The Outcome of Oxford Uni-Compartmental Knee Arthroplasty (Phase III) (in Different Patient Categories)

Abstract

Abstract Background: Mobile bearing UKA has gained renewed interest in the past decade limited to medial compartment of the knee. The advantages of UKA over TKA in properly selected patients are reduced blood loss, less peri-operative morbidity, short surgical time, faster recovery & rehabilitation as well as reduced post-operative pain. There is a debate about the contraindications of OUKA, whether it would be offered to obese or highly active individuals or not. This is may be because of the fear of increase risk of post-operative complication and poor survival of the prosthesis. By 2020; TKA utilization is expected to exceed one million annually therefore the cost-effectiveness of UKA as an alternative to TKA should be considered in relation to the patient age. Aim: Primarily, to conduct a systemic review & meta-analysis of the outcomes (Knee pain, function & motion range) of OUKA in standard, obese and highly active individuals pre and post-operatively. Secondarily, to assess the survivorship of the implant and it’s cost effectiveness in relation to the age.