ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Minimally invasive Oxford medial unicompartmental knee arthroplasty in young patients.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 6 of them syntheses that pooled it.
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Who cites it
25 citing papers in PubMed, 6 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Returning to running after total knee arthroplasty: a systematic review and a novel multimodal protocol.Musculoskeletal surgery · 2025Pooled it
- Revision of unicompartmental knee arthroplasty: a systematic review.BMC musculoskeletal disorders · 2024Pooled it
- Unicompartmental knee arthroplasty in patients under the age of 60 years provides excellent clinical outcomes and 10-year implant survival: a systematic review : A study performed by the Early Osteoarthritis group of ESSKA-European Knee Associates section.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Pooled it
- Larger range of motion and increased return to activity, but higher revision rates following unicompartmental versus total knee arthroplasty in patients under 65: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2018Pooled it
- Bearing Dislocation and Progression of Osteoarthritis After Mobile-bearing Unicompartmental Knee Arthroplasty Vary Between Asian and Western Patients: A Meta-analysis.Clinical orthopaedics and related research · 2018Pooled it
- Sport and physical activity following unicompartmental knee arthroplasty: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2017Pooled it
- Effect of Medial Unicompartmental Knee Arthroplasty on Clinical Outcomes and Stress Distribution of Patellofemoral Joint.Orthopaedic surgery · 2026Article
- Cemented mobile-bearing medial unicompartmental knee arthroplasty provides long-term implant survival and sustained functional performance in young and active patients aged 60 or below.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2025Article
- [Effectiveness and safety analysis of simultaneous bilateral total knee arthroplasty in treatment of patients aged 65 years and younger with bilateral knee osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025Article
- Predicting unicompartmental arthroplasty success: a three year Indian study.International orthopaedics · 2025Article
- Current evidence on medial unicompartmental knee arthroplasty in patients 60 and younger: a narrative review.Annals of joint · 2025Review
- Minimally invasive Oxford medial unicompartmental knee replacement in patients 50 years of age or younger.Archives of orthopaedic and trauma surgery · 2023Article
- [Research progress of failure and revision of unicompartmental knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2023Article
- Physical Activity of Young Patients following Minimally Invasive Lateral Unicompartmental Knee Replacement.Journal of clinical medicine · 2023Article
- Distal femoral osteotomy versus lateral unicompartmental arthroplasty for isolated lateral tibiofemoral osteoarthritis with intra-articular and extra-articular deformity: a propensity score-matched analysis.Knee surgery & related research · 2022Article
- The effect of age on the outcomes of cementless mobile bearing unicompartmental knee replacements.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Pre-operative predictive factors of residual varus on the mechanical axis after Oxford unicompartmental knee arthroplasty.Frontiers in surgery · 2022Article
- [Comparison of unicompartmental knee arthroplasty and total knee arthroplasty in the treatment of severe medial compartment osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- [The importance of ligament reconstruction with existing osteoarthritis].Der Orthopade · 2021Review
- Factors affecting the clinical outcomes including patient satisfaction after Oxford unicompartmental knee arthroplasty: a retrospective study.Arthroplasty (London, England) · 2020Article
Corrections and comments
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Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAdvanced knee arthritis in young patients is a challenging problem that may necessitate surgical treatment. There are few published studies of mobile-bearing unicompartmental knee arthroplasty (UKA) in young patients, while indications have expanded to its use in this demanding patient group.
methodsThe clinical and radiographic results of the first 118 consecutive Oxford medial UKAs (OUKA) using a minimally invasive technique (phase 3) in 101 patients 60 years of age or younger at the time of surgery were evaluated. Median age at surgery was 57 (25-60) years. Kaplan-Meier survivorship analysis was used to estimate implant survival.
resultsMean time of follow-up evaluation was five (SD 1.6) years. At final follow-up, three patients (three knees) had died, and two patients (three knees) were lost to follow-up. Five knees were revised: three for unexplained pain, one for early infection and one for bearing fracture. There was one impending revision for progression of osteoarthritis in the lateral compartment. The radiographic review demonstrated that 5 % of the knees had progressive arthritis in the lateral knee compartment, of those 2 % with full joint space loss and pain. The Kaplan-Meier survival analysis, using revision for any reason as the endpoint, estimated the five-year survival rate at 97 % (95 % CI 91-99). Ninety-six per cent of the non-revised patients were satisfied with the outcome, and 4 % were dissatisfied. The mean Oxford knee score was 41 (SD 7), with 6 % of the knees having a poor result. The mean AKSS was 89 (SD 14), mean flexion was 129° (SD 13) and the mean UCLA score was 6.8 (SD 1.5).
conclusionMinimally invasive Oxford medial UKA was reliable and effective in this young and active patient cohort providing high patient satisfaction at mid-term follow-up. Progressive arthritis in the lateral knee compartment was a relevant failure mode in this age group. Most revisions were performed for unexplained pain, while we did not find loosening or wear in any patient. LEVEL OF EVIDENCE: IV.
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