35 months. The degree of patellofemoral osteoarthritis was radiographically graded according to the Sperner score.
The HSS score improved to an average of 92.3 points (68-99; p<0.001 vs preoperative score). With the patella score, only good and very good results were observed. At follow-up examination almost 70% of the knees showed patellofemoral osteoarthritis of degree III-IV. No correlation was found between the functional scores and the degree of patellofemoral osteoarthritis.
Radiographic patellofemoral osteoarthritis seems to have no influence on the functional outcome of the Oxford III unicondylar knee arthroplasty. Therefore, unicondylar surface replacement is indicated even with radiographic evidence of patellofemoral osteoarthritis, provided that it is clinically asymptomatic. |
---|---|
AbstractList | Patellofemoral osteoarthritis is generally considered a contraindication for unicondylar knee arthroplasty. Therefore, even with an intact lateral compartment, bicondylar surface replacement is preferred when patellofemoral osteoarthritis is present, despite comparatively worse functional results. In the present study, the influence of patellofemoral osteoarthritis on the outcome of the Oxford III unicondylar implant was investigated.
The HSS and the patella score according to Turba were used to retrospectively evaluate the outcome of 44 Oxford III unicondylar implants at an average follow-up of 35 months. The degree of patellofemoral osteoarthritis was radiographically graded according to the Sperner score.
The HSS score improved to an average of 92.3 points (68-99; p<0.001 vs preoperative score). With the patella score, only good and very good results were observed. At follow-up examination almost 70% of the knees showed patellofemoral osteoarthritis of degree III-IV. No correlation was found between the functional scores and the degree of patellofemoral osteoarthritis.
Radiographic patellofemoral osteoarthritis seems to have no influence on the functional outcome of the Oxford III unicondylar knee arthroplasty. Therefore, unicondylar surface replacement is indicated even with radiographic evidence of patellofemoral osteoarthritis, provided that it is clinically asymptomatic. BACKGROUNDPatellofemoral osteoarthritis is generally considered a contraindication for unicondylar knee arthroplasty. Therefore, even with an intact lateral compartment, bicondylar surface replacement is preferred when patellofemoral osteoarthritis is present, despite comparatively worse functional results. In the present study, the influence of patellofemoral osteoarthritis on the outcome of the Oxford III unicondylar implant was investigated.MATERIAL AND METHODSThe HSS and the patella score according to Turba were used to retrospectively evaluate the outcome of 44 Oxford III unicondylar implants at an average follow-up of 35 months. The degree of patellofemoral osteoarthritis was radiographically graded according to the Sperner score.RESULTSThe HSS score improved to an average of 92.3 points (68-99; p<0.001 vs preoperative score). With the patella score, only good and very good results were observed. At follow-up examination almost 70% of the knees showed patellofemoral osteoarthritis of degree III-IV. No correlation was found between the functional scores and the degree of patellofemoral osteoarthritis.CONCLUSIONRadiographic patellofemoral osteoarthritis seems to have no influence on the functional outcome of the Oxford III unicondylar knee arthroplasty. Therefore, unicondylar surface replacement is indicated even with radiographic evidence of patellofemoral osteoarthritis, provided that it is clinically asymptomatic. |
Author | Müller, P E V Schulze-Pellengahr, C Mazoochian, F Kreul, U Jansson, V Hauptmann, S M |
Author_xml | – sequence: 1 givenname: S M surname: Hauptmann fullname: Hauptmann, S M email: sandra.hauptmann@med.uni-muenchen.de organization: Orthopädische Klinik und Poliklinik, Ludwig-Maximilians-Universität, Klinikum Grosshadern, München. sandra.hauptmann@med.uni-muenchen.de – sequence: 2 givenname: U surname: Kreul fullname: Kreul, U – sequence: 3 givenname: F surname: Mazoochian fullname: Mazoochian, F – sequence: 4 givenname: C surname: V Schulze-Pellengahr fullname: V Schulze-Pellengahr, C – sequence: 5 givenname: V surname: Jansson fullname: Jansson, V – sequence: 6 givenname: P E surname: Müller fullname: Müller, P E |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/16133157$$D View this record in MEDLINE/PubMed |
BookMark | eNo1kDtPxDAQhF0c4h7wA2iQK7rA2k6cpEQnHiedRAN15NhrEUjsYDtF_j05cVQz2vl2pZ0tWTnvkJAbBvcMoHyIAEzwDKDIoCogK1ZkA4vL8kLAmmxj_FoIXvPqkqyZZEKwotwQc3C2n9BppN7SUSXse29x8EH11MeEXoX0GbrUReodtZPTqfPuFE5J-wGpsgkDnVynvTNzrwL9driMT2t-7FVM8xW5sKqPeH3WHfl4fnrfv2bHt5fD_vGYjUzUKWulqdsCJWhd2dJItEwbW3HGudF5biyXUuWFkqhBsFZAiSLniK22eVsxFDty93d3DP5nwpiaoYt6-Ug59FNsZFWWIMp6AW_P4NQOaJoxdIMKc_Pfi_gFNhNotg |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM 7X8 |
DOI | 10.1007/s00132-005-0850-5 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
DocumentTitleAlternate | Einfluss der Retropatellararthrose auf das funktionelle Ergebnis nach unikondylären Schlittenprothesen |
EndPage | 1088 |
ExternalDocumentID | 16133157 |
Genre | Clinical Trial Journal Article |
GroupedDBID | -5E -5G -BR -EM -Y2 -~C .86 .VR 06C 06D 0VY 1N0 1SB 2.D 203 29N 29~ 2J2 2JN 2JY 2KG 2P1 2VQ 2~H 30V 4.4 408 409 40D 40E 53G 5GY 5VS 67Z 6NX 8UJ 95- 95. 95~ 96X AAAVM AABHQ AAFGU AAHNG AAIAL AAJKR AANXM AANZL AARHV AARTL AATVU AAUYE AAYIU AAYQN AAYTO ABBBX ABDZT ABECU ABFGW ABFTV ABHLI ABHQN ABIPD ABJNI ABJOX ABKAS ABKCH ABKTR ABLJU ABMNI ABMQK ABNWP ABPLI ABQBU ABSXP ABTEG ABTKH ABTMW ABULA ABWNU ABXPI ACBMV ACBRV ACBXY ACBYP ACGFS ACHSB ACHXU ACIGE ACIPQ ACKNC ACMDZ ACMLO ACOKC ACOMO ACSNA ACTTH ACVWB ADHHG ADHIR ADINQ ADKNI ADKPE ADMDM ADQRH ADTPH ADURQ ADYFF ADZKW AEBTG AEFQL AEFTE AEGAL AEGNC AEJHL AEJRE AEKMD AENEX AEOHA AEPYU AESTI AETLH AEVLU AEVTX AEXYK AFLOW AFQWF AFWTZ AFZKB AGDGC AGGBP AGJBK AGMZJ AGQMX AGWIL AGWZB AGYKE AHACP AHAVH AHIZS AHSBF AHYZX AIAKS AIIXL AILAN AIMYW AITGF AJBLW AJRNO AJZVZ AKMHD AKQUC ALMA_UNASSIGNED_HOLDINGS ALWAN AMKLP