ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2018
Ten-year patient-reported outcomes following total and minimally invasive unicompartmental knee arthroplasty: a propensity score-matched cohort analysis.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 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.
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Who cites it
40 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Joint awareness after unicompartmental knee arthroplasty and total knee arthroplasty: a systematic review and meta-analysis of cohort studies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Pooled it
- Similar postoperative patient-reported outcome in both second generation patellofemoral arthroplasty and total knee arthroplasty for treatment of isolated patellofemoral osteoarthritis: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Pooled it
- Patient relevant outcomes of unicompartmental versus total knee replacement: systematic review and meta-analysis.BMJ (Clinical research ed.) · 2019Pooled it
- Total versus partial knee replacement in patients with medial compartment knee osteoarthritis: the TOPKAT RCT.Health technology assessment (Winchester, England) · 2020Trial
- Revision from unicompartmental knee arthroplasty to total knee arthroplasty: An analysis of 118 cases at midterm follow-up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
- In vivo three-dimensional kinematics in unicompartmental knee arthroplasty: A sports activity cluster analysis.Journal of experimental orthopaedics · 2026Article
- Cost-Effectiveness of Computer-Assisted Fluoroscopic Navigation in Primary Total Hip Arthroplasty Compared With Robotic or Manual Techniques.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- Early institutional adoption and outcomes from 154 consecutive medial mobile-bearing unicompartmental knee arthroplasties: a single-center experience after implant introduction.Archives of orthopaedic and trauma surgery · 2025Article
- 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
- Indications and outcomes in bi-unicondylar knee arthroplasty: A systematic review.Journal of experimental orthopaedics · 2025Review
- Long-term outcome of periprosthetic joint infection following unicompartmental knee arthroplasty: A single-centre case series.Journal of experimental orthopaedics · 2025Article
- Lifetime Cost-Effectiveness of Structured Education and Exercise Therapy for Knee Osteoarthritis in Australia.JAMA network open · 2024Article
- Unicompartmental Knee Arthroplasty for Osteoarthritis Eliminates Lateral Thrust: Associations between Lateral Thrust Detected by Inertial Measurement Units and Clinical Outcomes.Sensors (Basel, Switzerland) · 2024Article
- Less pain reported 5 years after cementless compared to cemented unicompartmental knee replacement: an analysis of pain, neuropathy, and co-morbidity scores.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The effect of gender, age, BMI and Kellgren-Lawrence grade on functional outcome after Physica ZUK medial unicompartmental knee replacement.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Medial bicompartmental arthroplasty patients display more normal gait and improved satisfaction, compared to matched total knee arthroplasty patients.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- A direct referencing method of the tibial plateau for the posterior tibial slope in medial unicompartmental knee arthroplasty.Journal of orthopaedic surgery and research · 2022Article
- Comparing surgical strategies for end-stage anteromedial osteoarthritis : total versus unicompartmental knee arthroplasty.Bone & joint open · 2022Article
- Bi-unicondylar arthroplasty : a biomechanics and clinical outcomes study.Bone & joint research · 2021Article
- [Effect of posterior tibial slope on the short-term outcome in mobile-bearing unicompartmental knee arthroplasty].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
purposeFor patients with medial compartment arthritis who have failed non-operative treatment, either a total knee arthroplasty (TKA) or a unicompartmental knee arthroplasty (UKA) can be undertaken. This analysis considers how the choice between UKA and TKA affects long-term patient-reported outcome measures (PROMs).
methodsThe Knee Arthroplasty Trial (KAT) and a cohort of patients who received a minimally invasive UKA provided data. Propensity score matching was used to identify comparable patients. Oxford Knee Score (OKS), its pain and function components, and the EuroQol 5 Domain (EQ-5D) index, estimated on the basis of OKS responses, were then compared over 10 years following surgery. Mixed-effects regressions for repeated measures were used to estimate the effect of patient characteristics and type of surgery on PROMs.
resultsFive-hundred and ninety UKAs were matched to the same number of TKAs. Receiving UKA rather than TKA was found to be associated with better scores for OKS, including both its pain and function components, and EQ-5D, with the differences expected to grow over time. UKA was also associated with an increased likelihood of patients achieving a successful outcome, with an increased chance of attaining minimally clinically important improvements in both OKS and EQ-5D, and an 'excellent' OKS. In addition, for both procedures, patients aged between 60 and 70 and better pre-operative scores were associated with better post-operative outcomes.
conclusionMinimally invasive UKAs performed on patients with the appropriate indications led to better patient-reported pain and function scores than TKAs performed on comparable patients. UKA can lead to better long-term quality of life than TKA and this should be considered alongside risk of revision when choosing between the procedures. LEVEL OF EVIDENCE: II.
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