{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T05:03:36Z","timestamp":1779685416814,"version":"3.53.1"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the impact of the multi-disciplinary treatment (MDT) approach on surgical outcomes and kinematic gait parameters in patients undergoing primary unilateral unicompartmental knee arthroplasty (UKA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Clinical data of patients who underwent UKA at the People\u2019s Hospital of Ningxia Hui Autonomous Region between January 2025 and October 2025 were retrospectively collected and analyzed. Based on whether patients received perioperative MDT management, they were divided into an MDT group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f40) and a conventional care group (\n                      <jats:italic>n<\/jats:italic>\n                      \u202f=\u202f50). Perioperative nutrition-related indicators (including albumin, ALB), incidence of perioperative complications, total hospital length of stay, Visual Analogue Scale (VAS) pain scores, Hospital for Special Surgery (HSS) knee scores, knee range of motion (ROM), patient satisfaction, and kinematic gait parameters were measured and compared between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The conventional care group showed significantly lower ALB levels on postoperative day 1 and day 3, lower maximum hip flexion, maximum knee flexion, maximum ankle dorsiflexion, lower HSS scores, smaller ROM, and lower satisfaction scores compared to the MDT group. Conversely, the conventional care group had a significantly higher incidence of postoperative complications, longer total hospital stay, and higher VAS pain scores than the MDT group. All these differences were statistically significant (all\n                      <jats:italic>p<\/jats:italic>\n                      \u202f&amp;lt;\u202f0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The application of an MDT model for elderly patients undergoing primary unilateral UKA can shorten the total hospital stay, reduce the incidence of perioperative complications, promote early postoperative recovery, mitigate postoperative gait kinematic abnormalities, and improve surgical efficacy and patient satisfaction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1801572","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T04:35:42Z","timestamp":1779683742000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["The effect of multi-disciplinary treatment on surgical outcomes and kinematic gait patterns in patients undergoing primary unilateral knee unicompartmental arthroplasty: a retrospective cohort study"],"prefix":"10.3389","volume":"13","author":[{"given":"Tianxiang","family":"Yang","sequence":"first","affiliation":[{"name":"People\u2019s Hospital of Ningxia Hui Autonomous Region, Third Clinical Medical College of Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Orthopedics, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yulian","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hui","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinbin","family":"Wang","sequence":"additional","affiliation":[{"name":"People\u2019s Hospital of Ningxia Hui Autonomous Region, Third Clinical Medical College of Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Orthopedics, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wentao","family":"Gong","sequence":"additional","affiliation":[{"name":"People\u2019s Hospital of Ningxia Hui Autonomous Region, Third Clinical Medical College of Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Orthopedics, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueqi","family":"Liu","sequence":"additional","affiliation":[{"name":"People\u2019s Hospital of Ningxia Hui Autonomous Region, Third Clinical Medical College of Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Orthopedics, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tao","family":"Ma","sequence":"additional","affiliation":[{"name":"People\u2019s Hospital of Ningxia Hui Autonomous Region, Third Clinical Medical College of Ningxia Medical University","place":["Yinchuan, China"]},{"name":"Department of Orthopedics, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Desheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, People\u2019s Hospital of Ningxia Hui Autonomous Region, Ningxia Medical University","place":["Yinchuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1418","DOI":"10.1093\/pm\/pnz011","article-title":"Meta-analysis comparing platelet-rich plasma vs hyaluronic acid injection in patients with knee osteoarthritis","volume":"20","author":"Han","year":"2019","journal-title":"Pain Med"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"9332","DOI":"10.1073\/pnas.1703856114","article-title":"Knee osteoarthritis has doubled in prevalence since the mid-20th century","volume":"114","author":"Wallace","year":"2017","journal-title":"Proc 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cancer","volume":"9","author":"Zhou","year":"2022","journal-title":"Electron J Metab Nutr Cancer"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1187","DOI":"10.1007\/s00167-007-0351-7","article-title":"Functional improvement after unicompartmental knee replacement: a follow-up study with a performance based knee test","volume":"15","author":"Kleijn","year":"2007","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"80","DOI":"10.7619\/jcmp.201818024","article-title":"Exploration of multi-disciplinary diagnosis and treatment in reducing postoperative infection rate in patients with spinal surgery","volume":"22","author":"Ma","year":"2018","journal-title":"J Clin Med Pract"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"16","DOI":"10.13912\/j.cnki.chqm.2021.28.2.06","article-title":"Analysis on research progress of multidisciplinary diagnosis and treatment model at home and 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