PMID- 36825416
OWN - NLM
STAT- MEDLINE
DCOM- 20230227
LR  - 20230227
IS  - 1003-0034 (Print)
IS  - 1003-0034 (Linking)
VI  - 36
IP  - 2
DP  - 2023 Feb 25
TI  - [Propensity score-matched study of uni-condylar arthroplasty in elderly patients 
      with knee osteoarthritis].
PG  - 151-6
LID - 10.12200/j.issn.1003-0034.2023.02.011 [doi]
AB  - OBJECTIVE: To investigate the clinical efficacy of unicompartmental knee 
      arthroplasty (UKA) in the treatment of knee osteoarthritis in patients over 75 
      years old. METHODS: The clinical efficacy of primary fixed platform UKA in 
      patients with osteoarthritis, was retrospectively analyzed from October 2014 to 
      November 2020. Age, body mass index (BMI), range of motion (ROM), preoperative 
      joint function score, the quality of life score and other preoperative indicators 
      were measured by propensity score matching (PSM). The patients were divided into 
      elderly group (>/=75 years old) and control group (<75 years old). Oxford knee 
      score(OKS), Western Ontario McMaster Universities osteoarthritis index(WOMAC), 
      Short Form-12 including physical component summary (PCS), mental component 
      summary(MCS), minimal clinically important difference(MCID ) and clinical 
      complications were evaluated preoperatively and postoperatively. RESULTS: A total 
      of 514 patients were analyzed, 428 patients fulfilled the inclusion criteria. A 
      propensity-score matching study was conducted to eliminate confounding factors. 
      After 1ratio2 propensity match, there were 84 patients in elderly group (>/=75 years), 
      age ranged from 75 to 88 years old, with an average of (78.79+/-3.08) years old, 
      and 168 patients in control group (<75 years), age ranged from 47 to 74 years 
      old, with an average of (64.10+/-5.96)years old. The follow-up duration of two 
      groups ranged from 12 to 84 months with an average of (29.35+/-16.52) months in 
      elderly group, and 12 to 85 months with an average of (31.83+/-17.34) months in 
      control group. There was only significant difference in age between the elderly 
      and control groups preoperatively (P<0.01). Postoperatively, the elderly group 
      showed significantly higher WOMAC (P<0.01) and lower SF-12 PCS scores (P<0.01) as 
      compared to the control group. There was no significant difference between the 
      elderly group and the control group in knee range of motion, OKS and the 
      proportion of each scoring system reaching the minimum clinical difference value 
      (P>0.05). In the aspect of preperative complications, the elderly group exhibited 
      more surgical site complications and postoperative delirium compared to control 
      group(P<0.05). The differences in other indicators including deep vein 
      thrombosis, acute urinary retention, cardiovascular events, cerebrovascular 
      events and radiolucent lines around prothesis were not statistically 
      significant(P>0.05). CONCLUSION: UKA in the treatment of elderly patients over 75 
      years old with knee osteoarthritis was safe and feasible, and could obtain 
      satisfactory short-term efficacy.
FAU - Ling, Jing
AU  - Ling J
AD  - Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, 
      China.
FAU - Tu, Yi-Ji
AU  - Tu YJ
AD  - Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, 
      China.
FAU - Wang, Shi-Cheng
AU  - Wang SC
AD  - Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, 
      China.
FAU - Zhang, Jun-Hui
AU  - Zhang JH
AD  - Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, 
      China.
FAU - Di, Zheng-Lin
AU  - Di ZL
AD  - Department of Joint Surgery, Ningbo No.6 Hospital, Ningbo 315040, Zhejiang, 
      China.
LA  - chi
PT  - English Abstract
PT  - Journal Article
PL  - China
TA  - Zhongguo Gu Shang
JT  - Zhongguo gu shang = China journal of orthopaedics and traumatology
JID - 9815790
SB  - IM
MH  - Humans
MH  - Aged
MH  - Aged, 80 and over
MH  - Middle Aged
MH  - *Osteoarthritis, Knee/surgery
MH  - *Knee Prosthesis
MH  - Retrospective Studies
MH  - Propensity Score
MH  - Quality of Life
MH  - Knee Joint/surgery
MH  - *Arthroplasty, Replacement, Knee/methods
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Arthroplasty, Replacement, knee
OT  - Knee joint
OT  - Osteoarthritis, knee
OT  - Propensity score matching study
EDAT- 2023/02/25 06:00
MHDA- 2023/03/03 06:00
CRDT- 2023/02/24 03:44
PHST- 2023/02/24 03:44 [entrez]
PHST- 2023/02/25 06:00 [pubmed]
PHST- 2023/03/03 06:00 [medline]
AID - 10.12200/j.issn.1003-0034.2023.02.011 [doi]
PST - ppublish
SO  - Zhongguo Gu Shang. 2023 Feb 25;36(2):151-6. doi: 
      10.12200/j.issn.1003-0034.2023.02.011.