Evidence map›Paper›PMID 41769620›Full record

ReviewCureus2026

A Narrative Review of Long-Term Outcomes and Imaging-Based Failure Analysis in Lateral Unicompartmental Knee Arthroplasty.

Hassan Alherz, Ahmad N Boeisa, Ibrahim M Algahtani, Maria S Abosbaih, Basmah A Alanazi, Abdulaziz A AlSuwilem, Layana N Alothman, Basel Y Almas, Ali N Alabdullah, Faisal D Alshehri

Abstract readReview
In one paragraph

Review in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Hassan AlherzMedicine, Sechenov University, Moscow, RUS.
Ahmad N BoeisaPediatric Orthopedic Surgery, Almoosa Specialist Hospital, Al-Ahsa, SAU.
Ibrahim M AlgahtaniFaculty of Medicine, King Abdulaziz University, Jeddah, SAU.
Maria S AbosbaihMedicine, King Faisal University, Hofuf, SAU.
Basmah A AlanaziMedicine, Hail University, Hail, SAU.
Abdulaziz A AlSuwilemMedicine, King Faisal University, Hofuf, SAU.
Layana N AlothmanMedicine, Sechenov University, Moscow, RUS.
Basel Y AlmasMedicine, Sechenov University, Moscow, RUS.
Ali N AlabdullahMedicine, King Faisal University, Hofuf, SAU.
Faisal D AlshehriMedicine, King Khalid University, Abha, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lateral unicompartmental knee arthroplasty (UKA) remains an underutilized treatment option for isolated lateral compartment osteoarthritis, despite growing evidence supporting its effectiveness. Historically, concerns regarding technical complexity, implant design limitations, and higher revision rates limited its adoption. However, advances in implant technology and surgical techniques have substantially improved outcomes. We conducted a comprehensive literature search for studies including outcomes of UKA. Inclusion prioritized but was not limited to studies published in 2020 and onwards, systematic reviews, meta-analyses, and clinical trials. We summarized the available literature on long-term clinical outcomes, survivorship, and failure patterns following lateral UKA, with particular emphasis on the role of imaging-based failure analysis. Contemporary cohort studies and registry data demonstrate excellent survivorship at long-term follow-up comparable to medial UKA and, in appropriately selected patients, total knee arthroplasty. Imaging modalities, including radiography, computed tomography, fluoroscopy-based kinematic analysis, and magnetic resonance imaging, play a critical role in evaluating component positioning and alignment, along with early signs of failure that may not be clinically apparent. These imaging-based assessments have contributed to refinements in surgical planning and patient selection. Overall, modern lateral UKA has evolved into a reliable and durable procedure when performed with meticulous techniques and appropriate imaging-guided evaluation, supporting its expanded role in contemporary knee arthroplasty practice.

Indexed as

imaging analysisimplant failureknee arthroplastylateral unicompartmental knee arthroplastylong-term outcomes

Identifiers

PMID41769620
PMCPMC12947976

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Registered trials

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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.