Return to Sports Activity following UKA and TKA

Abstract

Unicompartmental medial knee arthritis can be successfully treated with either unicompartmental or total knee arthroplasty (UKA or TKA). Active patients often inquire about the relative likelihood of returning to a sport-related activity after surgery. Some advocates of UKA suggest that UKA can lead to a higher rate of return to sports activity postoperatively, but little information is available comparing the outcomes of UKA versus TKA. We identified 33 patients with UKA and 39 patients with TKA with minimum 2-year follow-up (4 ± 1.2 years) who had similar preoperative clinical and radiographic examinations. Clinical evaluation revealed no difference in the number of patients who returned to sports or their satisfaction, but patients with UKA returned to sports more quickly and exhibited better postoperative knee scores than TKA patients.

Keywords

UKA - TKA - return to sports - arthroplasty

• References

• 1 Satku K. Unicompartmental knee arthroplasty: is it a step in the right direction?—Surgical options for osteoarthritis of the knee. Singapore Med J 2003; 44 (11) 554-556
• 2 O'Rourke MR, Gardner JJ, Callaghan JJ , et al. The John Insall Award: unicompartmental knee replacement: a minimum twenty-one-year followup, end-result study. Clin Orthop Relat Res 2005; 440 (440) 27-37
• 3 Meek RMD, Masri BA, Duncan CP. Minimally invasive unicompartmental knee replacement: rationale and correct indications. Orthop Clin North Am 2004; 35 (2) 191-200
• 4 Pietschmann MF, Wohlleb L, Weber P , et al. Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect?. Int Orthop 2013; 37 (1) 31-37
• 5 Naal FD, Fischer M, Preuss A , et al. Return to sports and recreational activity after unicompartmental knee arthroplasty. Am J Sports Med 2007; 35 (10) 1688-1695
• 6 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 2006; 19 (2) 112-116
• 7 Hopper GP, Leach WJ. Participation in sporting activities following knee replacement: total versus unicompartmental. Knee Surg Sports Traumatol Arthrosc 2008; 16 (10) 973-979
• 8 Amin AK, Patton JT, Cook RE, Gaston M, Brenkel IJ. Unicompartmental or total knee arthroplasty? Results from a matched study. Clin Orthop Relat Res 2006; 451 (451) 101-106
• 9 Williams DH, Greidanus NV, Masri BA, Duncan CP, Garbuz DS. Predictors of participation in sports after hip and knee arthroplasty. Clin Orthop Relat Res 2012; 470 (2) 555-561
• 10 Wylde V, Blom A, Dieppe P, Hewlett S, Learmonth I. Return to sport after joint replacement. J Bone Joint Surg Br 2008; 90 (7) 920-923
• 11 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 1998; 80 (5) 862-865
• 12 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 2003; 44 (11) 559-562