Return to Sport Activity in the Elderly Patients after Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Methods
2.1. Criteria for Considering Studies for This Review
2.2. Primary Outcome Measures
2.3. Secondary Outcome Measures
2.4. Search Strategy for Study Identification
2.5. Data Collection and Analysis
2.6. Risk of Bias Assessment
2.7. Quantitative Analysis
3. Results
3.1. Research Results
3.2. Included and Excluded Studies
3.3. Demographic Results
3.4. Return to Sport Activity
3.5. Comparison with TKA
3.6. Clinical Outcome Data
3.7. Clinical Outcome Data UKA vs. TKA
3.8. Quality Assessment (MINORS)
4. Discussion
5. Conclusions
Author Contributions
Funding
Conflicts of Interest
References
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Author and Year | LOE | N.er of Patients | M | F | Type of Arthroplasty | Type of Implant | Bearing and Fixation | Mean Age at Surgery | Mean Follow-up (Months) | MINORS Score |
---|---|---|---|---|---|---|---|---|---|---|
Canetti et al. 2018 | 3 | 25 (28 knees) | 9 | 21 | Robotic UKA 11 | Resurfacing Uni Evolution, Tornier; BlueBelt Navio robotic surgical system. | Fixed bearing and cemented. | 66.5 ± 6.8 | 34.4 ± 10.5 | 17 |
______ | ___ | ___ | ||||||||
Conventional UKA 17 | 59.5 ± 9.9 | 39.3 ± 15.5 | ||||||||
Harbourne et al. 2018 | 3 | 995 | 44 | 54 | UKA 420 | n/a | n/a | 67 ± 10 | 12 | 16 |
__ | __ | _____ | ___ | |||||||
6 | 9 | TKA 575 | 70 ± 9 | |||||||
Lygre et al. 2010 | 3 | 1344 | 152 | 220 690 | UKA: 372 | Genesis Uni (Smith & Nephew), Miller-Galante all poly Uni (Zimmer), Oxford III (Biomet). | Fixed/mobile and cemented. | 68.8 ± 8.8 | 58.8 ± 27.6 | 15 |
_ | ____ | ____ | ___ | ___ | ___ | |||||
282 | TKA: 972 | AGC (Biomet), Genesis I (Smith & Nephew), LCS (DePuy) and NexGen (Zimmer). | Fixed bearing and cemented. | 76 ± 7.7 | 84 ± 28.8 | |||||
Matthews et al. 2013 | 2 | 68 | 10 | 24 | UKA 34 | n/a | n/a | UKA 67.3 ± 9.1 | 12 | 15 |
_ | _ | ____ | ___ | |||||||
14 | 20 | TKA 34 | TKA 69.2 ± 7.7 | |||||||
Naal et al. 2007 | 4 | 83 (83) | 45 | 38 | UKA | Preservation prosthesis (DePuy). | Fixed bearing and cemented. | 65.5 ± 9.1 years (47–83) | 12 | 10 |
Pandit et al. 2011 | 4 | 818 (1000) | - | - | UKA | Phase 3 Oxford medial UKA (Biomet). | Mobile bearing and cemented. | 66 (32–88) | 67.2 | 11 |
Pandit et al. 2015 | 4 | 579 (520) | 299 | 221 | UKA | Phase 3 Oxford medial UKA (Biomet). | Mobile bearing and cementless | 65.1 ± 10.3 (35–94) | 40.8 ± 20.4 | 12 |
Pietschmann et al. 2012 | 3 | 131 | 57 | 74 | UKA | Phase 3 Oxford medial UKA (Biomet). | Mobile bearing and cemented. | 65.3 (44–90) | 50.4 (12–120) | 7 |
Walton et al. 2010 | 3 | 150 (183) | 76 | 74 | UKA | Phase 3 Oxford medial UKA (Biomet). | Mobile bearing and cemented. | 71.5 ± 9.85 | 12 | 12 |
_ | _ | _ | _ | _ | _ | _ | ||||
120 (142) | 61 | 59 | TKA | n/a | n/a | 71.53 ± 9.87 | ||||
Wylde et al. 2008 | 3 | 966 | 48 511 | 52 355 | UKA: 100 TKA: 866 | n/a | n/a | 66 (45–88) 69.6 (26–93) | 24 | 16 |
Author and Year | N.er of Patients | Preoperative | Postoperative | Outcome | ||
---|---|---|---|---|---|---|
Mean | SD | Mean | SD | |||
Canetti R. 2018 | 28 | 66.3 | 8.9 | 97.2 | 5.9 | KSS-Objective |
84.6 | 11.3 | 96.4 | 9.2 | KSS-Functional | ||
6.4 | 1.6 | 6.6 | 1.4 | UCLA | ||
n/a | n/a | 96.4 | 8.3 | Lysholm scale | ||
Naal F. 2007 | 83 | 129.9 | 24.8 | 186.9 | 18.3 | KSS total |
Pandit H. 2011 | 1000 | 24.7 | 8.7 | 38.6 | 8.4 | OKS |
2.3 | 1.1 | 2 | 8.4 | Tegner activity score | ||
68.7 | 18 | 81.1 | 11.3 | AKSS-F | ||
47.4 | 20 | 81.1 | 16 | AKSS-O | ||
Pandit H. 2015 | 520 | 27 | 9 | 43 | 7 | OKS |
3 | n/a | 3 | n/a | Tegner activity score | ||
71 | 17 | 86 | 16 | AKSS-F | ||
52 | 20 | 92 | 12 | AKSS-O | ||
Pietschmann M. 2012 | 131 | n/a | n/a | 95.3 | 9.5 | KSS-Objective |
n/a | n/a | 86.7 | 13.8 | KSS-Functional | ||
n/a | n/a | 6 | 1 | UCLA | ||
n/a | n/a | 189 | 26.8 | KSS total | ||
n/a | n/a | 38.6 | 7.3 | OKS | ||
n/a | n/a | 90.6 | 9.7 | WOMAC ADL |
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Papalia, R.; Zampogna, B.; Torre, G.; Diaz Balzani, L.A.; Vasta, S.; Papalia, G.; De Vincentis, A.; Denaro, V. Return to Sport Activity in the Elderly Patients after Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis. J. Clin. Med. 2020, 9, 1756. https://doi.org/10.3390/jcm9061756
Papalia R, Zampogna B, Torre G, Diaz Balzani LA, Vasta S, Papalia G, De Vincentis A, Denaro V. Return to Sport Activity in the Elderly Patients after Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2020; 9(6):1756. https://doi.org/10.3390/jcm9061756
Chicago/Turabian StylePapalia, Rocco, Biagio Zampogna, Guglielmo Torre, Lorenzo Alirio Diaz Balzani, Sebastiano Vasta, Giuseppe Papalia, Antonio De Vincentis, and Vincenzo Denaro. 2020. "Return to Sport Activity in the Elderly Patients after Unicompartmental Knee Arthroplasty: A Systematic Review and Meta-Analysis" Journal of Clinical Medicine 9, no. 6: 1756. https://doi.org/10.3390/jcm9061756