Evidence map›Paper›PMID 41174929›Full record

ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026

Revision from unicompartmental knee arthroplasty to total knee arthroplasty: An analysis of 118 cases at midterm follow-up.

Marius Jonathan Ibach, Oscar Torney, Christoph E Horn, Alexander Frenzel, Christoph Hubertus Lohmann, Jonas Sina, Daniel Schrednitzki, Andreas Matthias Halder, Nils Meißner

Abstract read
In one paragraph

Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Marius Jonathan IbachDepartment of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany.ORCID https://orcid.org/0009-0003-5113-1887
Oscar TorneyDepartment of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany.ORCID https://orcid.org/0000-0003-4348-532X
Christoph E HornDepartment of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany.
Alexander FrenzelDepartment of Orthopaedics, Carl-Thiem-Klinikum Cottbus, Cottbus, Germany.
Christoph Hubertus LohmannDepartment of Orthopaedic Surgery, Otto-von-Guericke University, Magdeburg, Germany.ORCID https://orcid.org/0000-0002-2962-2183
Jonas SinaClinic for Orthopaedic Surgery, Hand Surgery and Traumatology, City Hospital Zurich, Zurich, Switzerland.ORCID https://orcid.org/0000-0001-7798-3306
Daniel SchrednitzkiDepartment of Orthopaedic and Trauma Surgery, Sana Hospital Lichtenberg, Berlin, Germany.ORCID https://orcid.org/0000-0003-2696-1769
Andreas Matthias HalderDepartment of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany.ORCID https://orcid.org/0000-0001-8901-5898
Nils MeißnerDepartment of Orthopaedic Surgery, Sana Hospital Sommerfeld, Kremmen, Germany.ORCID https://orcid.org/0000-0002-7321-219X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAseptic failure of unicompartmental knee arthroplasty (UKA) often requires revision to a total knee arthroplasty (TKA). However, outcomes following revision from UKA to TKA remain controversial. The purpose of this study was to analyze a large cohort of revisions from UKA to TKA, with emphasis on implant survivorship, clinical outcomes and radiographic results.

methodsWe retrospectively reviewed 118 aseptic revisions from UKA to TKA performed at a single surgical center between 2016 and 2022. Of these, 50 were required due to progression of osteoarthritis (42%), and 44 for aseptic loosening (37%). The mean age was 67 years, 65% were female, and the mean body mass index was 31 kg/m

resultsThe 8-year survivorship free of any re-revision and reoperation was 94% and 92%, respectively. Progression of osteoarthritis was associated with reduced odds of re-revision (odds ratio [OR]: 0.09; p = 0.025) and reoperation (OR: 0.20; p = 0.04). Knee Society Function Scores (KSS-F) improved from 53 to 82 (p < 0.001), with no correlation to implant type, demographics or radiographic patella height. At final follow-up, the mean Oxford Knee and Forgotten Joint Scores were 33 and 54, respectively. The mean modified Insall-Salvati Ratio was 1.56 preoperatively compared to 1.52 at last follow-up (p = 0.07).

conclusionAseptic revision from UKA to TKA provides excellent midterm implant survivorship, clinical outcomes, and radiographic results, particularly when performed for the progression of osteoarthritis. LEVEL OF EVIDENCE: Level IV.

Indexed as

Arthroplasty, Replacement, KneeOsteoarthritis, KneeReoperationAgedAged, 80 and overFemaleFollow-Up StudiesHumansKnee ProsthesisMaleMiddle AgedProsthesis FailureRetrospective Studiesimplant survivalpatella heightpatient‐reported outcomesrevision total knee arthroplasty (TKA)revision unicompartmental knee arthroplasty (UKA)

Identifiers

PMID41174929
PMCPMC13418406

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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.