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Lateral unicompartmental knee arthroplasty is a safe procedure for post-traumatic osteoarthritis after lateral tibial plateau fracture: a case–control study at 10-year follow-up

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Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Very few studies focus on lateral unicompartmental arthroplasty (LUKA) in the setting of post-traumatic osteoarthritis (PTOA). The hypothesis of our study is that LUKA is an effective procedure for isolated lateral PTOA with similar outcomes to non-traumatic LUKA.

Methods

Between 1990 and 2016, eighteen LUKA performed for isolated lateral tibiofemoral osteoarthritis secondary to tibial plateau fracture were retrospectively reviewed (post-traumatic group) and matched with a control group of thirty-six LUKA performed for non-traumatic OA. Clinical (International Knee Score), radiological outcomes and revision rate were compared between the two groups with a minimum follow-up of three years.

Results

With a mean follow-up of 10.1 years, postoperative IKS scores were similar between the two groups (IKS Knee: 89.1 (control) versus 85 (p = 0.03) and IKS Function: 85.9 (control) versus 77.9 (n.s.). Clinical improvement was greater for the post-traumatic group. No difference was observed with regard to revision rate (3/18 (16.7%) cases in the post-traumatic group and 7/36 (19.4%) in the control group, n.s.) or polyethylene wear per year between the two groups. The revision free-survival rate was 64.8% for the post-traumatic group and 58.8% for the control group at 22-year follow-up (n.s.).

Conclusion

LUKA is an effective procedure at long-term for patients suffering from isolated lateral PTOA with similar clinical and radiographic results compared to LUKA performed for non-traumatic OA and without increased risk of revision or prosthetic wear.

Level of evidence

IV.

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Authors and Affiliations

  1. FIFA Medical Center of Excellence, Orthopaedics Surgery and Sports Medicine Department, Croix-Rousse Hospital, Hospices Civils de Lyon, 103 grande rue de la croix rousse, 69004, Lyon, France

    Axel Schmidt, Thomas Barnavon, Elliot Sappey-Marinier, Cécile Batailler, Elvire Servien & Sébastien Lustig

  2. Melbourne Orthopaedic Group, 33 The Avenue, Windsor, VIC 3181, Australia

    Timothy Lording

  3. LIBM, EA 7424, Inter University Laboratory of Biology of Mobility, Claude Bernard Lyon 1 University, 29 Boulevard du 11 Novembre 1918, Lyon, France

    Elvire Servien

  4. IFSTTAR, LBMC, UMR_T9406, University Lyon, Claude Bernard Lyon 1 University, 25 Avenue François Mitterand, Lyon, France

    Sébastien Lustig

Authors
  1. Axel Schmidt
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  2. Thomas Barnavon
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  4. Elliot Sappey-Marinier
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  5. Cécile Batailler
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  7. Sébastien Lustig
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Correspondence to Axel Schmidt.

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No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal patient consent is not required. The paper was approved by the Inst. Review Board. The Advisory Committee on Research Information Processing in the Field of Health (CCTIRS) approved this study in Paris (university Paris-Descartes V) on February 17, 2016 under number 16–140.

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Schmidt, A., Barnavon, T., Lording, T. et al. Lateral unicompartmental knee arthroplasty is a safe procedure for post-traumatic osteoarthritis after lateral tibial plateau fracture: a case–control study at 10-year follow-up. Knee Surg Sports Traumatol Arthrosc 29, 3654–3663 (2021). https://doi.org/10.1007/s00167-020-06359-w

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