ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
A high level of satisfaction after bicompartmental individualized knee arthroplasty with patient-specific implants and instruments.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Insufficient evidence to confirm benefits of custom partial knee arthroplasty: a systematic review.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Pooled it
- [Expert consensus on clinical pathway of high-conformity total knee arthroplasty under the enhanced recovery after surgery protocol].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2026Article
- Survivorship and Clinical Outcomes up to Six Years After Combined Patellofemoral and Unicondylar Knee Arthroplasty.Arthroplasty today · 2026Article
- [The importance of individual knee arthroplasty].Orthopadie (Heidelberg, Germany) · 2025Article
- Current status of bicompartmental arthroplasty.Arthroplasty (London, England) · 2025Review
- Unicompartmental knee replacement: controversies and technical considerations.Arthroplasty (London, England) · 2024Review
- Combined Edge Loss UNet for Optimized Segmentation in Total Knee Arthroplasty Preoperative Planning.Bioengineering (Basel, Switzerland) · 2023Article
- Improved Knee Function with Customized vs. Off-the-Shelf TKA Implants-Results of a Single-Surgeon, Single-Center, Single-Blinded Study.Journal of personalized medicine · 2023Article
- Applying machine learning methods to enable automatic customisation of knee replacement implants from CT data.Scientific reports · 2023Article
- Relevant changes of leg alignment after customised individually made bicompartmental knee arthroplasty due to overstuffing.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Contemporary knee arthroplasty: one fits all or time for diversity?Archives of orthopaedic and trauma surgery · 2021Review
- Opinion Piece: Patient-Specific Implants May Be the Next Big Thing in Spinal Surgery.Journal of personalized medicine · 2021Article
- Application of 3D Printing in Hip and Knee Arthroplasty: A Narrative Review.Indian journal of orthopaedics · 2021Review
- [New technologies (robotics, custom-made) in unicondylar knee arthroplasty-pro].Der Orthopade · 2021Review
- Customised bi-compartmental knee arthroplasty shows encouraging 3-year results: findings of a prospective, multicenter study.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2020Article
- Biomechanical and Clinical Effect of Patient-Specific or Customized Knee Implants: A Review.Journal of clinical medicine · 2020Review
- [Custom made total knee arthroplasty : Review of current literature].Der Orthopade · 2020Review
- [Indications, tips and tricks in individualized bicompartmental replacement].Der Orthopade · 2020Review
- Early outcomes of an anatomic trochlear-cutting patellofemoral arthroplasty: patient selection is key.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeCustomized Individually Made (CIM) Bicompartmental Knee Arthroplasty (BKA) implants and three-dimensional printed customized instruments are available to fit to each patient's unique anatomy, medial or lateral with patellofemoral. This study aimed to evaluate the clinical outcomes after CIM-BKA.
methodsFifty-five patients [59 knees; average age, 51 years; standard deviation (SD), 6.8; range 37-65 years] who underwent CIM-BKA were evaluated over an average of 3.8-year follow-up (SD 1.6; range 1-6 years). Forty-one knees underwent BKA combined medial and patellofemoral replacement (BKA-MP) and 18 knees underwent BKA combined lateral with patellofemoral replacement (BKA-LP). Survival rates, the modified Cincinnati Knee Rating Scale, WOMAC, VAS, SF-36, a satisfaction survey, and radiographic evaluation were used to evaluate outcomes.
resultsOverall, survival rates were 98% and 92% at 2 and 5 years, respectively. Of 56 knees (95%) that did not fail, all patient-reported functional scores significantly improved post-operatively (P < 0.01), regardless of the previous surgeries, with a high level of satisfaction (51/56 knees, 91%). Radiographically, all the femoral components fit perfectly and 56 knees (95%) of the tibial components fit with less than 2 mm of undercoverage or overhang. Three knees (5%) required the conversion to TKA and 17 knees (29%) required subsequent surgical procedures, of which multiply operated knees had higher rate than virgin knee [14/40 (35%) vs. 3/16 (19%)].
conclusionCIM-BKA allowed precise fit of the components and provided a significant improvement post-operatively with a high level of satisfaction over short- to mid-term follow-up. This novel CIM-BKA is resurfacing, and does not require 10-mm faceted cuts, being only 3-mm-thick, which preserves bone stock for the future. It may be a promising option for relatively young active patients with bicompartmental osteoarthritis with a longer term follow-up being necessary. LEVEL OF EVIDENCE: IV.
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