Pongcharoen B, Boontanapibul K. Outcomes of mobile bearing unicompartmental knee arthroplasty in medial osteoarthritis knee with and without preoperative genu recurvatum. World J Orthop 2018; 9(9): 149-155 [PMID: 30254971 DOI: 10.5312/wjo.v9.i9.149]
Corresponding Author of This Article
Boonchana Pongcharoen, MD, Associate Professor, Orthopedics, Faculty of Medicine, Thammasat University, 95 Paholyothin Road, Klongluang 12120, Thailand. poboonch@tu.ac.th
Research Domain of This Article
Orthopedics
Article-Type of This Article
Prospective Study
Open-Access Policy of This Article
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World J Orthop. Sep 18, 2018; 9(9): 149-155 Published online Sep 18, 2018. doi: 10.5312/wjo.v9.i9.149
Table 1 Demographic data
Variable
Group I (patients with preoperative genu recurvatum),n = 32 knees
Group II (patients without preoperative genu recurvatum),n = 144 knees
P-value
Age
65.10 ± 8.02 (57-76)
65.67 ± 7.40 (44-88)
0.71
Sex, male/female
1/31
14/130
0.31
Site, right/left
16/17
70/74
0.91
BMI
26.76 ± 3.69 (20.81-33.21)
26.26 ± 3.05 (20-42.22)
0.47
Knee score
34.10 ± 2.47 (27-44)
34.35 ± 2.62 (30-40)
0.61
Pain score
11.52 ± 4.42 (0-20)
11.75 ± 4.94 (0-20)
0.23
Functional score
54.69 ± 9.75 (30-65)
52.03 ± 10.13 (35-65)
0.18
ROM (°)
122.58 ± 4.17 (110-125)
119.37 ± 10.92 (90-130)
0.10
Tibiofemoral angle (°)
Varus 5.45 ± 3.86 (0-20)
Varus 5.68 ± 3.99 (0-15)
0.77
Table 2 Pain score, knee score and functional score at 2-yr follow-up
Variable
Group I (patients with preoperative genu recurvatum),n = 32 knees
Group II (patients without preoperative genu recurvatum),n = 144 knees
P-value
Knee score, points
97.97 ± 2.49 (94-100)
96.91 ± 4.44 (81-100)
0.19
Pain score, points
48.94 ± 2.36 (45-50)
48.71 ± 2.63 (40-50)
0.64
Functional score, points
82.12 ± 4.85 (80-100)
82.55 ± 5.10 (65-100)
0.66
Table 3 Incidence of postoperative genu recurvatum and postoperative hyperextension angle
Variable
Group I (patients with preoperative genu recurvatum),n = 32 knees
Group II (patients without preoperative genu recurvatum),n = 144 knees
P-value
Incidence of postoperative genu recurvatum (%)
3.13 (1/32)
0.69 (1/144)
0.34
Hyperextension angle (°)
2.40 ± 2.19 (1-7))
1.57 ± 3.51 (1-6)
0.65
Table 4 Postoperative range of motion, component alignment, postoperative tibiofemoral angle and operative time
Variable
Group I (patients with preoperative genu recurvatum),n = 32 knees
Group II (patients without preoperative genu recurvatum),n = 144 knees
P-value
Postoperative ROM (°)
126.21 ± 5.30 (115-135)
123.30 ± 9.88 (90-145)
0.14
Postoperative tibiofemoral angle (°)
5.82 ± 1.55 (valgus 3-valgus 8)
5.66 ± 1.77 (valgus 2-valgus 10)
0.65
Femoral component alignment (°)
6.06 ± 1.43 (valgus 2-valgus 8)
5.99 ± 1.56 (valgus 2-valgus 10)
0.82
Tibia component alignment (°)
Varus 0.97 ± 0.92 (varus 3-valgus 1)
Varus 0.77 ± 1.19 (varus 3-valgus 2)
0.37
Posterior slope of tibial component (°)
6.73 ± 1.92 (4-10)
6.31 ± 2.04 (2-10)
0.28
Operative time in min
88.94 ± 10.59 (75-120)
93.01 ± 13.64 (65-130)
0.11
Citation: Pongcharoen B, Boontanapibul K. Outcomes of mobile bearing unicompartmental knee arthroplasty in medial osteoarthritis knee with and without preoperative genu recurvatum. World J Orthop 2018; 9(9): 149-155