Summary: Posterior tibial slope was measured before and after surgery in patients who underwent Unicompartment knee arthroplasty to investigate the relationship between PTS and knee symptoms.

【Object】
The posterior tibial slope (PTS) is one of the important parameters of knee sagittal alignment, which is considered an important factor related to postoperative outcomes. However, the effect of changing amount of PTS on clinical outcomes in unicompartmental knee arthroplasty (UKA) is unknown. The purpose of this study was to investigate the relationship between changing amount of PTS and postoperative outcomes of UKA.

【Method】
A total of 86 knees (26 males and 60 females) in 72 patients, who underwent UKA, and could be followed for at least 1 year after surgery were included in the study. Their mean age was 75.2 ± 5.9 (62 - 91) years. Pre- and postoperative PTS on lateral X-ray images were measured according to Dean’s method, and changing amount of PTS were calculated. Changing amount of PTS of less than -2.5° was defined as a decreasing group, -2.5° to 2.4° as an unchanging group, and more than 2.5° as an increasing group. Pre- and postoperative knee range of motion was assessed. Knee symptoms were assessed using the knee injury and osteoarthritis outcome scales (KOOS). Pre- and postoperative PTS, changing amount of PTS, and pre- and postoperative range of motion among the three groups were compared using analysis of variance.

【Result】
Mean preoperative PTS was 8.5 ± 2.8° (ranged: 2.9 - 14.4°), postoperative PTS was 9.4 ± 2.7° (ranged: 0.6 - 17.5°), and changing amount of PTS was -0.9 ± 3.6° (ranged: -8.7 - 11.6°). Based on the changing amount of PTS, 14 knees were classified into the decreased group, 43 knees into the unchanged group, and 29 knees into the increased group. There was no significant correlation between overall preoperative PTS and postoperative PTS. There was a negative correlation between preoperative PTS and PTS change (p<0.001, r=-0.65). There was no significant correlation between changing amount of PTS and KOOS. Preoperative PTS was highest in the decreased group (11.5 ± 2.9°, p<0.001) and postoperative PTS was highest in the increased group (11.3 ± 2.1°, p<0.001). There were no significant differences between the pre- and postoperative range of motion (preoperative extension p=0.491, preoperative flexion p=0.909, postoperative extension p=0.968, postoperative flexion p=0.214) and KOOS subscales (symptom: p=0.871, pain: p=0.744, ADL: p=0.532, Sports: p=0.217, and QOL: p=0.243) among the three groups.

【Discussion】
A negative correlation was found between preoperative PTS and changing amount of PTS. Previous reports have suggested that postoperative PTS in UKA should be less than 8 degrees, indicating that there may be an awareness of convergence of PTS to around 8 degrees during osteotomy. In addition, postoperative PTS had no effect on knee symptoms or range of motion. Changing amount of PTS also had no effect on knee symptoms. Similar reports have been made in the past, and our results were consistent with those.

【Conclusion】
Greater preoperative PTS was correlated with less changing amount of PTS. Pre- and postoperative PTS change did not affect range of motion and postoperative patient reported outcome measures.

