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Latifpoor, Mohsen, Sarzaeem, Mohammad Mahdi, Amoozadeh Omrani, Farzad, Raissi Dehkordi, Sina. (1403). Comparison of Functional Outcomes of Two Knee Arthroplasty Techniques (Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty) for the Treatment of Osteoarthritis, simultaneously done in the Same Patients. , 12(10), 695-700. doi: 10.22038/abjs.2024.75050.3469
Mohsen Latifpoor; Mohammad Mahdi Sarzaeem; Farzad Amoozadeh Omrani; Sina Raissi Dehkordi. "Comparison of Functional Outcomes of Two Knee Arthroplasty Techniques (Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty) for the Treatment of Osteoarthritis, simultaneously done in the Same Patients". , 12, 10, 1403, 695-700. doi: 10.22038/abjs.2024.75050.3469
Latifpoor, Mohsen, Sarzaeem, Mohammad Mahdi, Amoozadeh Omrani, Farzad, Raissi Dehkordi, Sina. (1403). 'Comparison of Functional Outcomes of Two Knee Arthroplasty Techniques (Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty) for the Treatment of Osteoarthritis, simultaneously done in the Same Patients', , 12(10), pp. 695-700. doi: 10.22038/abjs.2024.75050.3469
Latifpoor, Mohsen, Sarzaeem, Mohammad Mahdi, Amoozadeh Omrani, Farzad, Raissi Dehkordi, Sina. Comparison of Functional Outcomes of Two Knee Arthroplasty Techniques (Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty) for the Treatment of Osteoarthritis, simultaneously done in the Same Patients. , 1403; 12(10): 695-700. doi: 10.22038/abjs.2024.75050.3469

Comparison of Functional Outcomes of Two Knee Arthroplasty Techniques (Total Knee Arthroplasty and Unicompartmental Knee Arthroplasty) for the Treatment of Osteoarthritis, simultaneously done in the Same Patients

