We have located links that may give you full text access.
Unicompartmental knee replacement in patients aged 70 years and older.
Muscles, Ligaments and Tendons Journal 2017 October
Introduction: The management of isolated unicompartmental osteoarthritis in the patient aged 70 years and older is an issue of debate. The purpose of the present study was to retrospectively evaluate the outcomes of patients aged over 70 years who underwent unicompartmental knee replacement (UKR) for the treatment of isolated unicompartmental osteoarthritis. The hypothesis was that this represents a safe and viable procedure leading to improved functional outcome in elderly patients affected by isolated unicompartmental osteoarthritis.
Methods: 22 consecutive medial compartment UKRs performed between 1998 and 2008 were retrospectively evaluated. Mean age was 74 years (range 70-93 years). Patients were evaluated preoperatively and after an average follow-up of 6.2 years (range 2 to 8). Assessment included KOOS score, WOMAC score, Knee Society Score. Standard X-rays were performed prior to surgery and at follow-up.
Results: Twenty patients showed a statistically significant improvement in all parameters. One patient who was 93 years old at the time of surgery died for unrelated causes. One patient required conversion to a total knee arthroplasty.
Discussion: UKR is a safe and clinically effective procedure, which has been proven valuable for the treatment of elderly patients with isolated unicompartmental osteoarthritis and with initial degenerative signs in the other compartments.
Conclusion: Age more than 70 does not appear to be a contraindication to the procedure.
Level of evidence: IV (case series).
Methods: 22 consecutive medial compartment UKRs performed between 1998 and 2008 were retrospectively evaluated. Mean age was 74 years (range 70-93 years). Patients were evaluated preoperatively and after an average follow-up of 6.2 years (range 2 to 8). Assessment included KOOS score, WOMAC score, Knee Society Score. Standard X-rays were performed prior to surgery and at follow-up.
Results: Twenty patients showed a statistically significant improvement in all parameters. One patient who was 93 years old at the time of surgery died for unrelated causes. One patient required conversion to a total knee arthroplasty.
Discussion: UKR is a safe and clinically effective procedure, which has been proven valuable for the treatment of elderly patients with isolated unicompartmental osteoarthritis and with initial degenerative signs in the other compartments.
Conclusion: Age more than 70 does not appear to be a contraindication to the procedure.
Level of evidence: IV (case series).
Full text links
Related Resources
Trending Papers
Heart failure with preserved ejection fraction: diagnosis, risk assessment, and treatment.Clinical Research in Cardiology : Official Journal of the German Cardiac Society 2024 April 12
Proximal versus distal diuretics in congestive heart failure.Nephrology, Dialysis, Transplantation 2024 Februrary 30
World Health Organization and International Consensus Classification of eosinophilic disorders: 2024 update on diagnosis, risk stratification, and management.American Journal of Hematology 2024 March 30
Efficacy and safety of pharmacotherapy in chronic insomnia: A review of clinical guidelines and case reports.Mental Health Clinician 2023 October
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app