Revision of unicompartmental knee arthroplasty: a systematic review
Filippo Migliorini, Francesco Bosco, Luise Schäfer, Federico Cocconi, Daniel Kämmer, Andreas Bell, Abhishek Vaish, Julian Koettnitz, Jörg Eschweiler, Raju Vaishya
Abstract
BACKGROUND: Unicompartmental knee arthroplasty (UKA) is a surgical procedure for managing osteoarthritis of one joint compartment, most commonly the medial side. This systematic review investigates the causes of UKA revision. The outcomes of interest were establishing the revision rate, time to revision, and the most common causes of revision in the long- and midterm follow-up. METHODS: This study was conducted according to the 2020 PRISMA statement. In October 2024, the following databases were accessed: PubMed, Web of Science, Google Scholar, and Embase. All the clinical studies investigating the rate and causes of revision in UKA were accessed. Only studies with a minimum of 10 years of follow-up were considered. RESULTS: . Revisions were performed in 8.8% (2641 of 30,140) of implanted UKAs. The mean time to revision was 6.5 ± 2.6 (range, 2.5 to 13.0) years. CONCLUSION: 8.8% (2641 of 30,140) of UKAs were revised at a mean time of 6.5 ± 2.6 years. LEVEL OF EVIDENCE: Level IV, systematic review.