Evidence map›Paper›PMID 25112651›Full record

ArticleInternational orthopaedics2014

Total versus unicompartmental knee replacement for isolated lateral osteoarthritis: a matched-pairs study.

Tilman Walker, Tobias Gotterbarm, Thomas Bruckner, Christian Merle, Marcus R Streit

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. High survivorship rate and good clinical outcomes at mid-term follow-up for lateral UKA: a systematic literature review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021
    Pooled it
  4. Unicompartmental versus total knee arthroplasty for knee osteoarthritis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019
    Pooled it
  5. Preserving Patient-Specific Knee Motion: A Randomized Clinical Trial of Unicompartmental and Total Knee Arthroplasty.Journal of orthopaedic research : official publication of the Orthopaedic Research Society · 2025
    Trial
  6. Trial
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  9. Optimising outcomes in lateral unicompartmental knee arthroplasty: Analysing 25 years of registry data.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025
    Article
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  14. Fixed-bearing is superior to mobile-bearing in lateral unicompartmental knee replacement: a retrospective matched-pairs analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  15. Article
  16. A BMI above 30 results in satisfying outcomes in patients undergoing fixed-bearing lateral unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023
    Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Tilman WalkerDepartment of Orthopaedic and Trauma Surgery, University of Heidelberg, Schlierbacher Landstrasse 200a, 69118, Heidelberg, Germany.
Tobias Gotterbarm
Thomas Bruckner
Christian Merle
Marcus R Streit
Heidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to compare the functional outcome of patients following unicompartmental knee replacement (UKR) using the Oxford domed lateral UKR to patients who underwent cruciate-retaining total knee replacement (TKR) for isolated osteoarthritis in the lateral compartment.

methodsWith the help of our institutional database, we retrospectively identified 22 matched pairs with regards to age, gender and body mass index (BMI). Functional outcome was measured using the Oxford Knee Score (OKS) and range of motion (ROM). Complications and revisions were recorded.

resultsThe mean follow-up was 22 (UKR) and 19 (TKR) months, respectively. Patients following UKR had a statistically significant higher mean postoperative OKS and ROM: mean OKS was 43 [standard deviation (SD) 4] for UKR and 37 (SD 9) for TKR, respectively (p = 0.023); ROM was 127° (SD 13) for UKR and 107° (SD 17) for TKR (p < 0.001). Additionally the change in score was statistically significant higher in patients following UKR in the OKS (14.3 (SD 6) vs. 9.6 (SD 8)) and in the range of motion (+12° (SD 19) vs. -3° (SD 20)), (p = 0.041 and p = 0.01 respectively). Survival at two years using revision for any reason as the endpoint was 96% [95% confidence interval (CI) 72-99] for UKR and 100% for TKR (Log-rank test, p = 0.317).

conclusionThe functional results of mobile-bearing UKR for isolated osteoarthritis in the lateral compartment compare favourably to those after cruciate-retaining TKR in the short term. To compare survival and complications after both procedures, longer-term follow-up is necessary.

Indexed as

AdultAgedAged, 80 and overArthroplasty, Replacement, KneeFemaleHumansKnee ProsthesisMaleMatched-Pair AnalysisMiddle AgedOsteoarthritis, KneeProsthesis DesignRange of Motion, ArticularRecovery of Function

Identifiers

PMID25112651
OpenAlexW2037332403

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.