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Local Soft Tissue Thickness in Unicompartimental Knee Arthroplasty: Strong Inter-Parameter Correlation, Moderate Correlation with BMI, and no Impact on Implant Positioning

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Local Soft Tissue Thickness in Unicompartimental Knee Arthroplasty: Strong Inter-Parameter Correlation, Moderate Correlation with BMI, and no Impact on Implant Positioning

Lorenz Pichler, MD, AUSTRIA Moses Kamal Dieter El Kayali, MD, GERMANY Rosa Berndt, MD, GERMANY Carsten Perka, MD, PhD, GERMANY Clemens Gwinner, MD, GERMANY Danko Dan Milinkovic, MD, GERMANY

Charité - University Medicine Berlin, Berlin, Berlin, GERMANY

2025 Congress ePoster Presentation 2025 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Cartilage

Diagnosis / Condition

Arthritis

Treatment / Technique

Arthroplasty

Summary: The local soft tissue thickness of the lower limb only moderately correlates with BMI and has no impact on implant positioning in patients undergoing unicompartmental knee arthroplasty.

Background

Several parameters for measuring the local soft tissue thickness (LSTT) of the lower limb exist. However, their inter-parameter correlations, correlations with patient body mass index (BMI), and impact on implant positioning in unicompartmental knee arthroplasty (UKA) remain unclear.

Purpose

To report on the inter-parameter correlations, correlations with BMI, and the impact of LSTT on implant positioning in patients undergoing UKA.

Methods

Demographic data and postoperative radiographs of 93 patients undergoing conventional unilateral medial UKA using the Oxford Partial Knee System were analyzed. LSTT was measured on radiographs using three established parameters: pretibial subcutaneous fat (PSF), knee adipose index (KAI), and ankle adipose index (AAI). Parameters of implant positioning were measured on radiographs according to the surgical technique guidelines of the implant manufacturer, including femoral valgus/varus angle (FVVA), femoral flexion/extension angle (FFEA), tibial varus/valgus angle (TVVA), and tibial flexion/extension angle (TFEA). The percentage of cases within the respective range (FVVA, FFEA & TVVA) and within ±3 degrees of the target value (TFEA) recommended by the surgical technique guidelines was reported. The Pearson correlation coefficient (CC) was calculated between LSTT parameters, LSTT parameters and BMI, and LSTT parameters and implant positioning parameters.

Results

At an average BMI of 28.41 (SD, 4.91), patients exhibited a mean PSF of 12.40 mm (SD, 5.81), a KAI of 1.68 (SD, 0.24), and an AAI of 1.19 (SD, 0.12). Parameters of LSTT were strongly correlated with each other (PSF/KAI 0.70; PSF/AAI 0.61; KAI/AAI 0.64) but only moderately correlated with BMI (PSF 0.46; KAI 0.45; AAI 0.36). The recommended implant position was achieved in 89.2% (FVVA), 77.4% (FFEA), 66.7% (TVVA), and 77.4% (TFEA) of cases. Parameters of LSTT showed no to very weak correlations (< 0.4) with the parameters of implant positioning measured on radiographs.

Conclusion

The local soft tissue thickness of the lower limb only moderately correlates with BMI and has no impact on implant positioning in patients undergoing unicompartmental knee arthroplasty.

