The Knee
Volume 16, Issue 6 , Pages 473-478 , December 2009

Unicondylar knee arthroplasty in the UK National Health Service: An analysis of candidacy, outcome and cost efficacy

  • Charles A. Willis-Owen

      Affiliations

    • Department of Orthopaedics, Imperial College Academic Health Science Centre, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London, W6 9NT, United Kingdom
    • Corresponding Author InformationCorresponding author. Tel.: +44 2088461234; fax: +44 2088461439.
    • ,
  • Klaus Brust

      Affiliations

    • Department of Orthopaedics, Imperial College Academic Health Science Centre, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London, W6 9NT, United Kingdom
    • ,
  • Helen Alsop

      Affiliations

    • Department of Orthopaedics, Imperial College Academic Health Science Centre, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London, W6 9NT, United Kingdom
    • ,
  • Marisa Miraldo

      Affiliations

    • Imperial College Business School, Tanaka Building, South Kensington Campus, London, SW7 2AZ, United Kingdom
    • ,
  • Justin P. Cobb

      Affiliations

    • Department of Orthopaedics, Imperial College Academic Health Science Centre, Charing Cross Hospital, Fulham Palace Road, Hammersmith, London, W6 9NT, United Kingdom

Received 3 January 2009 ,Revised 8 April 2009 ,Accepted 13 April 2009.