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Long-Term Mortality Outcomes In Total Knee Arthroplasty Patients Under 60 ePoster Presentation Samuel Jaeyoon Won, MD, KOREA, REPUBLIC OF Sang Hyo Kim, KOREA, REPUBLIC OF Hee Yoon Chung, M.D., KOREA, REPUBLIC OF Wonseok Lee, MD, KOREA, REPUBLIC OF Chong Bum Chang, MD, PhD, KOREA, REPUBLIC OF
Postoperative Varus-Valgus Stability and Short-Term Clinical Outcomes of Total Knee Arthroplasty Using the Unrestricted Kinematic Alignment Method for Severe Varus Deformity ePoster Presentation Yohei Okada, MD,PhD, JAPAN Atsushi Teramoto, MD, PhD, JAPAN Yasutoshi Ikeda, MD,PhD, JAPAN Shinichiro Okimura, MD, PhD, JAPAN Tomoaki Kamiya, MD, JAPAN Kazushi Horita, MD, JAPAN Kodai Hamaoka, MD, JAPAN
Intra- and postoperative blood loss with and without use of tourniquet in knee arthroplasty. ePoster Presentation Kengo Kaji, MD, JAPAN Masaki Mori, MD, PhD, JAPAN Naoto Date, MD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN
Robotic-Assisted Unicompartmental Knee Arthroplasty Shows Better Short-Term Results Than Conventional Technique. A Comparative Study. ePoster Presentation David H. Figueroa, MD, CHILE Maria Loreto Figueroa Berrios, MD, CHILE Carlos Nain Giugliano Rostion, Resident, CHILE Jorge Simon Isla, MD, CHILE Cristóbal Abarca, MD, CHILE Fernando Martin, MD, CHILE Federico Gili, MD, CHILE Alvaro Ferrer, MD, MSc, CHILE
Association Between Prosthetic Component Malalignment and Post-Total Knee Arthroplasty Pain ePoster Presentation Luke James Naunton, UNITED KINGDOM Oday Al-Dadah, MBChB, MD, FRCS (Tr & Orth), UNITED KINGDOM
Comparison Of Outcomes Of Revision Uka To Tka And Primary Tkas -A Propensity Matched Study. ePoster Presentation Myles R. J. Coolican, FRACS, AUSTRALIA Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA
Novel Algorithm for Gap Balancing and Bone Cuts in Robotic Total Knee Replacements Significantly Improves Accuracy and Surgical Duration ePoster Presentation Glen Liau , MBBS, MRCS, MMed, FRCS, FAMS, MBA, SINGAPORE Matthew Song Peng Ng, MBBS, SINGAPORE Ryan Wai Keong Loke, MBBS candidate, SINGAPORE
The Knee Pain Decreases After Total Hip Arthroplasty ePoster Presentation Yugo Morita, MD, PhD, JAPAN Yaichiro Okuzu, MD, PhD, JAPAN Toshiyuki Kawai, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Shinichiro Nakamura, MD, PhD, JAPAN Yutaka Kuroda, MD, PhD, JAPAN Shinichi Kuriyama, MD, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Visible fluid motion on manipulation as the new threshold for intraoperatively-determined knee arthroplasty component loosening – a Delphi study ePoster Presentation George Samuel Buijs, MD, NETHERLANDS Arthur Johan Kievit, MD, NETHERLANDS Alex Bastiaan Walinga, MD, NETHERLANDS Matthias U. Schafroth, MD, NETHERLANDS Michael T. Hirschmann, MD, Prof., SWITZERLAND Leendert Blankevoort, PhD, NETHERLANDS
The Impact Of Aging On Recovery And Satisfaction In Knee Replacement Patients ePoster Presentation Tess L.Y Tsoi , MBChB, HONG KONG Harbeer Ahedi, PhD Biomedical Sciences, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA
Large Variance in a Lateral Osteoarthritic Population Prior to and Following Lateral Unicompartmental Arthroplasty: An Analysis of Knee Phenotypes ePoster Presentation Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Roderick J.M. Vossen, MD, UNITED STATES Gaby Victoria Ten Noever De Brauw, NETHERLANDS Lindsey Ruderman, BA, UNITED STATES Tarik Bayoumi, MD, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS Andrew D. Pearle, MD, UNITED STATES