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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
Acute Postoperative Pain Is An Independent Risk Factor Associated With Chronic Postoperative Pain After Total Knee Arthroplasty ePoster Presentation Takuya Iseki, MD, PhD, JAPAN Tomoya Iseki, MD, PhD, JAPAN Yoshitaka Nakao, MD, JAPAN Hiroshi Nakayama, MD., PhD., JAPAN Toshiya Tachibana, MD, PhD, JAPAN
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
Assessing the Influence of Body Mass Index and Tibial Prosthesis Design Characteristics on Survivorship and Revision Rates in Total Knee Arthroplasty ePoster Presentation Kristen I Barton, MD, PhD, UNITED STATES Alexandru Florea, MD, CANADA Kevin R Boldt, PhD, CANADA Clay Inculet, FRCPC, MB BCh BAO, MESc, CANADA Matthew Teeter, PhD, CANADA Lyndsay Somerville, PhD, CANADA Brent Lanting, MD, FRCSC, CANADA
Investigation Of Factors Predicting Postoperative Alignment In Unicompartmental Knee Arthroplasty For Knees With Over 10 Degrees Of Varus Deformity. ePoster Presentation Masaki Mori, MD, PhD, JAPAN Naoto Date, MD, JAPAN Kengo Kaji, MD, JAPAN Masakazu Ishikawa, MD, PhD, JAPAN
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
A Novel Knee Intra-Operative Classification Of Osteo-Arthritis (KICO) ePoster Presentation Geoffrey Murphy, MD, AUSTRALIA Simon Luc Edmond Walgrave, MD, BELGIUM Alexander S. Nicholls, MSc, FRACS, AUSTRALIA Myles R. J. Coolican, FRACS, AUSTRALIA David A. Parker, MBBS, BMedSc, FRACS, AUSTRALIA Brett A. Fritsch, MBBS BSc(Med), FRACS, FAOrthA, AUSTRALIA
High Incidence Of Torsional Deformities In Knee Osteoarthritis In Asian Population ePoster Presentation Xinyu Tao, MBBS, SINGAPORE Ashton Tan, MBBS, SINGAPORE Don Koh, MBBS, BSc, MRCS, MMED, SINGAPORE Kong Hwee Lee, MBBS, FRCS (Ortho), SINGAPORE Hamid Rahmatullah Bin Abd Razak, MBBS, FRCSEd (Ortho), FRCSGlasg (Tr & Orth), FAMS, SINGAPORE Junwei Soong, MBBS, MRCS (Edin), MMED (Ortho), FRCS (Edin), SINGAPORE
Single-Shot Femoral Nerve Block Versus Local Infiltration Analgesia For Patients Undergoing Total Knee Arthroplasty: A Systematic Review And Meta-Analysis ePoster Presentation André Richard Da Silva Oliveira Filho, Student, BRAZIL Elcio Machinski, md, BRAZIL Vinícius Furtado, Student, BRAZIL Rodrigo Conde, MS, ARGENTINA Bruno Butturi Varone, MD, BRAZIL Riccardo Gomes Gobbi, MD, PhD, BRAZIL Camilo P. Helito, MD, PhD, Prof, BRAZIL Daniel Leal, MD, BRAZIL
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
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
Changes In Foot Pressure Among Patients With Varus Knee Osteoarthritis Undergoing Bilateral Simultaneous Total Knee Arthroplasty – A Prospective Observational Pedobarographic Assessment ePoster Presentation Roop Bhushan Kalia, M.S (Orthopaedics), INDIA Divyansh Sharma, MBBS,M.S (Orthopaedics), INDIA Pradeep Kumar Meena, MBBS,M.S(Orthopaedics), INDIA Raj Kumar Yadav, MBBS,M.D, INDIA Ankit Gaurav, MS ORTHOPAEDICS, INDIA
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
Prospective Comparison Of Short-Term Outcomes In Kinematic And Mechanical Alignment Total Knee Arthroplasty ePoster Presentation Ofir Vinograd, MD , ISRAEL Netanel Steinberg, MD, ISRAEL Ahmad Essa, MPH MD, ISRAEL Dana Avraham, MD, ISRAEL Ilan Y Mitchnik, MD, ISRAEL Noam Shohat, MD, ISRAEL
The Effect Of Excessive Alignment Correction And Limb Length Discrepancy After Total Knee Arthroplasty On Contralateral Lower Extremity Alignment And Knee Condition ePoster Presentation Seung Hoon Lee, MD, KOREA, REPUBLIC OF