References 

  1. Newman JH, Ackroyd CE, Shah NA. Unicompartmental or total knee replacement? Five-year results of a prospective, randomised trial of 102 osteoarthritic knees with unicompartmental arthritis. J Bone Joint Surg Br. Sep 1998;80(5):862–865
  2. Murray DW, Goodfellow JW, O'Connor JJ. The Oxford medial unicompartmental arthroplasty: a ten-year survival study. J Bone Joint Surg Br. Nov 1998;80(6):983–989
  3. Keys GW, Ul-Abiddin Z, Toh EM. Analysis of first forty Oxford medial unicompartmental knee replacement from a small district hospital in UK. Knee. Oct 2004;11(5):375–377
  4. Rajasekhar C, Das S, Smith A. Unicompartmental knee arthroplasty. 2- to 12-year results in a community hospital. J Bone Joint Surg Br. Sep 2004;86(7):983–985
  5. Svard UC, Price AJ. Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br. Mar 2001;83(2):191–194
  6. Laurencin CT, Zelicof SB, Scott RD, Ewald FC. Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res. Dec 1991;(273):151–156
  7. Amin AK, Patton JT, Cook RE, Gaston M, Brenkel IJ. Unicompartmental or total knee arthroplasty?: results from a matched study. Clin Orthop Relat Res. Oct 2006;451:101–106
  8. Hollinghurst D, Stoney J, Ward T, Gill HS, Newman JH, Murray DW, et al. No deterioration of kinematics and cruciate function 10 years after medial unicompartmental arthroplasty. Knee. Dec 2006;13(6):440–444
  9. Price AJ, Rees JL, Beard DJ, Gill RH, Dodd CA, Murray DM. Sagittal plane kinematics of a mobile-bearing unicompartmental knee arthroplasty at 10 years: a comparative in vivo fluoroscopic analysis. J Arthroplasty. Aug 2004;19(5):590–597
  10. Naal FD, Fischer M, Preuss A, Goldhahn J, von Knoch F, Preiss S, et al. Return to sports and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med. Oct 2007;35(10):1688–1695
  11. Fisher N, Agarwal M, Reuben SF, Johnson DS, Turner PG. Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty. Knee. Aug 2006;13(4):296–300
  12. Jahromi I, Walton NP, Dobson PJ, Lewis PL, Campbell DG. Patient-perceived outcome measures following unicompartmental knee arthroplasty with mini-incision. Int Orthop. Oct 2004;28(5):286–289
  13. Walton NP, Jahromi I, Lewis PL, Dobson PJ, Angel KR, Campbell DG. Patient-perceived outcomes and return to sport and work: TKA versus mini-incision unicompartmental knee arthroplasty. J Knee Surg. Apr 2006;19(2):112–116
  14. Bradbury N, Borton D, Spoo G, Cross MJ. Participation in sports after total knee replacement. Am J Sports Med. Jul–Aug 1998;26(4):530–535
  15. Chatterji U, Ashworth MJ, Lewis PL, Dobson PJ. Effect of total knee arthroplasty on recreational and sporting activity. ANZ J Surg. Jun 2005;75(6):405–408
  16. Huch K, Muller KA, Sturmer T, Brenner H, Puhl W, Gunther KP. Sports activities 5 years after total knee or hip arthroplasty: the Ulm Osteoarthritis Study. Ann Rheum Dis. Dec 2005;64(12):1715–1720
  17. Hopper GP, Leach WJ. Participation in sporting activities following knee replacement: total versus unicompartmental. Knee Surg Sports Traumatol Arthrosc. Oct 2008;16(10):973–979
  18. Riddle DL, Jiranek WA, McGlynn FJ. Yearly incidence of unicompartmental knee arthroplasty in the United States. J Arthroplasty. Apr 2008;23(3):408–412
  19. D.M.J. Emsley, C. Newell, M. Pickford, M. Royall, M. Swanson. National joint registry for England and Wales. 5th annual report 2008 [cited 2009]: available from: www.njrcentre.org.uk.
  20. Hip and knee replacements in Canada 2007 annual report: CJRR 2007.
  21. Graves SDD, De Steiger R, Tomkins A. In: Hip and knee arthoplasty annual report. Australian Orthopaedic association; 2008;
  22. Annual report: the Swedish Knee Arthroplasty Register Lund University Hospital 2008.
  23. Springer BD, Scott RD, Thornhill TS. Conversion of failed unicompartmental knee arthroplasty to TKA. Clin Orthop Relat Res. May 2006;446:214–220
  24. Levine WN, Ozuna RM, Scott RD, Thornhill TS. Conversion of failed modern unicompartmental arthroplasty to total knee arthroplasty. J Arthroplasty. Oct 1996;11(7):797–801
  25. Rees JL, Price AJ, Beard DJ, Dodd CA, Murray DW. Minimally invasive Oxford unicompartmental knee arthroplasty: functional results at 1 year and the effect of surgical inexperience. Knee. Oct 2004;11(5):363–367
  26. Ahlback S. Osteoarthrosis of the knee. A radiographic investigation. Acta Radiol Diagn (Stockh). 1968;(Suppl 277):7–72
  27. Keyes GW, Carr AJ, Miller RK, Goodfellow JW. The radiographic classification of medial gonarthrosis. Correlation with operation methods in 200 knees. Acta Orthop Scand. Oct 1992;63(5):497–501
  28. Beard DJ, Pandit H, Gill HS, Hollinghurst D, Dodd CA, Murray DW. The influence of the presence and severity of pre-existing patellofemoral degenerative changes on the outcome of the Oxford medial unicompartmental knee replacement. J Bone Joint Surg Br. Dec 2007;89(12):1597–1601
  29. Beard DJ, Pandit H, Ostlere S, Jenkins C, Dodd CA, Murray DW. Pre-operative clinical and radiological assessment of the patellofemoral joint in unicompartmental knee replacement and its influence on outcome. J Bone Joint Surg Br. Dec 2007;89(12):1602–1607
  30. Noble PC, Conditt MA, Cook KF, Mathis KB. The John Insall Award: patient expectations affect satisfaction with total knee arthroplasty. Clin Orthop Relat Res. Nov 2006;452:35–43
  31. Noble PC, Gordon MJ, Weiss JM, Reddix RN, Conditt MA, Mathis KB. Does total knee replacement restore normal knee function?. Clin Orthop Relat Res. Feb 2005;(431):157–165
  32. Weiss JM, Noble PC, Conditt MA, Kohl HW, Roberts S, Cook KF, et al. What functional activities are important to patients with knee replacements?. Clin Orthop Relat Res. Nov 2002;(404):172–188
  33. NICE. Guide to the method of technology appraisal2008: available from: www.nice.org.uk.
  34. Drury PMJ, Newell C, Pickford M, Royall M, Swanson M, May L. In: National joint registry for England and Wales 4th annual report. The NJR Centre; 2007;
  35. Dudley TE, Gioe TJ, Sinner P, Mehle S. Registry outcomes of unicompartmental knee arthroplasty revisions. Clin Orthop Relat Res. Jul 2008;466(7):1666–1670
  36. Yang KY, Wang MC, Yeo SJ, Lo NN. Minimally invasive unicondylar versus total condylar knee arthroplasty—early results of a matched-pair comparison. Singapore Med J. Nov 2003;44(11):559–562
  37. Ackroyd CE, Whitehouse SL, Newman JH, Joslin CC. A comparative study of the medial St Georg sled and kinematic total knee arthroplasties. Ten-year survivorship. J Bone Joint Surg Br. Jul 2002;84(5):667–672
  38. Koskinen E, Eskelinen A, Paavolainen P, Pulkkinen P, Remes V. Comparison of survival and cost-effectiveness between unicondylar arthroplasty and total knee arthroplasty in patients with primary osteoarthritis: a follow-up study of 50,493 knee replacements from the Finnish Arthroplasty Register. Acta Orthop. Aug 2008;79(4):499–507
  39. Shakespeare D, Jeffcote B. Unicondylar arthroplasty of the knee—cheap at half the price?. Knee. Dec 2003;10(4):357–361
  40. Rougraff BT, Heck DA, Gibson AE. A comparison of tricompartmental and unicompartmental arthroplasty for the treatment of gonarthrosis. Clin Orthop Relat Res. Dec 1991;(273):157–164
  41. Slover J, Espehaug B, Havelin LI, Engesaeter LB, Furnes O, Tomek I, et al. Cost-effectiveness of unicompartmental and total knee arthroplasty in elderly low-demand patients. A Markov decision analysis. J Bone Joint Surg Am. Nov 2006;88(11):2348–2355

PII: S0968-0160(09)00077-5

doi: 10.1016/j.knee.2009.04.006

The Knee
Volume 16, Issue 6 , Pages 473-478 , December 2009

Article Tools

* Image Usage & Resolution