Post by Amsterdam UMC - Orthopedic Surgery and Sports Medicine

𝗔 𝗰𝗼𝗻𝘁𝗿𝗮𝗹𝗮𝘁𝗲𝗿𝗮𝗹 𝗧𝗞𝗔 𝘀𝗵𝗼𝘂𝗹𝗱 𝗻𝗼𝘁 𝗯𝗲 𝗮 𝗿𝗲𝗮𝘀𝗼𝗻 𝘁𝗼 𝘄𝗶𝘁𝗵𝗵𝗼𝗹𝗱 𝗨𝗞𝗔. New meta-analysis just out in KSSTA Journal. In daily practice, patients with total knee arthroplasty (TKA) on one side are often steered toward a TKA on the other, even when the second knee has isolated, unicompartmental disease. The rationale is usually symmetry and predictability, not indication - or science. The authors pooled 𝟭𝟰 studies, 𝟱𝟳𝟱 patients, all with a UKA on one side and a TKA on the other. Findings🔎 - Greater post-operative ROM with UKA (MD 7.4°, p < 0.001) - Patients preferred their UKA knee nearly 3x more often  - Joint forgettability (FJS-12) was comparable between the two - But UKA carried a higher revision risk (OR 0.2 favouring TKA) UKA should not be automatically excluded just because the other knee has a TKA. The deciding factor is indication, not symmetry. Patients with genuine unicompartmental disease can still be good UKA candidates, provided they are selected carefully. A great international team effort from the Amsterdam UMC - Orthopedic Surgery and Sports Medicine Department of the Amsterdam UMC, and the University of Basel Kantonsspital Baselland, working together on a question that comes up in daily clinic. 💪 Randa Elsheikh, Nina Burgert, Arthur J. Kievit, Peter de Leeuw, Michael Prof Dr. med. Hirschmann, Jari Dahmen https://lnkd.in/eyR8DETb