The aim of our study was to determine the prevalence of total knee arthroplasty in different ethnic groups and compare pre-operative and post-operative function using the Oxford Knee Score (OKS). King's College Hospital serves one of the most ethnically diverse areas of the UK. The prevalence of TKR differs between different ethnic and demographic groups.Aims
Background
The purpose of the study was to investigate the outcome of Oxford medial unicompartmental knee replacement (UKR) in patients over 70 years old and also to assess their ability to kneel. We identified from our prospectively collected knee database 90 patients (98 knees) undergoing Oxford medial UKR who were 70 years or older on the day of surgery. Oxford Knee Scores (OKS) were collected pre-operatively and also post-operatively at the following intervals: 3 months, 6 months, 1 year, 2 years, 5 years and then annually after this. The mean patient age at surgery was 73.2 years (range 70.2 – 84.3 years). The OKS pre-operatively had a mean of 35.8/60 (range 22-55) and improved to 23.6/60 post-operatively (range 14-34). Patient follow-up was 44.3 months and ranged from 12-111 months. Two patients were lost to follow-up, 1 was converted to a total knee replacement and 3 died of causes unrelated to the knee surgery. 91.7% of patients still had their original prostheses at last follow-up. Forty percent of patients stated they were able to kneel pre-operatively which improved to 50.2% postoperatively. This was consistent throughout all the follow up intervals that were assessed. Specific kneeling score from the OKS showed no statistically significant change with a mean of 3.94/5 pre-operatively and a mean of 3.54 averaged over all the post-operative follow up intervals. We conclude that medial Oxford UKR is a reliable operation in patients over 70 years old. Previous studies include a younger age group which potentially encourages the less familiar surgeon to use a UKR for the young active patient but continue with a total knee arthroplasty for the older patient. Our study suggests age should not be a factor when considering performing Oxford UKR. Ability to kneel is not altered significantly by UKR in this age group.
