Abstract

BackgroundPhysical activity and regular participation in recreational sports gain importance in patients’ lifestyle after knee arthroplasty. Cementless unicompartimental Knee replacement with the Oxford System has been introduced into clinical routine. Currently there is no data reporting on the physical activity, return to sports rate and quality of live after medial cementless Oxford Unicompartimental Knee Replacement (OUKR).MethodsThis retrospective cohort study reports on the functional outcome of the first 27 consecutive patients (30 knees) that were consecutively treated with a cementless medial OUKR between 2007 and 2009 in our hospital. Physical activity and quality of life were measured using the Tegner-Score, the UCLA-Activity Score, the Schulthess Clinical Activity Questionnaire and the SF-36 Score. The patients’ satisfaction with the outcome was measured using a visual analogue scale.ResultsMean age at surgery was 62.5 years. Patients showed a rapid recovery with 17 out of 27 patients returning to sports within 3 months, 24 within 6 months after surgery. The Return-to-activity-rate was 100%. 10 out of 27 patients showed a high activity level (UCLA ≥7 points) with a mean postoperative UCLA-Score of 6.1 points.ConclusionsPatients recover rapidly after cementless OUKR with a return to sports rate of 100% and patients are able to participate in high impact sports disciplines.

Highlights

  • Physical activity and regular participation in recreational sports gain importance in patients’ lifestyle after knee arthroplasty

  • Demographics and study group The study group consisted of the first 27 consecutive patients (15 male, 12 female, 30 knees) that were consecutively treated with cementless Oxford Unicompartimental Knee Replacement (OUKR) in our institution

  • The third patient was excluded after total knee replacement following progressive OA of the lateral and the patellofemoral joint (PFJ)

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Summary

Introduction

Physical activity and regular participation in recreational sports gain importance in patients’ lifestyle after knee arthroplasty. There is no data reporting on the physical activity, return to sports rate and quality of live after medial cementless Oxford Unicompartimental Knee Replacement (OUKR). While the mean age of patients receiving UKR is 63.6 years, several studies show that patients perform high levels of activities up until after 70 years of age [1,2,3]. Physical functioning and participation in sports after surgery are important outcome measures of a successful joint replacement. To allow high levels of activity, UKR provides more physiological knee kinematics, a higher range of motion, a more natural perception of the knee, shorter hospital stay, faster recovery with a lower rate of complication when compared to Total. As the cemented UKR is a reliable treatment option for antero medial OA, its’ widespread use has been recommended for the elderly as well as for younger OA patients (e.g. patients

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