Is Bicompartmental Knee Arthroplasty More Favourable to Knee Muscle Strength and Physical Performance Compared to Total Knee Arthroplasty?

Overview

Journal Knee Surg Sports Traumatol Arthrosc

Publisher Wiley

Specialties Emergency Medicine
General Surgery
Orthopedics

Date 2013 Apr 10

PMID 23568387

Citations 11

Authors

Jun Young Chung

Byoung-Hyun Min

Affiliations

Soon will be listed here.

Abstract

Purpose: Bicompartmental knee arthroplasty features bone and ligament sparing as unicompartmental knee arthroplasty and is presumably better in the recovery of muscle strength and function compared to total knee arthroplasty (TKA) though not previously reported in the literature. The aim of the study was to compare isokinetic knee muscle strength and physical performance in patients who underwent either bicompartmental knee arthroplasty or TKA.

Methods: Each of 24 patients (31 knees) was prospectively examined preoperatively, at 6 and 12 months after each surgery. Isokinetic knee extensor and flexor strength as well as position sense were measured using the Biodex system. Timed up and go test, stair climbing test, and the 6-min walk test were used to assess physical performance. The results of each group were also compared with those from the corresponding healthy control, respectively.

Results: Demography showed significant difference in the mean age between bicompartment (54.8 ± 5.6 years) and TKA groups (65.7 ± 6.7 years). Comparing between the two groups, knee extensor and flexor torque, hamstring/Quadriceps ratio, position sense, and physical performance were not significantly different preoperatively, at 6 and 12 months after surgery. In intra-group analysis, muscle strength and position sense at each time point were not different in both groups. In physical performance, both groups resulted in improvement in the 6-min walk test, and only TKA group showed enhancement in stair climbing test.

Conclusions: Although theoretically plausible, bicompartmental knee arthroplasty was not superior in knee muscle strength and physical performance at 1 year compared with total knee arthroplasty.

Citing Articles

Comparative efficacy and safety of bicompartmental versus total knee arthroplasty: a systematic review and update meta-analysis.

Zhang R, Shen X, Yan K, Zhang X, Zhu C J Orthop Surg Res. 2025; 20(1):237.

PMID: 40045336 PMC: 11881321. DOI: 10.1186/s13018-024-05384-6.

Bicompartmental Knee Arthroplasty: a systematic review and Delphi consensus from the European Knee Society.

Campi S, Jones G, von Knoch F, Lunebourg A, Barrett D, London N Arch Orthop Trauma Surg. 2024; 144(11):4685-4696.

PMID: 39120833 DOI: 10.1007/s00402-024-05434-y.

There is more to the knee joint than just the quadriceps: A systematic review with meta-analysis and evidence gap map of hamstring strength, flexibility, and morphology in individuals with gradual-onset knee disorders.

Lopes H, Waiteman M, Priore L, Glaviano N, Bazett-Jones D, Briani R J Sport Health Sci. 2023; 13(4):521-536.

PMID: 37669706 PMC: 11184318. DOI: 10.1016/j.jshs.2023.08.004.

Does bicompartmental knee arthroplasty hold an advantage over total knee arthroplasty? Systematic review and meta-analysis.

Elbardesy H, Awad A, McLeod A, Farahat S, Sayed S, Guerin S SICOT J. 2021; 7:38.

PMID: 34241595 PMC: 8269451. DOI: 10.1051/sicotj/2021036.

Classification of combined partial knee arthroplasty.

Garner A, van Arkel R, Cobb J Bone Joint J. 2019; 101-B(8):922-928.

PMID: 31362558 PMC: 6681677. DOI: 10.1302/0301-620X.101B8.BJJ-2019-0125.R1.

References

van der Esch M, Knoop J, van der Leeden M, Voorneman R, Gerritsen M, Reiding D . Self-reported knee instability and activity limitations in patients with knee osteoarthritis: results of the Amsterdam osteoarthritis cohort. Clin Rheumatol. 2012; 31(10):1505-10. DOI: 10.1007/s10067-012-2025-1. View

Guo L, Yang L, Briard J, Duan X, Wang F . Long-term survival analysis of posterior cruciate-retaining total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc. 2011; 20(9):1760-5. DOI: 10.1007/s00167-011-1758-8. View

Yoshida Y, Mizner R, Ramsey D, Snyder-Mackler L . Examining outcomes from total knee arthroplasty and the relationship between quadriceps strength and knee function over time. Clin Biomech (Bristol). 2007; 23(3):320-8. PMC: 2293974. DOI: 10.1016/j.clinbiomech.2007.10.008. View

