Analysis of causes for revision in unicompartmental knee arthroplasty

doi:10.12998/wjcc.v12.i25.5642

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Sep 6, 2024 (publication date) through Jul 15, 2024

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World Journal of Clinical Cases

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2307-8960

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Cases. Sep 6, 2024; 12(25): 5642-5645
Published online Sep 6, 2024. doi: 10.12998/wjcc.v12.i25.5642

Analysis of causes for revision in unicompartmental knee arthroplasty

Sujit Kumar Tripathy, Siddharth Satyakam Pradhan, Shahnawaz Khan, Hursch Patel

Sujit Kumar Tripathy, Siddharth Satyakam Pradhan, Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar 751019, Odisha, India

Shahnawaz Khan, Department of Orthopedics, All India Institute of Medical Sciences, Bhubaneswar 751019, India

Hursch Patel, Department of Medicine, Kansas City University of Medicine and Biosciences, Kansas City, MO 64106, United States

Author contributions: Tripathy SK, Pradhan SS, and Khan S evaluated the manuscript and analyzed the reasons for failure in UKA; Patel H and Khan S reviewed the literature; Pradhan SS and Tripathy SK prepared the initial manuscript; Tripathy SK, Khan S, and Patel H provided intellectual content; all authors read the manuscript and approved it for publication.

Conflict-of-interest statement: There are no conflict-of-interest disclosures by any authors.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Sujit Kumar Tripathy, MCh, MNAMS, MS, Professor, Department of Orthopaedics, All India Institute of Medical Sciences, SIjua, Patrapada, Bhubaneswar 751019, Odisha, India. sujitortho@yahoo.co.in

Received: March 11, 2024
Revised: April 28, 2024
Accepted: May 28, 2024
Published online: September 6, 2024
Processing time: 126 Days and 14.8 Hours

Core Tip

Core Tip: The study by Zhao et al investigates revision causes after unicompartmental knee arthroplasty (UKA), noting frequent failures due to surgical technique issues. UKA, used for single-compartment knee osteoarthritis, offers benefits like bone preservation and quicker recovery, with superior outcomes but a higher revision rate than TKA. Registry data show surgeon experience and procedural volume significantly affect outcomes, with optimal results when UKA comprises at least 20% of knee arthroplasties. Common revision causes include component dislocation, loosening, and poor candidate selection. The study stresses proper technique, patient selection, and follow-up for UKA success.