AMYLF AOCGG ARMRJ ASPBG AVWKF AXYYD AZFZN B-. BA0 BDATZ BGNMA CAG CGR COF CSCUP CUY CVF DL5 DNIVK DU5 EBD EBLON EBS ECM EIF EIOEI EJD EMOBN ESBYG F5P FEDTE FERAY FFXSO FIGPU FINBP FNLPD FRRFC FSGXE FWDCC G-Y G-Z GGCAI GGRSB GJIRD GNWQR GQ6 GQ7 GQ8 GXS HF~ HG5 HG6 HMJXF HQYDN HRMNR HVGLF HZ~ IHE IJ- IKXTQ IMOTQ IXC IXD IXE IZIGR IZQ I~X I~Z J-C J0Z JBSCW JCJTX KDC KOV LAS LLZTM M4Y MA- N2Q N9A NB0 NPM NQJWS NU0 O9- O93 O9I O9J OAM P9S PF0 QOK QOR QOS R89 R9I RIG RNS ROL RPX RSV S16 S1Z S27 S37 S3B SAP SDH SHX SISQX SMD SNE SNPRN SNX SOHCF SOJ SPISZ SRMVM SSLCW SSXJD STPWE SV3 SZ9 SZN T13 TSG TSK TSV TT1 TUC U2A U9L UG4 UNUBA UOJIU UTJUX UZXMN VC2 VFIZW W23 W48 WJK WK8 YLTOR Z45 ZOVNA ~S- 7X8 ZMTXR |
ID | FETCH-LOGICAL-p139t-b6d9b5e60cc8f7d6ef1cdf82122dc44df266a45a6ec031b307e342eebcf4b81e3 |
ISSN | 0085-4530 |
IngestDate | Sat Aug 17 01:40:27 EDT 2024 Thu May 23 23:10:53 EDT 2024 |
IsPeerReviewed | false |
IsScholarly | false |
Issue | 11 |
Language | German |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-p139t-b6d9b5e60cc8f7d6ef1cdf82122dc44df266a45a6ec031b307e342eebcf4b81e3 |
Notes | ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 content type line 23 |
PMID | 16133157 |
PQID | 68770379 |
PQPubID | 23479 |
PageCount | 1 |
ParticipantIDs | proquest_miscellaneous_68770379 pubmed_primary_16133157 |
PublicationCentury | 2000 |
PublicationDate | 2005-Nov 20051101 |
PublicationDateYYYYMMDD | 2005-11-01 |
PublicationDate_xml | – month: 11 year: 2005 text: 2005-Nov |
PublicationDecade | 2000 |
PublicationPlace | Germany |
PublicationPlace_xml | – name: Germany |
PublicationTitle | Der Orthopäde |
PublicationTitleAlternate | Orthopade |
PublicationYear | 2005 |
References | 15524130 - Ned Tijdschr Geneeskd. 2004 Oct 2;148(40):1960-5 12439239 - Clin Orthop Relat Res. 2002 Nov;(404):62-70 10530837 - J Bone Joint Surg Br. 1999 Sep;81(5):783-9 15534526 - Clin Orthop Relat Res. 2004 Nov;(428):92-9 10546598 - Clin Orthop Relat Res. 1999 Oct;(367 ):50-60 9768899 - J Bone Joint Surg Br. 1998 Sep;80(5):862-5 15534539 - Clin Orthop Relat Res. 2004 Nov;(428):170-3 3733813 - J Bone Joint Surg Br. 1986 May;68(3):447-52 11716395 - Clin Orthop Relat Res. 2001 Nov;(392):272-8 9853489 - J Bone Joint Surg Br. 1998 Nov;80(6):983-9 3192563 - J Bone Joint Surg Br. 1988 Nov;70(5):692-701 10819281 - J Bone Joint Surg Am. 2000 May;82(5):705-11 434300 - Am J Sports Med. 1979 Mar-Apr;7(2):91-4 7844137 - J Bone Joint Surg Am. 1995 Feb;77(2):278-92 9581241 - Arch Orthop Trauma Surg. 1998;117(4-5):183-7 8774203 - Arch Intern Med. 1996 Apr 22;156(8):851-6 11740750 - J Arthroplasty. 2001 Dec;16(8):970-6 12107311 - J Bone Joint Surg Am. 2002 Jul;84-A(7):1132-7 12410453 - Zentralbl Chir. 2002 Oct;127(10):868-72 15067640 - J Arthroplasty. 2004 Apr;19(3):296-301 13498604 - Ann Rheum Dis. 1957 Dec;16(4):494-502 1959265 - Clin Orthop Relat Res. 1991 Dec;(273):157-64 1969691 - Aktuelle Traumatol. 1990 Feb;20(1):24-8 10546599 - Clin Orthop Relat Res. 1999 Oct;(367 ):61-72 15480659 - Int Orthop. 2004 Oct;28(5):286-9 8403650 - Clin Orthop Relat Res. 1993 Oct;(295):205-13 12407135 - J Antimicrob Chemother. 2002 Nov;50(5):747-50 11284563 - J Bone Joint Surg Br. 2001 Mar;83(2):191-4 10883426 - Knee Surg Sports Traumatol Arthrosc. 2000;8(3):154-8 |