Higher Preoperative Knee Extensor Strength Could Be Beneficial In Reducing Total Blood Loss In Total Knee Arthroplasty ePoster Presentation Seong-Hwan Kim, MD,Ph.D, MStat, KOREA, REPUBLIC OF Yong-Beom Park, MD, PhD, KOREA, REPUBLIC OF
Changes In Tibial Insert Design Can Alter Knee Kinematics And Tibiofemoral Stress Distributions In Total Knee Arthroplasty ePoster Presentation Shinichi Kuriyama, MD, PhD, JAPAN Sayako Sakai, MD, JAPAN Yugo Morita, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Shinichiro Nakamura, MD, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
An Isakos Funded Study - Physical Activity Outcomes In Patellofemoral Vs. Total Knee Replacements: A Randomised Control Trial For Isolated Patellofemoral Joint Osteoarthritis . ePoster Presentation Martinique Vella-Baldacchino, MD, MRCS, PG CERT (HEALTH LEADERSHIP), IOC DIp Spo, UNITED KINGDOM Julie Heegaard, MD, DENMARK Snorre Stephensen, MD, DENMARK Soeren Rytter , MD, DENMARK Per Wagner Kristensen, MD, DENMARK Zahid Asghar , PhD, UNITED KINGDOM Alex D Liddle, MBBS BSc DPhil FRCS(Orth), UNITED KINGDOM Justin Cobb, MCh FRCS, UNITED KINGDOM Anders Odgaard, DENMARK
Added Utility Of Mri In Pre-Operative Assessment For Medial Unicompartmental Knee Arthroplasty ePoster Presentation Scott M Bolam, MBChB, PhD, NEW ZEALAND Mei Lin Tay, PhD, NEW ZEALAND Laura Hill, MBChB, NEW ZEALAND David Dow, MD, NEW ZEALAND Paul Monk, DPhil (Oxon), FRCS, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Conversion To Total Knee Arthroplasty Following High Tibial Osteotomy And Unicompartmental Knee Arthroplasty: A Propensity-Matched Analysis ePoster Presentation Griffith G. Gosnell, MS, UNITED STATES Katherine L. Esser, BS, UNITED STATES Michael Moore, BA, UNITED STATES Nathaniel P. Mercer, MD, UNITED STATES Heath Patrick Gould, MD, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Eric Strauss, UNITED STATES Michael J Alaia, MD, UNITED STATES
Clinical and Radiological Comparison of Unicompartmental vs Patellofemoral vs Total Knee Arthroplasty ePoster Presentation Kewin Sony, MBBS, MRes, UNITED KINGDOM Oday Al-Dadah, MBChB, MD, FRCS (Tr & Orth), UNITED KINGDOM
Functional Recovery in Staged Bilateral Total Knee Arthroplasty ePoster Presentation Shinichiro Nakamura, MD, PhD, JAPAN Shinichi Kuriyama, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Yugo Morita, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Impact of Unilateral and Bilateral Total Knee Arthroplasty for Bilateral Osteoarthritis on Postoperative Fractures Risk ePoster Presentation Hiroshi Fujii, MD, PhD, JAPAN
Increasing Coronal Deformity, Tibiofemoral Subluxation And More Severe Bone Defects Are Risk Factors For To The Use Of A Higher-Constrained Total Knee Arthroplasty ePoster Presentation Sandro Hodel, MD, SWITZERLAND Patrick Pflüger, MD, SWITZERLAND Lukas Jud, MD, SWITZERLAND Juliette Wälchli, SWITZERLAND Francesca Napoli, MD, SWITZERLAND Lazaros Vlachopoulos, MD, PhD, SWITZERLAND Sandro Fucentese, Prof MD, SWITZERLAND
Lateral Laxity is Related to the Postoperative Kinematics and Knee Symptoms After Total Knee Arthroplasty Using Medial Stabilizing Technique with a Navigation System ePoster Presentation Takahiro Tsushima, MD, PhD, JAPAN Eiji Sasaki, MD, PhD, JAPAN Kazuki Oishi, MD, JAPAN Yukiko Sakamoto, MD, PhD, JAPAN Yuka Kimura, MD, PhD, JAPAN Eiichi Tsuda, Prof., JAPAN Yasuyuki Ishibashi, MD, JAPAN
