Less pain reported 5 years after cementless compared to cemented unicompartmental knee replacement: an analysis of pain, neuropathy, and co-morbidity scores.

Rahman A., Martin B., Jenkins C., Mohammad H., Barker K., Dodd C., Jackson W., Price A., Mellon S., Murray DW.

PURPOSE: To compare patient-reported pain scores and assess the influence of neuropathy and co-morbidity, on knee pain following cemented and cementless medial unicompartmental knee replacement (UKR) 5 years after surgery. METHOD: In this longitudinal study, 262 cemented and 262 cementless Oxford UKR performed for the same indications and with the same techniques were recruited. Patients were reviewed at five years, evaluating patient-reported pain and association with clinical outcomes. Intermittent and Constant Osteoarthritis Pain (ICOAP), PainDETECT (PD), Charnley score, Oxford Knee Score (OKS) and American Knee Society Score (AKSS) were compared. RESULTS: In both cohorts, intermittent pain was more common than constant pain (47% vs 21%). Cementless knees reported significantly less pain than cemented (ICOAP-Total 5/100 vs 11/100, p 

DOI

10.1007/s00167-023-07589-4

Type

Journal article

Journal

Knee surg sports traumatol arthrosc

Publication Date

11/2023

Volume

31

Pages

5180 - 5189

Keywords

Arthroplasty, Cemented, Cementless, Knee, Knee replacement, Pain, Patient-reported outcome measures, Replacement, Unicompartmental, Humans, Arthroplasty, Replacement, Knee, Knee Prosthesis, Longitudinal Studies, Osteoarthritis, Knee, Pain, Morbidity, Treatment Outcome, Reoperation

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