References_xml | |
SSID | ssj0012928 |
Score | 1.4804277 |
Snippet | Patellofemoral osteoarthritis is generally considered a contraindication for unicondylar knee arthroplasty. Therefore, even with an intact lateral compartment,... BACKGROUNDPatellofemoral osteoarthritis is generally considered a contraindication for unicondylar knee arthroplasty. Therefore, even with an intact lateral... |
SourceID | proquest pubmed |
SourceType | Aggregation Database Index Database |
StartPage | 1088, 1090 |
SubjectTerms | Adult Aged Aged, 80 and over Arthroplasty, Replacement, Knee - instrumentation Arthroplasty, Replacement, Knee - statistics & numerical data Equipment Failure Analysis Female Femur - diagnostic imaging Femur - surgery Germany - epidemiology Humans Knee Joint - diagnostic imaging Male Middle Aged Osteoarthritis, Knee - diagnostic imaging Osteoarthritis, Knee - epidemiology Osteoarthritis, Knee - surgery Outcome Assessment (Health Care) - methods Patella - diagnostic imaging Patella - surgery Radiography Recovery of Function Retrospective Studies Risk Assessment - methods Risk Factors Treatment Outcome |
Title | Influence of patellofemoral osteoarthritis on functional outcome after unicondylar knee arthroplasty |
URI | https://www.ncbi.nlm.nih.gov/pubmed/16133157 https://search.proquest.com/docview/68770379 |
Volume | 34 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELagXLigIl6lFHzghoyaxI_ssaKgAuIh0UW9rfyKKkHjaJscur--M46zSVArAZcoihMn8nyZGc-TkNcGtHJdVRn8aaVmPLclM1ZohrKzlEp7F4NovnyVJ0v-6UycjcacmF3Smrd2c2Neyf9QFa4BXTFL9h8ou50ULsA50BeOQGE4_hWNPw4dRmLcssaEkFBh6CxqmEC-AM-cx6pF6BNAEZYsf6Fr4Xt86hCOCSKhdlcYkPqr9v5NfCw0oFi3M6_vMdz8DcZCE_3r3I2o0F3TXqSGyz9GE-vnte-ikXk5mr43IWCAdT2LK_6J9UC73xvPvvvY3UWfr0cj7mCWECk_b8JqS8G4SE6XxGqT3TJBKpswzgy4Hc6KcaI3cvY-mOMy-oYYvg9r7TExvReI01xEUoMaWxRZX_n6j3Law9Bdci9XC4H79WV-tHU85Yu8F97p6wdH-GGsOzt_NxacTbPdvj-JesrpLnmQNhj0qEfLQ3LH-UfEbZFCQ0XnSKFzpNBQ0xEpNCGFRqTQCVIoIoVOkfKYLD-8P313wlJ_DdaA3t8yI93CCC8PrS0r5aSvMuuqEpSZ3FnOXQXKm-ZCS2-B9RuQBr7guffGVtyUmS-ekJ061P4ZoZLLwoKu60rpuHPOaJl5JZyShiun1B55NazPCvgXOqV07UN3uZKlAqGjFnvkab9sq6Yvs7Ia1vb5rSP75P4IvRdkp113_gB0xNa8jFS9BjcxZ5s |
link.rule.ids | 315,786,790,27957,27958 |
linkProvider | Springer Nature |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Influence+of+patellofemoral+osteoarthritis+on+functional+outcome+after+unicondylar+knee+arthroplasty&rft.jtitle=Der+Orthop%C3%A4de&rft.au=Hauptmann%2C+S+M&rft.au=Kreul%2C+U&rft.au=Mazoochian%2C+F&rft.au=V+Schulze-Pellengahr%2C+C&rft.date=2005-11-01&rft.issn=0085-4530&rft.volume=34&rft.issue=11&rft.spage=1088%2C+1090&rft_id=info:doi/10.1007%2Fs00132-005-0850-5&rft_id=info%3Apmid%2F16133157&rft.externalDocID=16133157 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0085-4530&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0085-4530&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0085-4530&client=summon |