Efficacy of unicompartmental knee arthroplasty on forgotten joint score in patients with knee osteoarthritis: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

LU Ran ^1,2 , CHEN Neng ^1,2 , LIU Shaonan ^1,3 , YANG Lihong ^1,3 ,  GUO Xinfeng ^1,3

1. The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou 510120, P.R.China;
2. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Zhuhai Hospital of Guangdong Province Traditional Chinese Medical Hospital, Zhuhai 519000, P.R.China;
3. The Second Affiliated Hospital of Guangzhou University of Chinese Medicine/Guangdong Hospital of Chinese Medicine, Guangzhou 510120, P.R.China;

Corresponding?author：

GUO Xinfeng, Email: guoxinfeng@gzucm.edu.cn

Keywords：

Unicompartmental knee arthroplasty; Knee osteoarthritis; Forgotten joint score; Meta-analysis; Systematic review; Randomized controlled trial; Cohort study

DOI：

10.7507/1672-2531.202002109

Video：

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Objectives To systematically review the efficacy of unicompartmental knee arthroplasty on forgotten joint score (FJS) in patients with knee osteoarthritis.Methods PubMed, EMbase, The Cochrane Library, Web of Science, CNKI, CBM, WanFang Data and VIP databases were electronically searched to collect randomized controlled trials (RCTs) and cohort studies on unicompartmental knee arthroplasty on FJS in patients with knee osteoarthritis from inception to December 31^st, 2019. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies, then, meta-analysis was performed by using RevMan 5.3 software.Results A total of 2 RCTs and 11 cohort studies were included. The results of meta-analysis based on RCTs showed that: compared to posterior stabilized total knee arthroplasty (PS-TKA), unicompartmental knee arthroplasty could improve FJS on 12-month (MD=9.23, 95%CI 0.53 to 17.93, P=0.04) after operation. The results of meta-analysis based on cohort studies showed that: compared to PS-TKA, unicompartmental knee arthroplasty could improve FJS on 6-week (MD=8.90, 95%CI 6.87 to 10.94, P<0.000 01), 6-month (MD=18.72, 95%CI 8.71 to 28.74, P=0.000 2), 1-year after operation (MD=13.41, 95%CI 8.87 to 17.95, P<0.000 01), and the last follow-up (MD=0.99, 95%CI 0.47 to 1.54, P=0.000 2).Conclusions Current evidence shows that, comparing with PS-TKA, unicompartmental knee arthroplasty in knee osteoarthritis shows advantage in the improvement of FJS. Due to limited quality and quantity of the included studies, more high-quality studies are required to verify above conclusions.

Citation： LU Ran, CHEN Neng, LIU Shaonan, YANG Lihong, GUO Xinfeng. Efficacy of unicompartmental knee arthroplasty on forgotten joint score in patients with knee osteoarthritis: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2020, 20(8): 956-961. doi: 10.7507/1672-2531.202002109 Copy

1.	趙東方, 孔祥朋, 王毅, 等. 第三代Oxford單髁假體安放位置對人工單髁關節置換術近期療效的影響. 中國修復重建外科雜志, 2018, 32(12): 1518-1523.
2.	王方興, 薛華明, 馬童, 等. 人工單髁關節置換術治療超高齡膝關節骨關節炎患者的近期療效. 中國修復重建外科雜志, 2019, 33(8): 947-952.
3.	Thomsen MG, Latifi R, Kallemose T, et al. Does knee awareness differ between different knee arthroplasty prostheses? A matched, case-control, cross-sectional study. BMC Musculoskelet Disord, 2016, 17: 141.
4.	Behrend H, Giesinger K, Giesinger JM, et al. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty, 2012, 27(3): 430-436.
5.	Peersman G, Verhaegen J, Favier B. The forgotten joint score in total and unicompartmental knee arthroplasty: a prospective cohort study. Int Orthop, 2019, 43(12): 2739-2745.
6.	雷堃, 張文, 高磊, 等. 膝關節單髁置換術治療膝關節內側間室骨關節炎的近期療效評價. 中華骨與關節外科雜志, 2019, 12(3): 201-205.
7.	Baumann F, Krutsch W, Worlicek M, et al. Reduced joint-awareness in bicruciate-retaining total knee arthroplasty compared to cruciate-sacrificing total knee arthroplasty. Arch Orthop Trauma Surg, 2018, 138(2): 273-279.
8.	朱冬, 朱夢龍, 姚舒馨. 不同術式治療內側間室膝骨關節炎的療效比較. 臨床醫學研究與實踐, 2018, 3(26): 69-70.
9.	王家偉, 尹宗生, 馬廣文, 等. 單髁置換術與全膝關節置換術后人工關節遺忘程度的比較. 實用骨科雜志, 2018, 24(5): 464-467.
10.	Wautier D, Thienpont E. Changes in anteroposterior stability and proprioception after different types of knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2017, 25(6): 1792-1800.
11.	Kim MS, Koh IJ, Choi YJ, et al. Differences in patient-reported outcomes between unicompartmental and total knee arthroplasties: a propensity score-matched analysis. J Arthroplasty, 2017, 32(5): 1453-1459.
12.	Zuiderbaan HA, van der List JP, Khamaisy S, et al. Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 681-686.
13.	張煒, 王雙磊, 丁裕潤, 等. 單髁置換和全膝置換治療內側間室膝骨關節炎的早中期療效比較. 臨床骨科雜志, 2017, 20(4): 424-427.
14.	Fabre-Aubrespy M, Ollivier M, Pesenti S, et al. Unicompartmental knee arthroplasty in patients older than 75 results in better clinical outcomes and similar survivorship compared to total knee arthroplasty. a matched controlled study. J Arthroplasty, 2016, 31(12): 2668-2671.
15.	曾兵. 微創單髁置換及全膝置換治療內側間室骨性關節炎早期臨床療效對比研究. 大連: 大連醫科大學, 2016.
16.	米爾阿里木·木爾提扎, 王利, 趙巍, 等. 單間室膝關節與雙間室膝關節置換術被患者自我化程度之間的比較. 實用骨科雜志, 2016, 22(9): 795-798.
17.	Thienpont E, Opsomer G, Koninckx A, et al. Joint awareness in different types of knee arthroplasty evaluated with the forgotten joint score. J Arthroplasty, 2014, 29(1): 48-51.
18.	胡德慶, 黃子達, 張文明, 等. 單髁關節置換治療膝關節自發性骨壞死的療效分析. 中國修復重建外科雜志, 2019, 33(1): 13-17.
19.	胡海波, 鄭志永. 應用內軸型膝關節假體行人工全膝關節置換的研究進展. 世界最新醫學信息文摘, 2019, 19(71): 161-162.
20.	McCulloch P, Feinberg J, Philippou Y, et al. Progress in clinical research in surgery and IDEAL. Lancet, 2018, 392(10141): 88-94.

1. 趙東方, 孔祥朋, 王毅, 等. 第三代Oxford單髁假體安放位置對人工單髁關節置換術近期療效的影響. 中國修復重建外科雜志, 2018, 32(12): 1518-1523.
2. 王方興, 薛華明, 馬童, 等. 人工單髁關節置換術治療超高齡膝關節骨關節炎患者的近期療效. 中國修復重建外科雜志, 2019, 33(8): 947-952.
3. Thomsen MG, Latifi R, Kallemose T, et al. Does knee awareness differ between different knee arthroplasty prostheses? A matched, case-control, cross-sectional study. BMC Musculoskelet Disord, 2016, 17: 141.
4. Behrend H, Giesinger K, Giesinger JM, et al. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. J Arthroplasty, 2012, 27(3): 430-436.
5. Peersman G, Verhaegen J, Favier B. The forgotten joint score in total and unicompartmental knee arthroplasty: a prospective cohort study. Int Orthop, 2019, 43(12): 2739-2745.
6. 雷堃, 張文, 高磊, 等. 膝關節單髁置換術治療膝關節內側間室骨關節炎的近期療效評價. 中華骨與關節外科雜志, 2019, 12(3): 201-205.
7. Baumann F, Krutsch W, Worlicek M, et al. Reduced joint-awareness in bicruciate-retaining total knee arthroplasty compared to cruciate-sacrificing total knee arthroplasty. Arch Orthop Trauma Surg, 2018, 138(2): 273-279.
8. 朱冬, 朱夢龍, 姚舒馨. 不同術式治療內側間室膝骨關節炎的療效比較. 臨床醫學研究與實踐, 2018, 3(26): 69-70.
9. 王家偉, 尹宗生, 馬廣文, 等. 單髁置換術與全膝關節置換術后人工關節遺忘程度的比較. 實用骨科雜志, 2018, 24(5): 464-467.
10. Wautier D, Thienpont E. Changes in anteroposterior stability and proprioception after different types of knee arthroplasty. Knee Surg Sports Traumatol Arthrosc, 2017, 25(6): 1792-1800.
11. Kim MS, Koh IJ, Choi YJ, et al. Differences in patient-reported outcomes between unicompartmental and total knee arthroplasties: a propensity score-matched analysis. J Arthroplasty, 2017, 32(5): 1453-1459.
12. Zuiderbaan HA, van der List JP, Khamaisy S, et al. Unicompartmental knee arthroplasty versus total knee arthroplasty: which type of artificial joint do patients forget? Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 681-686.
13. 張煒, 王雙磊, 丁裕潤, 等. 單髁置換和全膝置換治療內側間室膝骨關節炎的早中期療效比較. 臨床骨科雜志, 2017, 20(4): 424-427.
14. Fabre-Aubrespy M, Ollivier M, Pesenti S, et al. Unicompartmental knee arthroplasty in patients older than 75 results in better clinical outcomes and similar survivorship compared to total knee arthroplasty. a matched controlled study. J Arthroplasty, 2016, 31(12): 2668-2671.
15. 曾兵. 微創單髁置換及全膝置換治療內側間室骨性關節炎早期臨床療效對比研究. 大連: 大連醫科大學, 2016.
16. 米爾阿里木·木爾提扎, 王利, 趙巍, 等. 單間室膝關節與雙間室膝關節置換術被患者自我化程度之間的比較. 實用骨科雜志, 2016, 22(9): 795-798.
17. Thienpont E, Opsomer G, Koninckx A, et al. Joint awareness in different types of knee arthroplasty evaluated with the forgotten joint score. J Arthroplasty, 2014, 29(1): 48-51.
18. 胡德慶, 黃子達, 張文明, 等. 單髁關節置換治療膝關節自發性骨壞死的療效分析. 中國修復重建外科雜志, 2019, 33(1): 13-17.
19. 胡海波, 鄭志永. 應用內軸型膝關節假體行人工全膝關節置換的研究進展. 世界最新醫學信息文摘, 2019, 19(71): 161-162.
20. McCulloch P, Feinberg J, Philippou Y, et al. Progress in clinical research in surgery and IDEAL. Lancet, 2018, 392(10141): 88-94.

Chinese Journal of Evidence-Based Medicine

Efficacy of unicompartmental knee arthroplasty on forgotten joint score in patients with knee osteoarthritis: a meta-analysis

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