ReviewArchives of orthopaedic and trauma surgery2022
Periprosthetic fractures after medial unicompartmental knee arthroplasty: a narrative review.
Review in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
The trial behind it
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Mid- to long-term complications and revision rates of robotic-assisted unicompartmental knee arthroplasty: a systematic review and meta-analysis.Frontiers in surgery · 2025Pooled it
- Measured Resection as Gap Balance Method in Mobile-Bearing Medial Unicompartmental Knee Arthroplasty: A Randomized Controlled Trial.Orthopaedic surgery · 2025Trial
- Patient-Specific Instrumentation Improves Technical Execution Accuracy After Artificial Intelligence-Assisted Preoperative Planning in Medial Unicompartmental Knee Arthroplasty.International orthopaedics · 2026Article
- Biomechanical consequences of minor medial joint line elevation after medial unicompartmental knee arthroplasty.Journal of orthopaedic surgery and research · 2026Article
- Robot-assisted versus conventional unicompartmental knee arthroplasty: a retrospective comparative study of postoperative complications.BMC musculoskeletal disorders · 2026Article
- [Biomechanical study on the combined effects of femoral component rotational malalignment and osteoporosis in unicompartmental knee arthroplasty].Sheng wu yi xue gong cheng xue za zhi = Journal of biomedical engineering = Shengwu yixue gongchengxue zazhi · 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
- Favorable midterm clinical results of medial unicompartmental knee arthroplasty guided by coronal limb alignment using an image-free navigation system.Archives of orthopaedic and trauma surgery · 2026Article
- Rare Periprosthetic Fractures Following Oxford Unicompartmental Knee Arthroplasty: A Case Series of Supracondylar Femoral and Proximal Tibial Fractures.Journal of orthopaedic case reports · 2025Article
- Robotic-Assisted Joint Line Preserving Unicompartmental Knee Arthroplasty Positioning Among Octogenarians.Journal of personalized medicine · 2025Article
- Research on the biomechanical characteristics of the tibiofemoral joint before and after kinematic alignment unicompartmental knee arthroplasty.Journal of orthopaedic surgery and research · 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
- Finite element study of stress distribution in medial UKA under varied lower limb alignment.Scientific reports · 2024Article
- [Dealing with early complications in unicondylar knee arthroplasty-what works, what does not?]Orthopadie (Heidelberg, Germany) · 2024Review
- Load transfer in bone after partial, multi-compartmental, and total knee arthroplasty.Frontiers in bioengineering and biotechnology · 2024Article
- The utilization of artificial neural networks for the prediction of 90-day unplanned readmissions following total knee arthroplasty.Archives of orthopaedic and trauma surgery · 2023Article
- Impact of keel saw blade design and thickness on the incidence of tibial plateau fracture and tibial implant-loosening in cementless medial UKR.BMC musculoskeletal disorders · 2022Article
- Safety and Efficacy of Unicondylar Knee Prosthesis Treatment for Unicompartmental Osteoarthritis of the Knee Joint.Computational and mathematical methods in medicine · 2022Article
- High Reoperation Rate After Osteosynthesis of Proximal Periprosthetic Tibial Fractures Around Medial Unicompartmental Knee Arthroplasty.JB & JS open accessArticle
Corrections and comments
- Erratum issued
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionOn rare occasions, fractures of the tibial plateau may occur after uni-compartmental knee arthroplasty (UKA) and account for 2% of total UKA failures. The purpose of this narrative review is to identify and discuss potential risk factors that might lead to prevention of this invalidating complication. MATERIALS AND
methodsElectronic database of Pubmed, Scopus, Cochrane and Google Scholar were searched. A total of 457 articles related to the topic were found. Of those, 86 references were included in this narrative review.
resultsUKA implantation acts as a stress riser in the medial compartment. To avoid fractures, surgeons need to balance load and bone stock. Post-operative lower limb alignment, implant positioning, level of resection and sizing of the tibial tray have a strong influence on load distribution of the tibial bone. Pain on weight-bearing signals bone-load imbalance and acts as an indicator of bone remodeling and should be a trigger for unloading. The first three months after surgery are critical because of transient post-operative osteoporosis and local biomechanical changes. Acquired osteoporosis is a growing concern in the arthroplasty population. Split fractures require internal fixation, while subsidence fractures differ in their management depending of the amount of bone impaction. Loose implants require revision knee arthroplasty.
conclusionPeri-prosthetic fracture is a rare, but troublesome event, which can lead to implant failure and revision surgery. Better knowledge of the multifactorial risk factors in association with a thorough surgical technique is key for prevention.
Indexed as
Identifiers
34268614What OpenQuestion holds
Registered trials
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.