SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2017
Cementless fixation in medial unicompartmental knee arthroplasty: a systematic review.
Synthesis 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 23 papers, 6 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
23 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Revision of unicompartmental knee arthroplasty: a systematic review.BMC musculoskeletal disorders · 2024Pooled it
- Cemented versus cementless Oxford unicompartmental knee arthroplasty for the treatment of medial knee osteoarthritis: an updated systematic review and meta-analysis.Archives of orthopaedic and trauma surgery · 2024Pooled it
- Cementless unicompartmental knee replacement achieves better ten-year clinical outcomes than cemented: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- The effect of obesity on revision rate in unicompartmental knee arthroplasty: a systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Bearing dislocation of mobile bearing unicompartmental knee arthroplasty in East Asian countries: a systematic review with meta-analysis.Journal of orthopaedic surgery and research · 2021Pooled it
- Long-term outcomes of over 8,000 medial Oxford Phase 3 Unicompartmental Knees-a systematic review.Acta orthopaedica · 2018Pooled it
- Article
- Current concepts of medial unicompartmental knee replacement: part 2-hot topics and further directions.Archives of orthopaedic and trauma surgery · 2026Review
- Unicompartmental knee replacement: controversies and technical considerations.Arthroplasty (London, England) · 2024Review
- Clinical and Functional Results of Cementless Unicompartmental Knee Arthroplasty with a Minimum Follow Up of 5 Years-A Consecutive Cohort of 201 Patients.Journal of clinical medicine · 2023Article
- Cementless unicompartmental knee arthroplasty results in higher pain levels compared to the cemented technique: a prospective register study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- Comparison of the radiological parameters between dynamic-referencing tactile guidance robotic system and Microplasty® instrumentation in unicompartmental knee arthroplasty.Joint diseases and related surgery · 2022Article
- Prior high tibial osteotomy is not a contraindication for medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Long-term survival rate of closing wedge high tibial osteotomy with high valgus correction: a 15-year follow-up study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Evidence-based surgical technique for medial unicompartmental knee arthroplasty.Knee surgery & related research · 2021Review
- Cementless knee arthroplasty: a review of recent performance.Bone & joint open · 2021Article
- Unicompartmental knee arthroplasty, an enigma, and the ten enigmas of medial UKA.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2020Review
- Ten-year clinical and radiographic results of 1000 cementless Oxford unicompartmental knee replacements.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Medium-term outcome of cementless, mobile-bearing, unicompartmental knee arthroplasty.Annals of translational medicine · 2019Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this study was to evaluate clinical outcome, failures, implant survival, and complications encountered with cementless fixation in unicompartmental knee arthroplasty (UKA).
methodsA systematic review of the literature on cementless fixation in UKA was performed according to the PRISMA guidelines. The following database was comprehensively searched: PubMed, Cochrane, Medline, CINAHL, Embase, and Google Scholar. The keywords "unicompartmental", "unicondylar", "partial knee arthroplasty", and "UKA" were combined with each of the keyword "uncemented", "cementless" and "survival", "complications", and "outcome". The following data were extracted: demographics, clinical outcome, details of failures and revisions, cumulative survival, and complications encountered. The risk of bias of each study was estimated with the MINORS score and a further scoring system based on the presence of the primary outcomes.
resultsFrom a cohort of 63 studies identified using the above methodology, 10 papers (1199 knees) were included in the final review. The mean follow-up ranged from 2 to 11 years (median 5 years). The 5-year survival ranged from 90 to 99 % and the 10-year survival from 92 to 97 %. There were 48 revisions with an overall revision rate of 0.8 per 100 observed component-years. The most common cause of failure was progression of osteoarthritis in the retained compartment (0.9 %). The cumulative incidence of complications and revisions was comparable to that reported in similar studies on cemented UKAs. The advantages of cementless fixation include faster surgical time, avoidance of cementation errors, and lower incidence of radiolucent lines.
conclusionsCementless fixation is a safe and effective alternative to cementation in medial UKA. Clinical outcome, failures, reoperation rate, and survival are similar to those reported for cemented implants with lower incidence of radiolucent lines. LEVEL OF EVIDENCE: IV.
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Registered trials
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.