Outcome of simultaneous bi-unicompartmental knee arthroplasty: a systematic review

Outcome of simultaneous bi-unicompartmental knee arthroplasty: a systematic review

Authors

  • Ibrahim Akkawi Villa Erbosa Hospital 50/2, 40129, Bologna, Italy
  • Maurizio Draghetti Orthopaedics and Traumatology Unit, Villa Erbosa Hospital, Bologna, Italy
  • Hassan Zmerly Orthopaedics and Traumatology Unit, Villa Erbosa Hospital, Bologna, Italy

Keywords:

Bi-unicompartimental knee arthroplasty; Total knee arthroplasty; Unicompartmental knee arthroplasty; Patellofemoral arthroplasty; Osteoarthritis; Clinial outcome

Abstract

Background and aim: Simultaneous medial and lateral tibiofemoral osteoarthritis (OA) could be treated with bi-unicompartmental knee arthroplasty (Bi-UKA) as an alternative to total knee arthroplasty (TKA). The present systematic review aims to assess if simultaneous Bi-UKA is a feasible option for treating medial and lateral tibiofemoral OA. Materials and Methods: A comprehensive search of PubMed, MEDLINE, Cochrane Library, and Google Scholar was performed to find studies that reported on the outcome of simultaneous Bi-UKA for both medial and lateral tibiofemoral OA. Results: Seven studies were considered eligible for inclusion in the present systematic review. Intraoperative fractures occurred 8 times. Overall, there were 22 revisions of the prosthetic components for any reason with a survival rate that ranged from 83 to 100%. Of these, 16 revisions were for the aseptic loosening of the prosthetic components. Out of 302 surgeries, three were revised due to symptomatic OA progression in the patello-femoral joint. All clinical scores improved at the latest follow-up compared to preoperative values. Moreover, there were no differences in clinical scores of Bi-UKA compared to unicompartmental knee arthroplasty (UKA), or medial UKA plus patello-femoral prosthesis. Whereas, compared to TKA, Bi-UKA patients had comparable or superior scores. Finally, the Bi-UKA group had a significantly shorter hospital stay compared to the TKA group. Conclusions: The use of simultaneous Bi-UKA is a valid option to address bicompartmental knee OA in selected patients with low intraoperative fracture rate, low revision rate, satisfactory clinical outcome, and fast recovery.

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Published

05-12-2023

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How to Cite

1.
Outcome of simultaneous bi-unicompartmental knee arthroplasty: a systematic review. Acta Biomed [Internet]. 2023 Dec. 5 [cited 2024 Apr. 24];94(6):e2023240. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/15006

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