SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Comparable incidence of periprosthetic tibial fractures in cementless and cemented unicompartmental knee arthroplasty: a systematic review and meta-analysis.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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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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.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Bisphosphonate use in patients undergoing total knee arthroplasty reduces overall and aseptic revisions and periprosthetic bone mineral density loss: A systematic review from the FP-UCBM Knee Study Group.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Delayed Fracture After Medial Unicompartmental Knee Replacement: Two Cases of Peri-Implant Fracture.Cureus · 2026Article
- Robot-assisted versus conventional unicompartmental knee arthroplasty: a retrospective comparative study of postoperative complications.BMC musculoskeletal disorders · 2026Article
- Lateral Tibial Plateau Fracture Following Medial Unicompartmental Knee Arthroplasty: A Case Report.Cureus · 2026Article
- Short-term outcomes after hybrid unicompartmental knee arthroplasty: A retrospective cohort study with minimum 3-year follow-up.Medicine · 2026Article
- Biomechanical risk factors for tibial plateau fracture following Oxford unicompartmental knee arthroplasty: a finite element analysis under gait loading.Frontiers in bioengineering and biotechnology · 2026Article
- Implant selection and causes of aseptic failure in conversion from unicompartmental to total knee arthroplasty: A high-volume centre series.Journal of experimental orthopaedics · 2026Article
- Does undersizing of the tibial component in unicompartmental knee arthroplasty increase the risk of fracture? A biomechanical study.Knee surgery & related research · 2025Article
- Rare Periprosthetic Fractures Following Oxford Unicompartmental Knee Arthroplasty: A Case Series of Supracondylar Femoral and Proximal Tibial Fractures.Journal of orthopaedic case reports · 2025Article
- Changes in Periprosthetic Bone Mineral Density Following Arthroplasty: An In-Depth Review and Current Perspectives.Current osteoporosis reports · 2025Review
- Learning from the past-A substantial number of unicompartmental knee arthroplasty revisions are potentially avoidable: A radiographic analysis of 98 cases.Journal of experimental orthopaedics · 2025Article
- Surgical factors that contribute to tibial periprosthetic fracture after cementless Oxford Unicompartmental Knee Replacement: a finite element analysis.Frontiers in bioengineering and biotechnology · 2025Article
- The inclination of the tibial component has an impact on fracture stability in unicompartmental knee arthroplasty: an artificial bone study.Frontiers in bioengineering and biotechnology · 2025Article
- Fractures in Oxford unicompartmental knee arthroplasty are associated with a decreased medial keel-cortex distance of the tibial implant.Knee surgery & related research · 2024Article
- [Successful medial unicompartmental knee arthroplasty-What are the most important surgical tricks?]Orthopadie (Heidelberg, Germany) · 2024Review
- [Dealing with early complications in unicondylar knee arthroplasty-what works, what does not?]Orthopadie (Heidelberg, Germany) · 2024Review
- Undersizing of the tibial component in Oxford unicompartmental knee arthroplasty (UKA) increases the risk of periprosthetic fractures.Archives of orthopaedic and trauma surgery · 2024Article
- Load transfer in bone after partial, multi-compartmental, and total knee arthroplasty.Frontiers in bioengineering and biotechnology · 2024Article
- Managing periprosthetic tibia fractures: International perspectives.OTA international : the open access journal of orthopaedic trauma · 2023Review
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purpose(I) To determine the incidence of periprosthetic tibial fractures in cemented and cementless unicompartmental knee arthroplasty (UKA) and (II) to summarize the existing evidence on characteristics and risk factors of periprosthetic fractures in UKA.
methodsPubmed, Cochrane and Embase databases were comprehensively searched. Any clinical, laboratory or case report study describing information on proportion, characteristics or risk factors of periprosthetic tibial fractures in UKA was included. Proportion meta-analysis was performed to estimate the incidence of fractures only using data from clinical studies. Information on characteristics and risk factors was evaluated and summarized.
resultsA total of 81 studies were considered to be eligible for inclusion. Based on 41 clinical studies, incidences of fractures were 1.24% (95%CI 0.64-2.41) for cementless and 1.58% (95%CI 1.06-2.36) for cemented UKAs (9451 UKAs). The majority of fractures in the current literature occurred during surgery or presented within 3 months postoperatively (91 of 127; 72%) and were non-traumatic (95 of 113; 84%). Six different fracture types were observed in 21 available radiographs. Laboratory studies revealed that an excessive interference fit (press fit), excessive tibial bone resection, a sagittal cut too deep posteriorly and low bone mineral density (BMD) reduce the force required for a periprosthetic tibial fracture to occur. Clinical studies showed that periprosthetic tibial fractures were associated with increased body mass index and postoperative alignment angles, advanced age, decreased BMD, female gender, and a very overhanging medial tibial condyle.
conclusionComparable low incidences of periprosthetic tibial fractures in cementless and cemented UKA can be achieved. However, surgeons should be aware that an excessive interference fit in cementless UKAs in combination with an impaction technique may introduce an additional risk, and could therefore be less forgiving to surgical errors and patients who are at higher risk of periprosthetic tibial fractures. LEVEL OF EVIDENCE: V.
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