Bade M, Wolfe P, Zeni J, Stevens-Lapsley J, Snyder-Mackler L . Predicting poor physical performance after total knee arthroplasty. J Orthop Res. 2012; 30(11):1805-10. PMC: 3417156. DOI: 10.1002/jor.22140. View

Barrett D, Cobb A, Bentley G . Joint proprioception in normal, osteoarthritic and replaced knees. J Bone Joint Surg Br. 1991; 73(1):53-6. DOI: 10.1302/0301-620X.73B1.1991775. View

Laurencin C, Zelicof S, Scott R, Ewald F . Unicompartmental versus total knee arthroplasty in the same patient. A comparative study. Clin Orthop Relat Res. 1991; (273):151-6. View

Kozinn S, Scott R . Unicondylar knee arthroplasty. J Bone Joint Surg Am. 1989; 71(1):145-50. View

Machner A, Pap G, Awiszus F . Evaluation of quadriceps strength and voluntary activation after unicompartmental arthroplasty for medial osteoarthritis of the knee. J Orthop Res. 2002; 20(1):108-11. DOI: 10.1016/S0736-0266(01)00068-7. View

Duncan R, Peat G, Thomas E, Hay E, Croft P . Incidence, progression and sequence of development of radiographic knee osteoarthritis in a symptomatic population. Ann Rheum Dis. 2011; 70(11):1944-8. DOI: 10.1136/ard.2011.151050. View

10.

Swanik C, Lephart S, Rubash H . Proprioception, kinesthesia, and balance after total knee arthroplasty with cruciate-retaining and posterior stabilized prostheses. J Bone Joint Surg Am. 2004; 86(2):328-34. DOI: 10.2106/00004623-200402000-00016. View

11.

Argenson J, GUILLAUME J, Aubaniac J . Is there a place for patellofemoral arthroplasty?. Clin Orthop Relat Res. 1995; (321):162-7. View

12.

Rejeski W, Ettinger Jr W, Schumaker S, James P, Burns R, Elam J . Assessing performance-related disability in patients with knee osteoarthritis. Osteoarthritis Cartilage. 1995; 3(3):157-67. DOI: 10.1016/s1063-4584(05)80050-0. View

13.

Patel R, Hurwitz D, Bush-Joseph C, Bach Jr B, Andriacchi T . Comparison of clinical and dynamic knee function in patients with anterior cruciate ligament deficiency. Am J Sports Med. 2003; 31(1):68-74. DOI: 10.1177/03635465030310012301. View

14.

Goodfellow J, Kershaw C, Benson M, OConnor J . The Oxford Knee for unicompartmental osteoarthritis. The first 103 cases. J Bone Joint Surg Br. 1988; 70(5):692-701. DOI: 10.1302/0301-620X.70B5.3192563. View

15.

Barker K, Jenkins C, Pandit H, Murray D . Muscle power and function two years after unicompartmental knee replacement. Knee. 2011; 19(4):360-4. DOI: 10.1016/j.knee.2011.05.006. View

16.

Catani F, Benedetti M, Bianchi L, Marchionni V, Giannini S, Leardini A . Muscle activity around the knee and gait performance in unicompartmental knee arthroplasty patients: a comparative study on fixed- and mobile-bearing designs. Knee Surg Sports Traumatol Arthrosc. 2011; 20(6):1042-8. DOI: 10.1007/s00167-011-1620-z. View

17.

Simmons S, Lephart S, Rubash H, Borsa P, Barrack R . Proprioception following total knee arthroplasty with and without the posterior cruciate ligament. J Arthroplasty. 1996; 11(7):763-8. DOI: 10.1016/s0883-5403(96)80174-4. View

18.

Cartier P, Sanouiller J, Grelsamer R . Patellofemoral arthroplasty. 2-12-year follow-up study. J Arthroplasty. 1990; 5(1):49-55. DOI: 10.1016/s0883-5403(06)80009-4. View

19.

Berman A, Bosacco S, Israelite C . Evaluation of total knee arthroplasty using isokinetic testing. Clin Orthop Relat Res. 1991; (271):106-13. View

20.

Murray M, Gardner G, Mollinger L, Sepic S . Strength of isometric and isokinetic contractions: knee muscles of men aged 20 to 86. Phys Ther. 1980; 60(4):412-9. DOI: 10.1093/ptj/60.4.412. View