The Archives of Bone and Joint Surgery
مقاله 4، دوره 12، شماره 10، دی 2024، صفحه 695-700    اصل مقاله (753.61 K)
نوع مقاله: RESEARCH PAPER
شناسه دیجیتال (DOI): 10.22038/abjs.2024.75050.3469
نویسندگان
Mohsen Latifpoor1؛ Mohammad Mahdi Sarzaeem* 1؛ Farzad Amoozadeh Omrani1؛ Sina Raissi Dehkordi2
1Department of Orthopedic, School of Medicine, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2Student research Committee, Alborz University of medical sciences, Karaj, Iran
چکیده
Objectives: This study aims to provide a comprehensive comparative analysis of functional outcomes 
between Unicompartmental Knee Arthroplasty (UKA) and Total Knee Arthroplasty (TKA) in patients 
diagnosed with bilateral knee osteoarthritis. Both procedures were perform ed simultaneously on 
separate knees to evaluate their respective efficacy.
Methods: The study included 25 patients (18 women and 7 men) with a mean age of 59.6 years, all meeting the 
criteria for administering UKA on one knee and TKA on the other. Radiographic and clinical data were collected over 
a two-year period, with assessments conducted at 6 months, 1 year, and 2 years postoperatively. Data included 
age, gender, body mass index, medical history, surgical procedures, and various scores and measurements related 
to knee function.
Results: The UKA group exhibited significant improvements in functional scores compared to the TKA group. 
Specifically, the Western Ontario and McMaster Universities Osteoarthritis Index score for the UKA knee was 24.5% 
higher than that of the TKA knee, indicating better functional outcomes. Radiographically, the tibiofemoral angle was 
more than two times greater in the UKA method, while the varus angle was significantly greater in the TKA method. 
No post-operative complications were reported.
Conclusion: This study underscored the safety and efficacy of both UKA and TKA procedures in the treatment of 
bilateral knee osteoarthritis. UKA demonstrated superior functional outcomes, while TKA displayed distinct 
advantages in radiographic alignment. Individual patient characteristics and preferences should guide the selection 
of the most appropriate surgical approach.
 Level of evidence: IV
کلیدواژه‌ها
Functional outcome؛ Osteoarthritis؛ Surgical approach؛ Total Knee Arthroplasty؛ Unicompartmental Arthroplasty
مراجع
1. Michael JW, Schlüter-Brust KU, Eysel P. The epidemiology, 
etiology, diagnosis, and treatment of osteoarthritis of the 
knee. Dtsch Arztebl Int. 2010; 107(9):152-62. 
doi:10.3238/arztebl.2010.0152.
2. Primorac D, Molnar V, Rod E, et al. Knee Osteoarthritis: A 
Review of Pathogenesis and State-Of-The-Art Non-Operative 
Therapeutic Considerations. Genes (Basel). 2020; 11(8) doi: 
10.3390/genes11080854.
3. Hussain SM, Neilly DW, Baliga S, Patil S, Meek R. Knee 
osteoarthritis: a review of management options. Scott Med J. 
2016; 61(1):7-16. doi:10.1177/0036933015619588.
4. Leiss F, Götz JS, Maderbacher G, et al. Pain management of 
unicompartmental (UKA) vs. total knee arthroplasty (TKA) 
based on a matched pair analysis of 4144 cases. Sci Rep. 
2020; 10(1):17660. doi:10.1038/s41598-020-74986-x.
5. Laurencin CT, Zelicof SB, Scott RD, Ewald FC. 
Unicompartmental versus total knee arthroplasty in the same 
patient. A comparative study. Clin Orthop Relat Res. 1991 ;( 
273):151-6. 
6. Lyons MC, MacDonald SJ, Somerville LE, Naudie DD, 
McCalden RW. Unicompartmental versus total knee 
arthroplasty database analysis: is there a winner? Clin Orthop 
Relat Res. 2012; 470(1):84-90. doi:10.1007/s11999-011-
2144-z.
7. Ahn JH, Kang DM, Choi KJ. Bilateral simultaneous 
unicompartmental knee arthroplasty versus unilateral total 
knee arthroplasty: A comparison of the amount of blood loss 
and transfusion, perioperative complications, hospital stay, 
and functional recovery. Orthop Traumatol Surg Res. 2017; 
103(7):1041-1045. doi:10.1016/j.otsr.2017.06.014.
8. Schwab P-E, Lavand’homme P, Yombi JC, Thienpont E. Lower 
blood loss after unicompartmental than total knee 
arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2015; 
23(12):3494-3500. doi:10.1007/s00167-014-3188-x.
9. Kievit AJ, Kuijer P, de Haan LJ, et al. Patients return to work 
sooner after unicompartmental knee arthroplasty than after total knee arthroplasty. Knee Surg Sports Traumatol 
Arthrosc. 2020; 28(9):2905-2916. doi:10.1007/s00167-019-
05667-0.
10. Costa CR, Johnson AJ, Mont MA, Bonutti PM. 
Unicompartmental and total knee arthroplasty in the same 
patient. J Knee Surg. 2011; 24(4):273-8. doi:10.1055/s-0031-
1280970.
11. Dalury D, Kelley TC, Adams MJ. Medial UKA: Favorable MidTerm Results in Middle-Aged Patients. J Knee Surg. 2013; 
26(02):133-138. doi:10.1055/s-0032-1322599.
12. Liu CY, Li CD, Wang L, et al. Function scores of different 
surgeries in the treatment of knee osteoarthritis: A PRISMAcompliant systematic review and network-meta analysis. 
Medicine (Baltimore).2018; 97(21):e10828. 
doi:10.1097/md.0000000000010828.
13. Vasso M, Corona K, Gomberg B, Marullo M, group EKASIf. 
Obesity increases the risk of conversion to total knee 
arthroplasty after unicompartimental knee arthroplasty: a 
meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2022; 
30(12):1795. doi: 10.1007/s00167-021-06780-9.
14. Hiranaka T, Tanaka T, Fujishiro T, et al. Is postoperative 
flexion angle genuinely better in unicompartmental knee 
arthroplasty than in total knee arthroplasty? A comparison 
between the knees in the same patients. Knee. 2020; 
27(6):1907-1913. doi:10.1016/j.knee.2020.09.011.
15. Bagherifard, A., Jabalameli, M., Yahyazadeh, H., Ostovar, M. 
Midterm Outcomes of Unicompartmental Knee Arthroplasty 
for the Treatment of Knee Medial Compartment 
Osteoarthritis: A Retrospective Study. The Archives of Bone 
and Joint Surgery, 2023; 11(5): 326-329. doi: 
10.22038/abjs.2023.66905.3186
16.RODRIGUEZ-MERCHAN, E. C. Unicompartmental Knee 
Osteoarthritis (UKOA): Unicompartmental Knee Arthroplasty 
(UKA) or High Tibial Osteotomy (HTO)?. The Archives of Bone 
and Joint Surgery, 2016; 4(4): 307-313. doi: 
10.22038/abjs.2015.5815

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