Oxford Partial Knee Femoral Sizing Via Preoperative Mri Scan – A Novel Template Method ePoster Presentation Ritwik Kejriwal, FRACS(Orth), NEW ZEALAND
Impact of Preoperative Limb Alignment and Deformity on Postoperative Limb Alignment in Unicompartmental Knee Arthroplasty ePoster Presentation Takashi Ishitani, MD, JAPAN Shuhei Otsuki, MD, JAPAN Yoshinori Okamoto, MD, PhD, JAPAN
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
Successful Outcomes in Combined Unicompartmental Knee Arthroplasty and Anterior Cruciate Ligament Reconstruction : A Clinical Study ePoster Presentation Theodore Balfousias, MD, MSc, FEBOT, GREECE Ilias Fanourgiakis, MD, MSc, FEBOT, GREECE Rainer Siebold, Prof. Dr. med., GERMANY
Robotic-Assisted Total Knee Arthroplasty is Associated With Shorter Surgical Time and Length of Stay and Decreased Risk for Revision ePoster Presentation Logan Finger, MD, UNITED STATES Nicolas Aycardi, BS, UNITED STATES Akeem Williams, BS, UNITED STATES Yunseo Linda Park, 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
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
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
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
An Artificial Intelligence-Based Approach In Total Knee Arthroplasty ePoster Presentation Umile Giuseppe Longo, MD, MSc, PhD, Prof., ITALY Sergio De Salvatore, MD, ITALY Federica Valente, MD, ITALY Bruno Violante, MD Ph.d, ITALY Mariajose Villa Corta, MD, ITALY Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN Giuseppe Salvatore, MD, PhD, ITALY Alessandra Berton, MD, ITALY Letizia Mancini, MD, ITALY Vincenzo Candela, MD, PhD, ITALY Arianna Carnevale, PhD, ITALY Rocco Papalia, MD, PhD, Prof., ITALY
An Extended-Release Sebacoyl Dinalbuphine Ester For Perioperative Pain Management In Improving Enhanced Recovery After Surgery In Total Knee Arthroplasty ePoster Presentation Jia-Lin Wu, MD, MS, TAIWAN Ching Lu, MD, TAIWAN
Early Clinical Outcome In Inverse Kinematic Alignment For Total Knee Arthroplasty Using A Robotic Assisted System: Two Years Follow-Up ePoster Presentation Federica Manca, MD, ITALY Leo Massari, Prof., ITALY Alberto Belluati, MD, ITALY Andrea Colombelli, MD, ITALY
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
Short-term Outcomes of Robotic-Assisted Restricted Kinematic Alignment vs Mechanical Alignment in Unilateral Total Knee Arthroplasty ePoster Presentation Eiichi Shiigi, MD、PhD, JAPAN
A Different Course Of Recovery For Extension And Flexion Strengths Following Total And Unicompartmental Knee Arthroplasty: A Prospective Cohort Study Of 369 Cases ePoster Presentation Roderick J.M. Vossen, MD, UNITED STATES Joyce L. Benner, PhD, NETHERLANDS Gaby Victoria Ten Noever De Brauw, NETHERLANDS Gino M. M. J. Kerkhoffs, MD, PhD, Prof., NETHERLANDS Andrew D. Pearle, MD, UNITED STATES Hendrik Aernout Zuiderbaan, MD PhD, NETHERLANDS Lucien C.M. Keijser, MD PhD, NETHERLANDS
Female Patients Depend More On Postoperative Outcomes In Assessing Satisfaction Than Male Patients After Total Knee Arthroplasty ePoster Presentation Yun Seong Choi, MD, KOREA, REPUBLIC OF Seung Hoon Lee, MD, KOREA, REPUBLIC OF
