ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2019
Minimally invasive Oxford unicompartmental knee arthroplasty ensures excellent functional outcome and high survivorship in the long term.
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 22 papers, 4 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.
- Mechanical versus kinematic alignment for total knee arthroplasty: a meta-analysis.Archives of orthopaedic and trauma surgery · 2025Pooled it
- Revision of unicompartmental knee arthroplasty: a systematic review.BMC musculoskeletal disorders · 2024Pooled it
- Obesity does not adversely impact the outcome of unicompartmental knee arthroplasty for osteoarthritis: a meta-analysis of 80,798 subjects.International journal of obesity (2005) · 2021Pooled it
- Does patellofemoral osteoarthritis affect functional outcomes and survivorship after medial unicompartmental knee arthroplasty? A meta-analysis.Journal of orthopaedic surgery and research · 2020Pooled it
- 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
- Unicompartmental Knee Arthroplasty Versus Opening-Wedge High Tibial Osteotomy for Spontaneous Osteonecrosis of the Knee: A Retrospective Cohort Study.Orthopaedic journal of sports medicine · 2024Article
- [Successful medial unicompartmental knee arthroplasty-What are the most important surgical tricks?]Orthopadie (Heidelberg, Germany) · 2024Review
- Minimally invasive small incision surgical technique for unicompartmental knee arthroplasty.International orthopaedics · 2023Article
- Gap balance difference of unicompartmental knee arthroplasty between hanging leg and supine leg position: a prospective cohort study.International orthopaedics · 2023Article
- Intraoperative sensor technology quantifies inter-prosthesis pressure for predicting lower limb alignment after Oxford unicompartmental knee arthroplasty.Frontiers in bioengineering and biotechnology · 2023Article
- A radiographic model predicting the status of the anterior cruciate ligament in varus knee with osteoarthritis.BMC musculoskeletal disorders · 2022Article
- St Georg Sled medial unicompartmental arthroplasty: survivorship analysis and function at 20 years follow up.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Return to sports after medial unicompartmental knee arthroplasty in patients with concomitant patella-femoral osteoarthritis: multicenter retrospective cohort study with minimum 5-year follow-up.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Excellent outcomes with Oxford Uni-compartmental knee arthroplasty in anteromedial osteoarthritis patients (≤60 years) at mid-term follow-up.BMC musculoskeletal disorders · 2021Article
- Prior high tibial osteotomy is not a contraindication for medial unicompartmental knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Internal fixation and unicompartmental knee arthroplasty for an elderly patient with patellar fracture and anteromedial osteoarthritis: A case report.World journal of clinical cases · 2021Article
- Radiological outcomes following manual and robotic-assisted unicompartmental knee arthroplasty.Bone & joint open · 2021Article
- [New technologies (robotics, "custom-made") for unicondylar knee arthroplasty-contra].Der Orthopade · 2021Review
- Anthropometry of the medial femoral condyle in the Chinese population: the morphometric analysis to design unicomparmental knee component.BMC musculoskeletal disorders · 2021Article
Corrections and comments
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Authors and funding
8 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeWhether unicompartimental or total knee arthroplasty is superior for treatment of anteromedial knee osteoarthritis, is still uncertain. Therefore, the purpose of this study was to evaluate clinical and radiological outcome as well as long-term survivorship of medial Oxford unicompartmental knee arthroplasty (OUKA) at an independent center with a minimum follow-up of 10 years.
methodsThis single-center retrospective cohort study reports the 10-15 years follow-up results of 113 consecutive patients (126 knees) after medial OUKA. Survivorship analysis was performed with several different endpoints and clinical outcome was measured using the Oxford Knee Score (OKS), American Knee Society Score (AKSS-O), range of motion (ROM), Tegner activity score and UCLA score. Radiological analysis was performed with focus on progression of arthritis in the lateral compartment.
resultsA total of 16 patients (16 knees) underwent revision surgery resulting in a survival rate of 92.4% at 10 years and 88.6% at 15 years with the endpoint device-related revisions. The main reason for revision surgery was progression of arthritis in five patients (31.3%) followed by persistency of pain in three patients (18.7%). Clinical outcome was good to excellent with an OKS of 39.9 at 11 years, an AKSS-O of 89.3 and a mean range of motion of 122°. The radiological analysis revealed a significant progression of degenerative changes in the lateral compartment, however without any impact on the functional outcome.
conclusionOxford UKA of the medial compartment ensures good long-term survivorship with an excellent functional outcome. Therefore, the results of this study support the continued use of OUKA in patients with anteromedial osteoarthritis. LEVEL OF EVIDENCE: Retrospective cohort study, Level III.
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