title: Early Outcomes of Unicompartmental Knee Arthroplasty in Patients With Preoperative Genu Recurvatum of Non-neurological Origin.
abstract: This study aims to evaluate outcomes of unicompartmental knee arthroplasty (UKA) in patients with preoperative genu recurvatum.
  
  
  
  From patients who underwent UKA at a tertiary hospital between 2005 and 2012, the study selected 30 patients with genu recurvatum (group A) compared with a matching cohort of 60 without genu recurvatum (group B). Group A was also compared with a matched cohort of 60 patients with genu recurvatum who underwent total knee arthroplasty (group C). Functional outcomes data were prospectively collected at 6-month and 2-year follow-up.
  
  
  
  Two years after UKA, group A had poorer Oxford Knee Score of 22 ± 8 compared with group B at 16 ± 3 (P < .001), and the trend is reflected in the Knee Society Score (71 ± 17 vs 87 ± 17, P < .001) and the 36 Item Short Form Health Survey Physical Component Score (47 ± 10 vs 52 ± 6, P = .014). After 2 years, group C had superior Oxford Knee Score (16 ± 2, P < .001), Knee Society Score (82 ± 14, P = .003), and 36 Item Short Form Health Survey Physical Component Score (53 ± 6, P = .005). The hyperextension angle in group A decreased from 6° ± 2° to 2° ± 4° after 2 years with an improvement of 4° ± 4° (P < .001). The hyperextension angle in group C decreased from 7° ± 2° to 1° ± 3° after 2 years with an improvement of 6° ± 3° (P < .001) with a significant difference (P = .002) in hyperextension angle correction between group A and C.
  
  
  
  Preoperative recurvatum is a predictor of poorer outcome after UKA, and this patient population benefits from better 2-year functional outcomes after total knee arthroplasty.
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Lei
authors.initials: L
authors.lastname: Jiang
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Jerry Yongqiang
authors.initials: JY
authors.lastname: Chen
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Hwei-Chi
authors.initials: HC
authors.lastname: Chong
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Shi-Lu
authors.initials: SL
authors.lastname: Chia
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Ngai-Nung
authors.initials: NN
authors.lastname: Lo
authors.affiliation: Department of Orthopaedic Surgery, Singapore General Hospital, Singapore.
authors.forename: Seng Jin
authors.initials: SJ
authors.lastname: Yeo
mesh_terms: D000368:Aged; D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D016022:Case-Control Studies; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009985:Orthopedics / Q000379:methods; D020370:Osteoarthritis, Knee / Q000601:surgery*; D012720:Severity of Illness Index; D062606:Tertiary Care Centers; D016896:Treatment Outcome
keywords: SF-36; genu recurvatum; knee hyperextension; osteoarthritis; unicompartmental knee arthroplasty