Chapter 11 Management of Complications
DOI: 10.23912/978-1-910158-45-6-4347 | ISBN: 978-1-910158-45-6 |
Published: May 2015 | Component type: chapter |
Published in: Unicompartmental Arthroplasty with the Oxford Knee 2nd edition | Parent DOI: 10.23912/978-1-910158-45-6-1517 |
Abstract
In this chapter we describe the common modes of failure of the OUKA and suggest ways of dealing with them. We also discuss why they occur and how they can be prevented. Complications occur more commonly in the hands of learners than in those of the experienced surgeons whose reports are published in the literature. As a result, the incidence of complications is lower in published cohort series compared to national registers.
Sample content
Contributors
- John Goodfellow (Author)
- John O'Connor (Author)
- Hemant Pandit (Author)
- Christopher Dodd (Author)
- David Murray (Author)
Cite as
Goodfellow, O'Connor, Pandit, Dodd & Murray, 2015
Goodfellow, J., O'Connor, J., Pandit, H., Dodd, C. & Murray, D. (2015) "Chapter 11 Management of Complications" In: (ed) . Oxford: Goodfellow Publishers http://dx.doi.org/10.23912/978-1-910158-45-6-4347
References
Liddle AD, Judge A, Pandit H, Murray DW. Determinants of revision and functional outcome following unicompartmental knee replacement. Osteoarthritis Cartilage 2014; 22(9): 1241-50.
https://doi.org/10.1016/j.joca.2014.07.006
The NJR Board. 11th Annual Report of the National Joint Registry for England, Wales and Northern Ireland, 2014.
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.
https://doi.org/10.1302/0301-620X.93B2.25767
Sloper PJ, Hing CB, Donell ST, Glasgow MM. Intra-operative tibial plateau fracture during unicompartmental knee replacement: a case report. Knee 2003; 10(4): 367-9.
https://doi.org/10.1016/S0968-0160(03)00003-6
Berger RA, Nedeff DD, Barden RM, Sheinkop MM, Jacobs JJ, Rosenberg AG, Galante JO. Unicompartmental knee arthroplasty. Clinical experience at 6- to 10-year followup. Clin Orthop Relat Res 1999; (367): 50-60.
https://doi.org/10.1097/00003086-199910000-00007
Swanson AB, Swanson GD, Powers T, Khalil MA, Maupin BK, Mayhew DE, Moss SH. Unicompartmental and bicompartmental arthroplasty of the knee with a finned metal tibial-plateau implant. J Bone Joint Surg Am 1985; 67(8): 1175-82.
https://doi.org/10.2106/00004623-198567080-00005
Yang KY, Yeo SJ, Lo NN. Stress fracture of the medial tibial plateau after minimally invasive unicompartmental knee arthroplasty: a report of 2 cases. J Arthroplasty 2003; 18(6): 801-3.
https://doi.org/10.1016/S0883-5403(03)00332-2
Pandit H, Murray DW, Dodd CA, Deo S, Waite J, Goodfellow J, Gibbons CL. Medial tibial plateau fracture and the Oxford unicompartmental knee. Orthopedics 2007; 30(5 Suppl): 28-31.
Rudol G, Jackson MP, James SE. Medial tibial plateau fracture complicating unicompartmental knee arthroplasty. J Arthroplasty 2007; 22(1): 148-50.
https://doi.org/10.1016/j.arth.2006.01.005
Seeger JB, Haas D, Jager S, Rohner E, Tohtz S, Clarius M. Extended sagittal saw cut significantly reduces fracture load in cementless unicompartmental knee arthroplasty compared to cemented tibia plateaus: an experimental cadaver study. Knee Surg Sports Traumatol Arthrosc 2012; 20(6): 1087-91.
https://doi.org/10.1007/s00167-011-1698-3
Pegg EC, Dodd CA, Murray DW, Pandit H. Conservative tibial resection and vertical cut minimise risk of tibial plateau fracture after UKR. British Association for Surgery of the Knee Annual Meeting. Telford, UK; 2015.
Berger RA, Meneghini RM, Jacobs JJ, Sheinkop MB, Della Valle CJ, Rosenberg AG, Galante JO. Results of unicompartmental knee arthroplasty at a minimum of ten years of follow-up. J Bone Joint Surg Am 2005; 87(5): 999-1006.
https://doi.org/10.2106/00004623-200505000-00010
Goodfellow JW, O'Connor JJ, Shrive NG, inventors; Endoprosthetic knee joint devices. British Patent Application 1534263. 1974.
Tibrewal S, Pandit H, McLardy-Smith P, Tibrewal SB, Murray DW. Posterior dislocation of the Oxford knee meniscal bearing: a treatment option. J Orthop Traumatol 2014; 15(1): 59-62.
https://doi.org/10.1007/s10195-013-0250-2
Hang JR, Stanford TE, Graves SE, Davidson DC, de Steiger RN, Miller LN. Outcome of revision of unicompartmental knee replacement. Acta Orthop 2010; 81(1): 95-8.
https://doi.org/10.3109/17453671003628731
Pandit H, Hamilton TW, Jenkins C, Mellon SJ, Dodd CA, Murray DW. The clinical outcome of minimally invasive Phase 3 Oxford unicompartmental knee arthroplasty: a 15-year follow-up of 1000 UKAs. Bone Joint J 2015; 97-B(11): 1493-500.