Association Between Surgeon Volume And Patient Outcomes After Elective Patellofemoral Joint Replacement Surgery Using Data From The National Joint Registry And Hospital Episode Statistics For England: Population Based Cohort Study ePoster Presentation Martinique Vella-Baldacchino, MD, MRCS, PG CERT (HEALTH LEADERSHIP), IOC DIp Spo, UNITED KINGDOM Alex Bottle, Phd, UNITED KINGDOM Justin Cobb, MCh FRCS, UNITED KINGDOM Alex D Liddle, MBBS BSc DPhil FRCS(Orth), UNITED KINGDOM
Joint Line Convergence Angle After Total Knee Arthroplasty: Comparison Between Mechanical V/S Patient-Specific Alignment With Robotic Assisted Surgery: Retrospective Data Of 98 Patients ePoster Presentation David H. Figueroa, MD, CHILE Waldo Gonzalez Duque, MD, CHILE Loreto Figueroa, MD, CHILE Francisco Figueroa, MD, CHILE Rodrigo Guiloff, MD, Prof, CHILE
Cementless Total Knee Arthroplasty is Performed in Younger Patients ePoster Presentation Logan Finger, MD, UNITED STATES Nicole Don, MA, UNITED STATES Noah Feder, BA, UNITED STATES Kenneth Urish, MD, PhD Michael O'Malley, MD, UNITED STATES Brian Klatt, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Catastrophic Full Thickness Wear In Oxinium Knee Implants: A Case Report And Analysis Of Failure Mechanisms ePoster Presentation Naman Wahal, MBBS, MS Orthopaedics, INDIA RAJESH MALHOTRA, MS Orthopaedics, FIMSA, FRCS, FACS, INDIA
Soft Tissue Balancing In Robotic-Assisted Total Knee Arthroplasty ePoster Presentation Tomoya Takasago, MD, PhD, JAPAN Katsutoshi Miyatake, MD, PhD, JAPAN Akihiro Nagamachi, MD, PhD, JAPAN
Learning Curves in 204 Robotic-Assisted Total Knee Replacements: Comparing Senior, Intermediate, and Senior-Junior Surgical Teams ePoster Presentation Hector Zamorano, MD, CHILE Roberto Yañez, MD,phD,prof, CHILE Sebastian Valdes, student, CHILE Gaston Caracciolo, CHILE Cristobal Yañez, MD, CHILE Sebastian Yanez, MD, CHILE Leonardo Javier Carabajal Vera, MD, ARGENTINA Lars Raymond Strömback, MD, CHILE Magaly Iñiguez, MD, CHILE
Oxford Partial Knee Femoral Sizing Via Preoperative Mri Scan – A Novel Template Method ePoster Presentation Ritwik Kejriwal, FRACS(Orth), NEW ZEALAND
The Mind Matters: Psychological Factors Influence Subjective Outcomes Following Unicompartmental Knee Arthroplasty - A Prospective Study ePoster Presentation Gaby Victoria Ten Noever De Brauw, NETHERLANDS Margot B. Aalders, MD, NETHERLANDS Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Lucien C.M. Keijser, MD PhD, NETHERLANDS Joyce L. Benner, PhD, NETHERLANDS
High ten years survivorship and functional results of robotic-arm-assisted lateral unicompartmental knee arthroplasty ePoster Presentation Guido Maritan, MD, ITALY Mattia Berti, MD, ITALY Federico Roman, MD, ITALY Emanuele Furlan, MD, ITALY
Operator variation in applying the AtMoves knee loading device for evaluation of tibial component loosening ePoster Presentation George Samuel Buijs, MD, NETHERLANDS Maaike Annemiek ter Wee, MSc, NETHERLANDS Chiel Klein, BSc, NETHERLANDS Lidwine B. Mokkink, PhD, NETHERLANDS Johannes Dobbe, PhD, NETHERLANDS Mario Maas, MD, PhD, NETHERLANDS Matthias U. Schafroth, MD, NETHERLANDS Geert Streekstra, PhD, NETHERLANDS Leendert Blankevoort, PhD, NETHERLANDS Arthur Johan Kievit, MD, NETHERLANDS
Short-term Results and Learning Curve of TKA with Robotic Arm ePoster Presentation Masayoshi Okuda, MD, PhD, JAPAN Yuki Kawaguchi, PT, JAPAN Shuhei Sugioka, MD, JAPAN Yusuke Inagaki, MD, PhD, JAPAN Yasuhito Tanaka, Prof., JAPAN
Primary Followed by Revision Total Knee Arthroplasty at Non-Tertiary Centers Have Higher Risk of Complications ePoster Presentation Logan Finger, MD, UNITED STATES Yunseo Linda Park, BS, UNITED STATES Matthew Como, BS, UNITED STATES Nicolas Aycardi, BS, UNITED STATES Kenneth Urish, MD, PhD Michael O'Malley, MD, UNITED STATES Brian Klatt, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES
