Cargando…

Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis

Introduction: The role of bicompartmental knee arthroplasty (BKA) in the treatment of medial patellofemoral osteoarthritis (MPFOA) has been debated by orthopaedic surgeons for years. The BKA is a cruciate ligament retaining prosthesis designed to mimic the kinematics of the native knee that requires...

Descripción completa

Detalles Bibliográficos
Autores principales: Elbardesy, Hany, Awad, Ahmed K., McLeod, André, Farahat, Samar Tarek, Sayed, Somaya Zain Elabdeen, Guerin, Shane, Harty, James
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EDP Sciences 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269451/
https://www.ncbi.nlm.nih.gov/pubmed/34241595
http://dx.doi.org/10.1051/sicotj/2021036
_version_ 1783720582647382016
author Elbardesy, Hany
Awad, Ahmed K.
McLeod, André
Farahat, Samar Tarek
Sayed, Somaya Zain Elabdeen
Guerin, Shane
Harty, James
author_facet Elbardesy, Hany
Awad, Ahmed K.
McLeod, André
Farahat, Samar Tarek
Sayed, Somaya Zain Elabdeen
Guerin, Shane
Harty, James
author_sort Elbardesy, Hany
collection PubMed
description Introduction: The role of bicompartmental knee arthroplasty (BKA) in the treatment of medial patellofemoral osteoarthritis (MPFOA) has been debated by orthopaedic surgeons for years. The BKA is a cruciate ligament retaining prosthesis designed to mimic the kinematics of the native knee that requires resurfacing of only two knee compartments. In this study, we aim to assess the patient recorded outcome measures (PROMs), range of motion (ROM), perioperative morbidity, and implant revision rate in patients undergoing BKA and compare them to those undergoing total knee arthroplasty (TKA) for bicompartmental knee osteoarthritis (OA). Patients and methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement (PRISMA). Articles from any country and written in any language were considered. We included all randomized control trials and retrospective cohort studies examining BKA versus TKA for bicompartmental knee OA. The primary outcome measure was knee society score (KSS) at one year and the secondary outcome measures were Oxford knee score (OKS) and short-form survey (SF-)12 at six and twelve months. Results: We included five studies in our meta-analysis. In terms of OKS, KSS, and SF-12, our meta-analysis suggests better short-term results for the TKA compared with the BKA. TKA was also associated with a shorter operative time and a lower revision rate. The BKA implant did however result in marginally less intraoperative blood loss and slightly better post-operative ROM. Conclusions: BKA did not prove to be an equivalent alternative to TKA in bicompartmental knee OA. It was associated with inferior KSS, OKS, and SF-12 at short-term follow-up and a higher revision rate.
format Online
Article
Text
id pubmed-8269451
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher EDP Sciences
record_format MEDLINE/PubMed
spelling pubmed-82694512021-07-16 Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis Elbardesy, Hany Awad, Ahmed K. McLeod, André Farahat, Samar Tarek Sayed, Somaya Zain Elabdeen Guerin, Shane Harty, James SICOT J Review Article Introduction: The role of bicompartmental knee arthroplasty (BKA) in the treatment of medial patellofemoral osteoarthritis (MPFOA) has been debated by orthopaedic surgeons for years. The BKA is a cruciate ligament retaining prosthesis designed to mimic the kinematics of the native knee that requires resurfacing of only two knee compartments. In this study, we aim to assess the patient recorded outcome measures (PROMs), range of motion (ROM), perioperative morbidity, and implant revision rate in patients undergoing BKA and compare them to those undergoing total knee arthroplasty (TKA) for bicompartmental knee osteoarthritis (OA). Patients and methods: We followed the Preferred Reporting Items for Systematic Reviews and Meta-analyses Statement (PRISMA). Articles from any country and written in any language were considered. We included all randomized control trials and retrospective cohort studies examining BKA versus TKA for bicompartmental knee OA. The primary outcome measure was knee society score (KSS) at one year and the secondary outcome measures were Oxford knee score (OKS) and short-form survey (SF-)12 at six and twelve months. Results: We included five studies in our meta-analysis. In terms of OKS, KSS, and SF-12, our meta-analysis suggests better short-term results for the TKA compared with the BKA. TKA was also associated with a shorter operative time and a lower revision rate. The BKA implant did however result in marginally less intraoperative blood loss and slightly better post-operative ROM. Conclusions: BKA did not prove to be an equivalent alternative to TKA in bicompartmental knee OA. It was associated with inferior KSS, OKS, and SF-12 at short-term follow-up and a higher revision rate. EDP Sciences 2021-07-09 /pmc/articles/PMC8269451/ /pubmed/34241595 http://dx.doi.org/10.1051/sicotj/2021036 Text en © The Authors, published by EDP Sciences, 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0 (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Elbardesy, Hany
Awad, Ahmed K.
McLeod, André
Farahat, Samar Tarek
Sayed, Somaya Zain Elabdeen
Guerin, Shane
Harty, James
Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis
title Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis
title_full Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis
title_fullStr Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis
title_full_unstemmed Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis
title_short Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis
title_sort does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? systematic review and meta-analysis
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8269451/
https://www.ncbi.nlm.nih.gov/pubmed/34241595
http://dx.doi.org/10.1051/sicotj/2021036
work_keys_str_mv AT elbardesyhany doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis
AT awadahmedk doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis
AT mcleodandre doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis
AT farahatsamartarek doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis
AT sayedsomayazainelabdeen doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis
AT guerinshane doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis
AT hartyjames doesbicompartmentalkneearthroplastyholdanadvantageovertotalkneearthroplastysystematicreviewandmetaanalysis