https://doi.org/10.1302/0301-620X.97B11.35634
Monk AP, Keys GW, Murray DW. Loosening of the femoral component after unicompartmental knee replacement. J Bone Joint Surg Br 2009; 91(3): 405-7.
https://doi.org/10.1302/0301-620X.91B3.21940
Psychoyios V, Crawford RW, O'Connor JJ, Murray DW. Wear of congruent meniscal bearings in unicompartmental knee arthroplasty: a retrieval study of 16 specimens. J Bone Joint Surg Br 1998; 80(6): 976-82.
https://doi.org/10.1302/0301-620X.80B6.0800976
Liddle AD, Pandit H, O'Brien S, Doran E, Penny ID, Hooper GJ, Burn PJ, Dodd CA, Beverland DE, Maxwell AR, Murray DW. Cementless fixation in Oxford unicompartmental knee replacement: a multicentre study of 1000 knees. Bone Joint J 2013; 95-B(2): 181-7.
https://doi.org/10.1302/0301-620X.95B2.30411
Svard, U. and Price, A. 20-year survival & 10 year clinical results of the Oxford medial UKA. Presentation. 73rd Annual AAOS Meeting. Chicago, IL. 2006
Dejour H, Dejour D, Habi S. Prothese Unicompartimentale du Genou. Cahier Enseign SOFCOT 1998; 65: 156-9.
Weale AE, Murray DW, Crawford R, Psychoyios V, Bonomo A, Howell G, O'Connor J, Goodfellow JW. Does arthritis progress in the retained compartments after 'Oxford' medial unicompartmental arthroplasty? A clinical and radiological study with a minimum ten-year follow-up. J Bone Joint Surg Br 1999; 81(5): 783-9.
https://doi.org/10.1302/0301-620X.81B5.0810783
Liddle AD, McGrath C, Pandit H, Pegg E, Dada O, Mellon SJ, Spiegelberg BGI, Dodd CA, Murray DW. Predictors of arthritis progression following mobile-bearing unicompartmental knee replacement: A case-control study. British Association for Surgery of the Knee annual meeting. Leeds, UK; 2013.
Svard UC, Price AJ. Oxford medial unicompartmental knee arthroplasty. A survival analysis of an independent series. J Bone Joint Surg Br 2001; 83(2): 191-4.
https://doi.org/10.1302/0301-620X.83B2.0830191
Dodd CAF. Tips for preoperative assessment before UKA. ESSKA; Amsterdam; May 2014.
Gulati A. Outcome after medial unicompartmental knee replacement. DPhil. Oxford: University of Oxford; 2013.
Pegg EC, Walter J, Mellon SJ, Pandit HG, Murray DW, D'Lima DD, Fregly BJ, Gill HS. Evaluation of factors affecting tibial bone strain after unicompartmental knee replacement. J Orthop Res 2013; 31(5): 821-8.
https://doi.org/10.1002/jor.22283
Small SR, Berend ME, Ritter MA, Buckley CA. Bearing mobility affects tibial strain in mobile-bearing unicompartmental knee arthroplasty. Surg Technol Int 2010; 19: 185-90.
Emery IH, Meachim G. Surface morphology and topography of patello-femoral cartilage fibrillation in Liverpool necropsies. J Anat 1973; 116(Pt 1): 103-20.
Pandit H, Gulati A, Jenkins C, Barker K, Price AJ, Dodd CA, Murray DW. Unicompartmental knee replacement for patients with partial thickness cartilage loss in the affected compartment. Knee 2011; 18(3): 168-71.
https://doi.org/10.1016/j.knee.2010.05.003
Niinimaki TT, Murray DW, Partanen J, Pajala A, Leppilahti JI. Unicompartmental knee arthroplasties implanted for osteoarthritis with partial loss of joint space have high re-operation rates. Knee 2011; 18(6): 432-5.
https://doi.org/10.1016/j.knee.2010.08.004
Chau R, Gulati A, Pandit H, Beard DJ, Price AJ, Dodd CA, Gill HS, Murray DW. Tibial component overhang following unicompartmental knee replacement--does it matter? Knee 2009; 16(5): 310-3.
https://doi.org/10.1016/j.knee.2008.12.017
Gulati A, Chau R, Pandit HG, Gray H, Price AJ, Dodd CA, Murray DW. The incidence of physiological radiolucency following Oxford unicompartmental knee replacement and its relationship to outcome. J Bone Joint Surg Br 2009; 91(7): 896-902.
https://doi.org/10.1302/0301-620X.91B7.21914
Berend KR, George J, Lombardi AV Jr. Unicompartmental knee arthroplasty to total knee arthroplasty conversion: assuring a primary outcome. Orthopedics. 2009 Sep;32(9)
https://doi.org/10.3928/01477447-20090728-32
Martin JG, Wallace DA, Woods DA, Carr AJ, Murray DW. Revision of unicondylar knee replacements to total knee replacement. The Knee 1995; 2:121-5.
https://doi.org/10.1016/0968-0160(95)00017-J
Saldanha KA, Keys GW, Svard UC, White SH, Rao C. Revision of Oxford medial unicompartmental knee arthroplasty to total knee arthroplasty - results of a multicentre study. Knee 2007; 14:275-9.
https://doi.org/10.1016/j.knee.2007.03.005
Wynn Jones H, Chan W, Harrison T, Smith TO, Masonda P, Walton NP. Revision of medial Oxford unicompartmental knee replacement to a total knee replacement: similar to a primary? Knee 2012;19:339-43.
https://doi.org/10.1016/j.knee.2011.03.006