ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Early functional outcome after lateral UKA is sensitive to postoperative lower limb alignment.
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 14 papers, 3 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Robotic-assisted surgery in medial unicompartmental knee arthroplasty: does it improve the precision of the surgery and its clinical outcomes? Systematic review.Journal of robotic surgery · 2021Pooled it
- Lateral unicompartmental knee replacement: a systematic review of reasons for failure.International orthopaedics · 2018Pooled it
- Current state of computer navigation and robotics in unicompartmental and total knee arthroplasty: a systematic review with meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2016Pooled it
- Similar tibial and femoral component fixation of mobile-bearing and fixed-bearing lateral unicompartmental knee arthroplasty: A radiostereometry study with 5-year follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Image-based robotics enhance precision and efficiency in lateral UKA: A comparative study of 135 UKAs.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- Lateral unicompartmental knee arthroplasty anatomy, indications, technique, and outcomes: a narrative review.Archives of orthopaedic and trauma surgery · 2025Review
- Restoring prearthritic alignment improves joint perception in medial unicompartmental knee arthroplasty.Journal of experimental orthopaedics · 2025Article
- Revision surgery after failure of lateral unicompartmental knee replacement with a mobile-bearing device: a retrospective non -designer case-series.Archives of orthopaedic and trauma surgery · 2025Article
- Unicompartmental knee replacement: controversies and technical considerations.Arthroplasty (London, England) · 2024Review
- Effect of lower limb alignment on outcome after lateral unicompartmental knee arthroplasty: a retrospective study.BMC musculoskeletal disorders · 2024Article
- Fixed-Bearing Unicompartmental Knee Arthroplasty of the Lateral Compartment: A Series of 246 Cases.Arthroplasty today · 2023Article
- Change in the weight-bearing line ratio of the ankle joint and ankle joint line orientation after knee arthroplasty and high tibial osteotomy in patients with genu varum deformity.International orthopaedics · 2021Article
- Medial vs lateral unicompartmental knee arthrroplasty: clinical results.Acta bio-medica : Atenei Parmensis · 2017Review
- Survivorship and patient satisfaction of robotic-assisted medial unicompartmental knee arthroplasty at a minimum two-year follow-up.The Knee · 2017Article
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe predictive role of patient-specific characteristics and radiographic parameters on medial unicompartmental knee arthroplasty (UKA) outcomes is well known, but knowledge of these predictors is lacking in lateral UKA. Therefore, purpose of this study was to assess the predictive role of these parameters on short-term functional outcomes of lateral UKA.
methodsIn this retrospective cohort study, Western Ontario and McMaster Universities Arthritis Index scores were collected at 2-year follow-up (median 2.2 years, range 2.0-4.0 years) in 39 patients who underwent lateral UKA. Patient-specific characteristics included age, BMI and gender, while radiographic parameters included osteoarthritis severity of all three compartments and both preoperative and postoperative hip-knee-ankle alignment.
resultsBMI, gender, age and preoperative valgus alignment were not correlated with functional outcomes, while postoperative valgus alignment was correlated with functional outcomes (0.561; p = 0.001). Postoperative valgus of 3°-7° was correlated with better outcomes than more neutral (-2° to 3° valgus) alignment (96.7 vs. 85.6; p = 0.011). Postoperative alignment was a predictor when corrected for patient-specific characteristics (regression coefficient 4.1; p < 0.001) and radiological parameters (regression coefficient 3.8; p = 0.002).
conclusionsPostoperative valgus alignment of 3°-7° was correlated with the best short-term functional outcomes in lateral UKA surgery, while patient-specific parameters and preoperative alignment were not correlated with functional outcomes. Based on these findings, a surgeon should aim for valgus alignment of 3°-7° when performing lateral UKA surgery for optimal functional outcomes. LEVEL OF EVIDENCE: Prognostic study, Level II.
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