Bone Resection Planning for Medial Uka Using Stress Views is Efficient: Protocol Validation Using an Image-Based Robotic System ePoster Presentation Stefano Gaggiotti, MD, ARGENTINA Constant Foissey, MD, FRANCE Valentina Rossi, MD, ITALY Cécile Batailler, MD, PhD, FRANCE Gabriel Gaggiotti, MD, ARGENTINA Santino Gaggiotti, MD, ARGENTINA Elvire Servien, MD, PhD, Prof., FRANCE Sebastien Lustig, MD, PhD, Prof., FRANCE
Gait Analysis Focusing On The Relationship Between Knee Biomechanics And Patient Outcome In Unilateral Total Knee Arthroplasty And Nonoperative Residual Osteoarthritis Knee ePoster Presentation Shinichi Kuriyama, MD, PhD, JAPAN Sayako Sakai, MD, JAPAN Yugo Morita, MD, PhD, JAPAN Kohei Nishitani, MD, PhD, JAPAN Shinichiro Nakamura, MD, PhD, JAPAN Shuichi Matsuda, MD, PhD, JAPAN
Does Robotic Assistance In Total Knee Arthroplasty Improve Preoperative Planning And Intraoperative Decision-Making? ePoster Presentation David H. Figueroa, MD, CHILE Waldo Gonzalez Duque, MD, CHILE Rafael Calvo, MD, CHILE Francisco Figueroa, MD, CHILE
Evaluating The Accuracy Of Imageless Robotic Assistance In Total Knee Replacement: A Study Of Mechanical Axis Correlation With Postoperative Radiographs ePoster Presentation Rodrigo Olivieri, MD, CHILE Piero Innocenti, MD, CHILE Jaime Ignacio Ugarte Checura, MD, CHILE Jose Ignacio Laso, Md, CHILE Marco Koch, MD, CHILE Jose Tomas Muñoz, MD, CHILE Sebastian Bianchi, MD, CHILE Nicolas Gaggero, MD, CHILE
Two-Year Results Of The Kneefix Study: A Randomised Controlled Trial Comparing Uncemented Versus Cemented Fixation In Total Knee Arthroplasty With Patella Resurfacing ePoster Presentation Simon W. Young, MD, FRACS, NEW ZEALAND Bill Farrington, FRCS, NEW ZEALAND Rupert S Van Rooyen, MBChB, FRACS, NEW ZEALAND Mei Lin Tay, PhD, NEW ZEALAND Matthew Walker, MBChB, FRACS, NEW ZEALAND Ali Bayan, MBChB, FRACS, NEW ZEALAND
Robotic-Assisted Total Knee Arthroplasty Is Associated With Improved Surgical And Post-Operative Outcomes: A Large Single-Centre Study ePoster Presentation Mei Lin Tay, PhD, NEW ZEALAND Kohei Kawaguchi, MD, PhD, JAPAN Scott M Bolam, MBChB, PhD, NEW ZEALAND Ali Bayan, MBChB, FRACS, NEW ZEALAND Simon W. Young, MD, FRACS, NEW ZEALAND
Increased Patient Travel Distance for Revision Total Knee Arthroplasty is Associated With a Higher Re-revision Rate ePoster Presentation Logan Finger, MD, UNITED STATES Yunseo Linda Park, BS, UNITED STATES Matthew Como, BS, UNITED STATES Akeem Williams, BS, UNITED STATES Kenneth Urish, MD, PhD Michael O'Malley, MD, UNITED STATES Brian Klatt, MD, UNITED STATES Johannes F. Plate, MD, PhD, UNITED STATES

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Changing amount of posterior tibial slope during unicompartmental knee arthroplasty does not affect short-term postoperative patients reported outcome measurement

Changing amount of posterior tibial slope during unicompartmental knee arthroplasty does not affect short-term postoperative patients reported outcome measurement

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Changing amount of posterior tibial slope during unicompartmental knee arthroplasty does not affect short-term postoperative patients reported outcome measurement

Changing amount of posterior tibial slope during unicompartmental knee arthroplasty does not affect short-term postoperative patients reported outcome measurement