New Instrumentation Reduces Operative Time in Medial Unicompartmental Knee Arthroplasty Using the Oxford Mobile Bearing Design
Keywords:unicompartmental knee arthroplasty, partial knee arthroplasty, surgical technique, instrumentation, Oxford
Redesigned instrumentation has become available for implantation of the Oxford Mobile Bearing Medial unicompartmental knee arthroplasty. To assess the benefit of these changes, we compared operative time of 200 Phase III and 176 Microplasty UKA done 2008-2011. An average time savings of 8.6 minutes was seen with the Microplasty design. Additionally, the standard deviation in operative times, minimum and maximum operatives were lower in knees in which Microplasty instrumentation was utilized. A 15% savings in operative time was seen with the new Microplasty instrumentation.
Bergeson AG, Berend KR, Lombardi AV Jr, Hurst JM, Morris MJ, Sneller MA. Medial mobile bearing unicompartmental knee arthroplasty: early survivorship and analysis of failures in 1000 consecutive cases. J Arthroplasty. 2013;28(9 Suppl):172-5.
Bitsch RG, Keudell Av, Losina E, Fitz W. Good accuracy of the Phase III Oxford Mobile Bearing Unicompartmental Knee Instrumentation. Acta Orthop. 2013;84(4):406-9.
Emerson RH Jr, Higgins LL. Unicompartmental knee arthroplasty with the oxford prosthesis in patients with medial compartment arthritis. J Bone Joint Surg Am. 2008;90(1):118-22.
Faour-Martín O, Valverde-García JA, Martín-Ferrero MA, Vega-Castrillo A, de la Red Gallego MA, Suárez de Puga CC, et al. Oxford phase 3 unicondylar knee arthroplasty through a minimally invasive approach: long-term results. Int Orthop. 2013;37(5):833-8.
Kristensen PW, Holm HA, Varnum C. Up to 10-year follow-up of the Oxford Medial partial knee arthroplasty — 695 cases from a single institution. J Arthroplasty. 2013;28(9 Suppl):195-8.
Lim HC, Bae JH, Song SH, Kim SJ. Oxford phase 3 unicompartmental knee replacement in Korean patients. J Bone Joint Surg Br. 2012;94(8):1071-6.
Lisowski LA, van den Bekerom MP, Pilot P, van Dijk CN, Lisowski AE. Oxford Phase 3 unicompartmental knee arthroplasty: medium-term results of a minimally invasive surgical procedure. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):277-84.
Matharu G, Robb C, Baloch K, Pynsent P. The Oxford medial unicompartmental knee replacement: survival and the effect of age and gender. Knee. 2012;19(6):913-7.
Murray DW, Pandit H, Weston-Simons JS, Jenkins C, Gill HS, Lombardi AV, et al. Does body mass index affect the outcome of unicompartmental knee replacement? Knee. 2013;20(6):461-5.
Pandit H, Jenkins C, Gill HS, Barker K, Dodd CA, Murray DW. Minimally invasive Oxford phase 3 unicompartmental knee replacement: results of 1000 cases. J Bone Joint Surg Br. 2011;93(2):198-204.
Pietschmann MF, Wohlleb L, Weber P, Schmidutz F, Ficklscherer A, Gülecyüz MF, et al. Sports activities after medial unicompartmental knee arthroplasty Oxford III-what can we expect? Int Orthop. 2013;37(1):31-7.
Price AJ, Svard U. A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res. 2011;469(1):174-9.
Yoshida K, Tada M, Yoshida H, Takei S, Fukuoka S, Nakamura H. Oxford Phase 3 unicompartmental knee arthroplasty in Japan — clinical results in greater than one thousand cases over ten years. J Arthroplasty. 2013;28(9 Suppl):168-171.
White SH, Roberts S, Jones PW. The twin peg Oxford partial knee replacement: the first 100 cases. Knee. 2012;19(1):36-40.
Hurst JA, Berend KR, Adams JB, Lombardi AV. Radiographic comparison of mobile-bearing partial knee single-peg versus twin-peg design. J Arthroplasty 2015; 30(3): 475-8.
How to Cite
Copyright (c) 2016 Keith Berend, Jason Hurst, Michael Morris, Joanne Adams, Adolph Lombardi
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and License Agreement:
Authors who publish with the Reconstructive Review agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work. Reconstructive Review follows the Creative Commons Attribution-NonCommercial CC BY-NC. This license allows anyone to download works, build upon the material, and share them with others for non-commercial purposes as long as they credit the senior author, Reconstructive Review, and the Joint Implant Surgery & Research Foundation (JISRF). An example credit would be: "Courtesy of (senior author's name), Reconstructive Review, JISRF, Chagrin Falls, Ohio". While works can be downloaded and shared they cannot be used commercially.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.