ReviewJB & JS open access
Ten-Year Implant Survival and Functional Outcomes Following Combined Medial Unicompartmental Knee Arthroplasty and Anterior Cruciate Ligament Reconstruction: A Systematic Review and Call for High-Quality Comparative Trials.
Review in JB & JS open access. 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 2 papers.
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
2 citing papers in PubMed.
- Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Managing medial compartment knee osteoarthritis (OA) with anterior cruciate ligament (ACL) deficiency, particularly in younger, active patients, remains challenging. Medial unicompartmental knee arthroplasty (UKA) combined with ACL reconstruction (ACLR) (UKACL) has gained interest, yet outcomes remain incompletely defined. This systematic review aims to evaluate the clinical effectiveness, implant survivorship, complications, and patient-reported outcomes after combined UKA and ACLR in end-stage medial OA with ACL deficiency. Methods: We systematically searched PubMed, Embase, Scopus, and Web of Science. Studies reporting outcomes of UKA performed with ACLR were included; case reports, technical notes, and biomechanical studies were excluded. Risk of bias was assessed with ROBINS-I V2. We extracted clinical outcomes, implant survival, complications, radiographic findings, and validated functional scores. Results: Fourteen studies comprising 353 patients met the inclusion criteria. Reported survivorship consistently exceeded 90% at 10 years. Ten revisions were reported, most commonly for lateral OA progression. Overall complication rate was 9.06% with no difference between mobile-bearing and fixed-bearing designs. Mobile-bearing implants had a slightly higher bearing dislocation risk, whereas fixed-bearing designs showed marginally higher polyethylene wear. Functional outcomes improved across studies. Conclusion: Combined UKA and ACLR appears effective for younger, active patients with isolated medial OA and ACL deficiency, yielding high survivorship and consistent functional gains. Given heterogeneity among studies, high-quality, long-term randomized trials are needed to refine patient and implant selection. Level of Evidence: Level IV, systematic review of nonrandomized studies. See Instructions for Authors for a complete description of levels of evidence.
Identifiers
What 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.