PMID- 37094284
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230426
IS  - 2426-8887 (Print)
IS  - 2426-8887 (Electronic)
IS  - 2426-8887 (Linking)
VI  - 9
DP  - 2023
TI  - Partial versus total knee arthroplasty for isolated antero-medial osteoarthritis 
      - An analysis of PROMs and satisfaction.
PG  - 11
LID - 10.1051/sicotj/2023006 [doi]
LID - 11
AB  - AIM: This study aimed to compare the patient-reported functional outcomes and 
      patient satisfaction after medial Unicompartmental Knee Arthroplasty (UKA) versus 
      Total Knee Arthroplasty (TKA), performed for anteromedial osteoarthritis (AMOA) 
      of the knee in patients from an Indian population, at a minimum 3-year follow-up. 
      METHODS: This is a prospective matched cohort study (1:2 ratio). One hundred and 
      one UKA cases were matched to 206 TKA cases by propensity score matching for age, 
      body mass index (BMI), gender distribution, and the Charlson Comorbidity Index 
      (CCI). The primary outcome (Oxford knee score, OKS) was assessed at a 3-year 
      follow-up, along with secondary outcomes (Western Ontario and McMaster 
      Universities Osteoarthritis Index [WOMAC] Score, Forgotten Joint Score (FJS), 
      Anterior Knee Pain (Kujala) score, patient satisfaction, and revision rate at the 
      final follow-up). RESULTS: The UKA group was superior to the TKA group in 
      patient-reported functional outcomes based on the OKS (p = 0.004). Using the FJS 
      score, UKA was more likely to be a forgotten joint compared to TKA (p < 0.001). 
      However, differences in the OKS and FJS did not meet the reported minimal 
      clinically important difference (MCID) thresholds. Quality of life (EuroQol-5D 
      VAS scale) was found to be significantly higher in the UKA group (p < 0.001). 
      Patients in the UKA group were more likely to be very satisfied (75.2%) versus 
      the TKA group (62.1%, p = 0.023). CONCLUSION: For AMOA, UKA was associated with 
      improved patient satisfaction compared to TKA. Although patient-reported outcome 
      measures were statistically in favour of UKA over TKA, the differences were not 
      clinically significant. Multicenter and randomized studies comparing the two 
      procedures are warranted. EVIDENCE: Level-II Therapeutic.
CI  - (c) The Authors, published by EDP Sciences, 2023.
FAU - Annapareddy, Adarsh
AU  - Annapareddy A
AUID- ORCID: 0000-0001-9463-8950
AD  - Consultant Orthopaedic and Joint Replacement Surgeon, Sunshine Bone and Joint 
      Institute, KIMS-Sunshine Hospitals, 500003 Hyderabad, India.
FAU - Mulpur, Praharsha
AU  - Mulpur P
AUID- ORCID: 0000-0002-1659-2587
AD  - Consultant Orthopaedic and Joint Replacement Surgeon, Sunshine Bone and Joint 
      Institute, KIMS-Sunshine Hospitals, 500003 Hyderabad, India.
FAU - Prakash, Mrinal
AU  - Prakash M
AD  - Research Fellow, Joint Replacement Surgery, Sunshine Bone and Joint Institute, 
      KIMS-Sunshine Hospitals, 500003 Hyderabad, India.
FAU - Suhas Masilamani, A B
AU  - Suhas Masilamani AB
AD  - Consultant Orthopaedic and Joint Replacement Surgeon, Sunshine Bone and Joint 
      Institute, KIMS-Sunshine Hospitals, 500003 Hyderabad, India.
FAU - Eachempati, Krishna Kiran
AU  - Eachempati KK
AUID- ORCID: 0000-0003-1416-9918
AD  - Consultant Orthopaedic and Joint Replacement Surgeon, Department of Orthopaedics, 
      Medicover Hospitals, 524002 Hyderabad, India.
FAU - Gurava Reddy, A V
AU  - Gurava Reddy AV
AD  - Consultant Orthopaedic and Joint Replacement Surgeon, Sunshine Bone and Joint 
      Institute, KIMS-Sunshine Hospitals, 500003 Hyderabad, India.
LA  - eng
PT  - Journal Article
DEP - 20230421
PL  - France
TA  - SICOT J
JT  - SICOT-J
JID - 101675099
PMC - PMC10125017
OTO - NOTNLM
OT  - AMOA
OT  - Arthroplasty
OT  - PROM
OT  - Satisfaction
OT  - Unicompartmental
COIS- The authors declare that they have no competing financial interests or personal 
      relationships that could have appeared to influence the work reported in this 
      paper.
EDAT- 2023/04/24 18:42
MHDA- 2023/04/24 18:43
PMCR- 2023/04/21
CRDT- 2023/04/24 04:13
PHST- 2022/10/19 00:00 [received]
PHST- 2023/03/12 00:00 [accepted]
PHST- 2023/04/24 18:43 [medline]
PHST- 2023/04/24 18:42 [pubmed]
PHST- 2023/04/24 04:13 [entrez]
PHST- 2023/04/21 00:00 [pmc-release]
AID - sicotj220092 [pii]
AID - 10.1051/sicotj/2023006 [doi]
PST - ppublish
SO  - SICOT J. 2023;9:11. doi: 10.1051/sicotj/2023006. Epub 2023 Apr 21.