ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2013
Joint line reconstruction in medial unicompartmental knee arthroplasty: development and validation of a measurement method.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Robotic-Assisted unicompartmental knee arthroplasty restores native joint line height and reduces alignment outliers.International orthopaedics · 2025Pooled it
- The influence of retaining osteophyte on the coronal alignment and joint line height following medial unicompartmental knee arthroplasty.Journal of orthopaedic surgery and research · 2026Article
- Standardizing Joint-Line determination on anteroposterior knee radiographs: multicenter validation of the adductor ratio and a novel composite index in 3000 knees.Archives of orthopaedic and trauma surgery · 2026Article
- Does robotic-assisted unicompartmental knee arthroplasty restore native joint line more accurately than with conventional instruments?Journal of robotic surgery · 2024Article
- Analysis of correlation between medial joint line change and lower limb coronal alignment after Oxford unicompartmental knee arthroplasty.Clinics (Sao Paulo, Brazil) · 2024Article
- The Deep-MCL Line: A Reliable Anatomical Landmark to Optimize the Tibial Cut in UKA.Journal of personalized medicine · 2023Article
- [Research progress on finite element analysis of unicompartmental knee arthroplasty in medial knee compartmental osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Review
- Robotic-assisted Unicompartmental knee Arthroplasty optimizes joint line restitution better than conventional surgery.Journal of experimental orthopaedics · 2020Article
- Medial joint line elevation of the tibia measured during surgery has a significant correlation with the limb alignment changes following medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Article
- The contribution of intraoperative medial compartment stability to post-operative knee flexion angle in unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Article
- Effect of Joint Line Elevation after Posterior-stabilized and Cruciate-retaining Total Knee Arthroplasty on Clinical Function and Kinematics.Chinese medical journal · 2015Article
- Correction of coronal alignment correlates with reconstruction of joint height in unicompartmental knee arthroplasty.Bone & joint research · 2015Article
- The adductor ratio: a new tool for joint line reconstruction in revision TKA.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
- The adductor tubercle as an important landmark to determine the joint line level in total knee arthroplasty: from radiographs to surgical theatre.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2014Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePreservation of the joint line in total knee arthroplasty (TKA) has shown to be an important factor for the long-term outcome, especially in revision TKA. For unicompartmental knee arthroplasty (UKA), the role of the joint line has neither been investigated nor is it consciously respected during implantation. Thus, the aim was to establish and validate a standardised measurement method to determine the joint line in UKA.
methodsAs there is no established method to evaluate changes in the joint line radiologically, we introduced two methods and correlated them. The methods were first validated in a cadaver model by a controlled rotational study. Then, the joint line of 29 patients with an UKA (Oxford, Biomet, Bridgend, UK) was determined on pre- and post-operative radiographs. Both methods were tested by intra- and inter-rater reliability.
resultsBoth methods showed a good intra- and inter-rater reliability. Furthermore, there was only little bias in agreement between both methods and raters. Measurements of the 29 UKA patients revealed that the joint line was more distally by a mean of 4.4 ± 1.2 mm after surgery.
conclusionsThe study provides for the first time a reliable and standardised measurement tool to determine the changes in the joint line after implantation of an UKA. The instrument should be used in further studies to evaluate the impact of the joint line on the long-term outcome, the load in the two non-replaced knee compartments and on the ligaments.
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