ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Low percentage of surgeons meet the minimum recommended unicompartmental knee arthroplasty usage thresholds: Analysis of 3037 Surgeons from Three National Joint Registries.
Article 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 16 papers.
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Who cites it
16 citing papers in PubMed, 25 citations in OpenAlex.
- Demographics and outcomes of unicondylar knee arthroplasty in Türkiye: a nationwide retrospective database study of eight thousand, five hundred and ninety cases.International orthopaedics · 2026Article
- A Novel Preoperative Calculator for 90-Day Prosthetic Joint Infection Following Total Joint Arthroplasty Based off the Michigan Arthroplasty Registry Collaborative Quality Initiative Database.Arthroplasty today · 2026Article
- Lateral unicompartmental knee arthroplasty through a medial parapatellar approach: surgical technique and mid-term results in 108 patients.Archives of orthopaedic and trauma surgery · 2026Article
- Similar incidence and implant survival of multiply revised knee arthroplasties in Norway and Denmark: a register study of the Danish and Norwegian Knee Arthroplasty registries from 1998-2021.Acta orthopaedica · 2026Observational
- 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
- 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
- Minimal changes in patella height after aseptic revision from unicompartmental to total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2025Article
- A radiographic artificial intelligence tool to identify candidates suitable for partial knee arthroplasty.Archives of orthopaedic and trauma surgery · 2024Article
- A Review of Current Approaches to Pain Management in Knee Osteoarthritis with a Focus on Italian Clinical Landscape.Journal of clinical medicine · 2024Review
- Champions in usage of medial unicompartmental knee arthroplasty : The story behind the Danish success.Orthopadie (Heidelberg, Germany) · 2024Review
- Trends in unicompartmental knee arthroplasty among 138 international experienced arthroplasty knee surgeons.Heliyon · 2024Article
- A Comparative Evaluation of Conventional Instrumentation and Accelerometer-Based Navigation in the Practice of a High-Volume Unicompartmental Knee Arthroplasty (UKA) Surgeon.Arthroplasty today · 2023Article
- Patient-reported outcomes and satisfaction after revisions of medial unicompartmental knee arthroplasties for unexplained pain vs aseptic loosening.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 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
- The compartmental approach to revision of partial knee arthroplasty results in nearer-normal gait and improved patient reported outcomes compared to total knee arthroplasty.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Robotics improves alignment accuracy and reduces early revision rates for UKA in the hands of low-volume UKA surgeons.Archives of orthopaedic and trauma surgery · 2021Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe reported usage of UKA is around 10% in the UK, Australian and New Zealand joint registries. However, some authors recommend that a higher UKA usage of 20%, or a minimum 12 UKA cases per year, would reduce revision rates. The purpose of this study was to analyze the percentage of surgeons performing the recommended thresholds in these 3 registries.
methodsData from the UK, Australian and New Zealand registry databases was utilized from the time period since their respective introduction until 2017. All primary TKA and UKA performed for the diagnosis of osteoarthritis by surgeons with more than 100 recorded knee arthroplasties in their respective registry were included. The results between the registries were compared and a pooled analysis was performed. The number of surgeons meeting the recommended caseload of > 20% UKA yearly or 12 UKA cases yearly was calculated.
resultsWe identified 3037 knee surgeons performing 1,556,440 knee arthroplasties, of which 131,575 were UKA (8.45%). Over 50% of knee surgeons in each registry had a proportion of less than 5% UKA of their knee replacement procedures. After pooling of data, median surgeon UKA usage was 2.0% (IQR 0-9.1%). The percentage of surgeons meeting the proposed caseload criteria was highest in New Zealand, 16.3%, followed by the UK at 12.4% and Australia 11.3% (p = 0.28).
conclusionMore than 50% of knee surgeons in UK, Australian and New Zealand joint registries perform less than 5% of UKA yearly. The majority of experienced knee surgeons are not meeting the recommended minimum thresholds, which might indicate that the recommended thresholds are not feasible for the vast majority of knee surgeons. The reasons behind this require further research. LEVEL OF EVIDENCE: Level III retrospective registry study.
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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.