Virtual Reality Simulator For Knee Arthroplasty: Evaluating Content And Face Validity For Orthopaedic Residency Training ePoster Presentation Conor Rankin, MRCS MBChB BMedSci AFHEA, UNITED KINGDOM Joseph E McKay, MBChB BSc MRCS MMEd, UNITED KINGDOM Christopher Thornhill, BM BS BSc (Hons) MRCS, UNITED KINGDOM Roberto Alho, MBBS BSc MPhil FRCS, UNITED KINGDOM Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM J Donald Hansom, FRCS, MD, MBChB, BSc (Hons), UNITED KINGDOM
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
ArthroPredict: A Machine Learning Approach To Predict 5-Year Total Joint Replacement In Patients With Osteoarthritis Using Routine Clinical Data ePoster Presentation Ahmed Elgebaly, MD, PhD, UNITED KINGDOM Atef Abdelrahman Hassan, MD, EGYPT Rawad K M Hammad, MD, UNITED KINGDOM Hassan Abdalla, MD, UNITED KINGDOM Mohamed A. Imam, MD, MSc, DSportMed, ELD (Oxon), PhD, FRCS, UNITED KINGDOM
Knee Joint Synovitis After Total Knee Arthroplasty is Not Correlated to Patient Satisfaction Score ePoster Presentation Kristen I Barton, MD, PhD, UNITED STATES Alexandra Rocha, MD, CANADA Robert Dima, PhD, CANADA Kevin R Boldt, PhD, CANADA Holly Philpott, PhD, CANADA Lyndsay Somerville, PhD, CANADA C. Thomas Appleton, MD, PhD, CANADA Brent Lanting, MD, FRCSC, CANADA
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
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
Changes In Improvement Of Physical Function And Qol After Cr Type Total Knee Arthroplasty ePoster Presentation Yuki Kawaguchi, PT, JAPAN Masayoshi Okuda, MD, PhD, JAPAN Shuhei Sugioka, MD, JAPAN Yusuke Inagaki, MD, PhD, JAPAN Yasuhito Tanaka, Prof., 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
Anxiety And Depression Prior To Total Knee Arthroplasty Are Associated With Worse Pain And Subjective Function: A Prospective Comparative Study ePoster Presentation Margot B. Aalders, MD, NETHERLANDS Jelle P. van der List, MD, PhD, NETHERLANDS Dirk Jan Hofsteee, NETHERLANDS Lucien C.M. Keijser, MD PhD, NETHERLANDS Joyce L. Benner, PhD, NETHERLANDS
Integrating Elongation Patterns with AR-Based Navigation in Kinematic Alignment TKA. ePoster Presentation Atsushi Sato, MD, PhD, JAPAN Marika Mukunoki, MD, JAPAN Masataka Ota, MD, JAPAN Misako Takizawa, MD, JAPAN Kanako Izukashi, MD, JAPAN Jun Oike, MD, PhD, JAPAN Takayuki Okumo, MD, PhD, JAPAN Takayuki Koya, MD, PhD, JAPAN Koji Kanzaki, Prof., JAPAN
Longer Hospital Length of Stay After Total Knee Arthroplasty is an Independent Risk Factor for Increased Complication Rates ePoster Presentation Logan Finger, MD, UNITED STATES Kelly A Murphy, 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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Local Soft Tissue Thickness in Unicompartimental Knee Arthroplasty: Strong Inter-Parameter Correlation, Moderate Correlation with BMI, and no Impact on Implant Positioning

Local Soft Tissue Thickness in Unicompartimental Knee Arthroplasty: Strong Inter-Parameter Correlation, Moderate Correlation with BMI, and no Impact on Implant Positioning

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Knee Arthroplasty ePosters

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Local Soft Tissue Thickness in Unicompartimental Knee Arthroplasty: Strong Inter-Parameter Correlation, Moderate Correlation with BMI, and no Impact on Implant Positioning

Local Soft Tissue Thickness in Unicompartimental Knee Arthroplasty: Strong Inter-Parameter Correlation, Moderate Correlation with BMI, and no Impact on Implant Positioning

Background

Purpose

Methods

Results

Conclusion