[Meta-analysis of unicompartmental knee arthroplasty versus high tibial osteotomy in the treatment of unicompartmental knee osteoarthritis]
- PMID: 20137600
[Meta-analysis of unicompartmental knee arthroplasty versus high tibial osteotomy in the treatment of unicompartmental knee osteoarthritis]
Abstract
Objective: To assess the efficacy of UKA versus HTO in the treatment of unicompartmental knee osteoarthritis.
Methods: Comparative studies of UKA and HTO were retrieved from the domestic and foreign literatures and included for a meta-analysis.
Results: Seven eligible randomized controlled trials included 196 UKAs and 219 HTOs. The result of Meta-analysis indicated that the ratio for an excellent outcome was higher in UKA than HTO. The combined OR was 2.43, 95%CI (1.46, 4.05) (P = 0.0006). The risks of revision and complications were lower in UKA than HTO. The combined OR was 0.47 and 0.24 and 95%CI (0.23, 0.97), (0.10, 0.56).
Conclusion: UKA reduces the risk of postoperative revision and complications and provides excellent outcomes.
Similar articles
-
Unicompartmental knee arthroplasty for the treatment of unicompartmental osteoarthritis: a systematic study.ANZ J Surg. 2007 Apr;77(4):214-21. doi: 10.1111/j.1445-2197.2007.04021.x. ANZ J Surg. 2007. PMID: 17388822 Review.
-
Unicompartmental Knee Arthroplasty vs High Tibial Osteotomy for Knee Osteoarthritis: A Systematic Review and Meta-Analysis.J Arthroplasty. 2018 Mar;33(3):952-959. doi: 10.1016/j.arth.2017.10.025. Epub 2017 Dec 2. J Arthroplasty. 2018. PMID: 29203354
-
Unicompartmental knee arthroplasty versus high tibial osteotomy: United States practice patterns for the surgical treatment of unicompartmental arthritis.J Arthroplasty. 2014 Aug;29(8):1586-9. doi: 10.1016/j.arth.2014.04.002. Epub 2014 Apr 5. J Arthroplasty. 2014. PMID: 24814891
-
Predictive factors for satisfaction after contemporary unicompartmental knee arthroplasty and high tibial osteotomy in isolated medial femorotibial osteoarthritis.Orthop Traumatol Surg Res. 2019 Feb;105(1):77-83. doi: 10.1016/j.otsr.2018.11.001. Epub 2018 Dec 1. Orthop Traumatol Surg Res. 2019. PMID: 30509622
-
Better clinical outcomes after unicompartmental knee arthroplasty when comparing with high tibial osteotomy.Medicine (Baltimore). 2017 Dec;96(50):e9268. doi: 10.1097/MD.0000000000009268. Medicine (Baltimore). 2017. PMID: 29390376 Free PMC article.
Cited by
-
Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction in a young patient with post-traumatic arthritis.BMJ Case Rep. 2023 Apr 3;16(4):e252550. doi: 10.1136/bcr-2022-252550. BMJ Case Rep. 2023. PMID: 37011992 Free PMC article.
-
UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL.Rev Bras Ortop. 2015 Nov 4;47(6):724-9. doi: 10.1016/S2255-4971(15)30029-X. eCollection 2012. Rev Bras Ortop. 2015. PMID: 27047891 Free PMC article.
-
Unicompartmental knee arthroplasty is associated with lower pain levels but inferior range of motion, compared with high tibial osteotomy: a systematic overview of meta-analyses.J Orthop Surg Res. 2022 Sep 24;17(1):425. doi: 10.1186/s13018-022-03319-7. J Orthop Surg Res. 2022. PMID: 36153554 Free PMC article.
-
Unicompartmental Knee Osteoarthritis (UKOA): Unicompartmental Knee Arthroplasty (UKA) or High Tibial Osteotomy (HTO)?Arch Bone Jt Surg. 2016 Oct;4(4):307-313. Arch Bone Jt Surg. 2016. PMID: 27847841 Free PMC article. Review.
-
Stiffness after unicompartmental knee arthroplasty: Risk factors and arthroscopic treatment.SICOT J. 2021;7:35. doi: 10.1051/sicotj/2021034. Epub 2021 May 19. SICOT J. 2021. PMID: 34009119 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical