Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis
Abstract Objective Meta-analysis of the comparative efficacy of Oxford unicompartmental knee arthroplasty (OUKA) for the treatment of spontaneous osteonecrosis of the knee (SONK) and medial knee osteoarthritis (MKOA). Methods A computerized search was conducted for literature related to OUKA treatme...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04519-5 |
| _version_ | 1827329100087296000 |
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| author | Pengyu Liu Liangliang Li Jiaju Yang Hao Li Yuhua Feng Zhipeng Qin Min Zhang |
| author_facet | Pengyu Liu Liangliang Li Jiaju Yang Hao Li Yuhua Feng Zhipeng Qin Min Zhang |
| author_sort | Pengyu Liu |
| collection | DOAJ |
| description | Abstract Objective Meta-analysis of the comparative efficacy of Oxford unicompartmental knee arthroplasty (OUKA) for the treatment of spontaneous osteonecrosis of the knee (SONK) and medial knee osteoarthritis (MKOA). Methods A computerized search was conducted for literature related to OUKA treatments of SONK and MKOA across various databases, including the China National Knowledge Infrastructure, WAN FANG, VIP, SinoMed, Cochrane Library, PubMed, Embase, and Web of Science, covering the period from each database's inception to September 2023. Literature screening, quality assessment and data extraction were performed according to the inclusion and exclusion criteria. After extracting the literature data, RevMan 5.4 software was applied to analyse the postoperative knee function score, postoperative knee mobility, postoperative pain, bearing dislocation rate, aseptic loosening, postoperative progression of posterolateral arthritis, and revision rate. Result A total of 9 studies were included, including 6 cohort studies and 3 matched case‒control studies. A total of 1544 knees were included, including 183 in the SONK group and 1361 in the MKOA group. The meta-analysis results showed that the SONK and MKOA groups showed a significant difference in postoperative knee function scores [MD = 0.16, 95% CI (− 1.20, 1.51), P = 0.82], postoperative knee mobility [MD = − 0.05, 95% CI (− 1.99. 1.89), P = 0.96], postoperative pain [OR = 0.89, 95% CI (0.23, 3.45), P = 0.87], rate of bearing dislocation [OR = 1.28, 95% CI (0.34, 4.81), P = 0.71], aseptic loosening [OR = 2.22, 95% CI (0.56, 8.82), P = 0.26], postoperative posterolateral arthritis progression [OR = 2.14, 95% CI (0.47, 9.86), P = 0.33], and revision rate [OR = 1.28, 95% CI (0.53, 3.04), P = 0.58] were not statistically significant. Conclusion OUKA treatment with SONK and MKOA can achieve similar satisfactory clinical results. |
| first_indexed | 2024-03-07T15:28:00Z |
| format | Article |
| id | doaj.art-a3c26821da2e4fc9be700f73ce37f62b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-07T15:28:00Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-a3c26821da2e4fc9be700f73ce37f62b2024-03-05T16:36:19ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2024-01-0119111010.1186/s13018-023-04519-5Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysisPengyu Liu0Liangliang Li1Jiaju YangHao Li2Yuhua Feng3Zhipeng Qin4Min Zhang5Second Hospital of Shanxi Medical UniversitySecond Hospital of Shanxi Medical UniversityTianjin Medical University General HospitalSecond Hospital of Shanxi Medical UniversitySecond Hospital of Shanxi Medical UniversitySecond Hospital of Shanxi Medical UniversityAbstract Objective Meta-analysis of the comparative efficacy of Oxford unicompartmental knee arthroplasty (OUKA) for the treatment of spontaneous osteonecrosis of the knee (SONK) and medial knee osteoarthritis (MKOA). Methods A computerized search was conducted for literature related to OUKA treatments of SONK and MKOA across various databases, including the China National Knowledge Infrastructure, WAN FANG, VIP, SinoMed, Cochrane Library, PubMed, Embase, and Web of Science, covering the period from each database's inception to September 2023. Literature screening, quality assessment and data extraction were performed according to the inclusion and exclusion criteria. After extracting the literature data, RevMan 5.4 software was applied to analyse the postoperative knee function score, postoperative knee mobility, postoperative pain, bearing dislocation rate, aseptic loosening, postoperative progression of posterolateral arthritis, and revision rate. Result A total of 9 studies were included, including 6 cohort studies and 3 matched case‒control studies. A total of 1544 knees were included, including 183 in the SONK group and 1361 in the MKOA group. The meta-analysis results showed that the SONK and MKOA groups showed a significant difference in postoperative knee function scores [MD = 0.16, 95% CI (− 1.20, 1.51), P = 0.82], postoperative knee mobility [MD = − 0.05, 95% CI (− 1.99. 1.89), P = 0.96], postoperative pain [OR = 0.89, 95% CI (0.23, 3.45), P = 0.87], rate of bearing dislocation [OR = 1.28, 95% CI (0.34, 4.81), P = 0.71], aseptic loosening [OR = 2.22, 95% CI (0.56, 8.82), P = 0.26], postoperative posterolateral arthritis progression [OR = 2.14, 95% CI (0.47, 9.86), P = 0.33], and revision rate [OR = 1.28, 95% CI (0.53, 3.04), P = 0.58] were not statistically significant. Conclusion OUKA treatment with SONK and MKOA can achieve similar satisfactory clinical results.https://doi.org/10.1186/s13018-023-04519-5Oxford unicondylar replacementSpontaneous osteonecrosis of the kneeOsteoarthritis of the kneeMeta-analysis |
| spellingShingle | Pengyu Liu Liangliang Li Jiaju Yang Hao Li Yuhua Feng Zhipeng Qin Min Zhang Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis Journal of Orthopaedic Surgery and Research Oxford unicondylar replacement Spontaneous osteonecrosis of the knee Osteoarthritis of the knee Meta-analysis |
| title | Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis |
| title_full | Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis |
| title_fullStr | Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis |
| title_full_unstemmed | Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis |
| title_short | Comparison of the efficacy of Oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis: a meta-analysis |
| title_sort | comparison of the efficacy of oxford unicondylar replacement for the treatment of spontaneous osteonecrosis of the knee versus medial knee osteoarthritis a meta analysis |
| topic | Oxford unicondylar replacement Spontaneous osteonecrosis of the knee Osteoarthritis of the knee Meta-analysis |
| url | https://doi.org/10.1186/s13018-023-04519-5 |
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