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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 8, 1126-1130.
doi: 10.1302/0301-620X.84B8.13447  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Lateral unicompartmental knee replacement

SURVIVORSHIP AND CLINICAL EXPERIENCE OVER 21 YEARS

T. Ashraf, FRCS (Trauma & Orth), Knee Research Fellow; J. H. Newman, FRCS, Consultant Orthopaedic Surgeon; R. L. Evans, RGN Dip, Research Audit Sister; and C. E. Ackroyd, FRCS, Consultant Orthopaedic Surgeon

Bristol Knee Group, Winford Unit, Avon Orthopaedic Centre, Southmead Hospital, Bristol BS10 5NB, UK.

Correspondence should be sent to Mr T. Ashraf.

We describe 88 knees (79 patients) with lateral unicompartmental osteoarthritis which had been treated by the St Georg Sled prosthesis.

At a mean follow-up of nine years (2 to 21) 15 knees had revision surgery, nine for progression of arthritis, six for loosening, four for breakage of a component and four for more than one reason. Six patients complained of moderate or severe pain at the final follow-up. Only five knees were lost to follow-up in the 21-year period.

We performed survivorship analysis on the group using revision for any cause as the endpoint. At ten years the cumulative survival rate was 83%, and at 15 years, when ten knees were still at risk, it was 74%.

Based on our clinical results and survival rate the St Georg Sled may be considered to be a suitable unicompartmental replacement for isolated lateral compartment osteoarthritis.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General