Unicompartmental Knee Arthroplasty Provides Superior Clinical and Radiological Outcomes Compared to High Tibial Osteotomy at a Follow-Up of 5–8 Years Article Swipe
Markus Neubauer
,
Eva-Maria Reinberger
,
Dietmar Dammerer
,
Lukas B. Moser
,
Johannes Neugebauer
,
Florian Gottsauner‐Wolf
,
Stefan Nehrer
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12165387
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/jcm12165387
Background: Knee Osteoarthritis (OA) is a debilitating disease. Initially, the medial compartments are affected in most cases. For this pathology, joint preservation is preferable. Two surgical procedures aim to meet this goal: high-tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA). The aim was to compare clinical and radiological outcomes of HTO versus UKA in patients with unicompartmental, medial OA. Method: Retrospective case series. A total of 86 (61 UKA, 25 HTO) patients that received either treatment at a single, specialized center were assessed pre-operatively and at a single follow-up examination at 77.13 months (±8.170). The Knee Society Score (KSS), range of motion (ROM), SF36 questionnaire and the Tegner score were used. The Kellgren–Lawrence score was assessed pre- and post-surgically. Survivorship with the endpoint “revision” was assessed. Results: The UKA group showed significantly better improvements in KSS scores for pain (p < 0.006) and function (p < 0.001). OA progression (p < 0.02) and survivorship (p < 0.018) differed, significantly favoring UKA. ROM, SF36 and Tegner score did not differ significantly. Conclusions: The presented mid-to long-term data suggest that UKA provides superior results in selected outcomes. Nevertheless, significant differences in the demographics of treatments indicate the challenge of comparing these two treatments.
Related Topics
Concepts
Medicine
Unicompartmental knee arthroplasty
High tibial osteotomy
Radiological weapon
Arthroplasty
Osteotomy
Surgery
Total knee arthroplasty
Osteoarthritis
Pathology
Alternative medicine
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm12165387
- https://www.mdpi.com/2077-0383/12/16/5387/pdf?version=1692432508
- OA Status
- gold
- Cited By
- 7
- References
- 50
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386030504
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386030504Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm12165387Digital Object Identifier
- Title
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Unicompartmental Knee Arthroplasty Provides Superior Clinical and Radiological Outcomes Compared to High Tibial Osteotomy at a Follow-Up of 5–8 YearsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
-
2023-08-19Full publication date if available
- Authors
-
Markus Neubauer, Eva-Maria Reinberger, Dietmar Dammerer, Lukas B. Moser, Johannes Neugebauer, Florian Gottsauner‐Wolf, Stefan NehrerList of authors in order
- Landing page
-
https://doi.org/10.3390/jcm12165387Publisher landing page
- PDF URL
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https://www.mdpi.com/2077-0383/12/16/5387/pdf?version=1692432508Direct link to full text PDF
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/12/16/5387/pdf?version=1692432508Direct OA link when available
- Concepts
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Medicine, Unicompartmental knee arthroplasty, High tibial osteotomy, Radiological weapon, Arthroplasty, Osteotomy, Surgery, Total knee arthroplasty, Osteoarthritis, Pathology, Alternative medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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7Total citation count in OpenAlex
- Citations by year (recent)
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2025: 5, 2024: 2Per-year citation counts (last 5 years)
- References (count)
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50Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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