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April 3, 2026The Bone & Joint Journal0 citations

Outcomes of total knee arthroplasty, with revision surgery as an endpoint, following previous periarticular osteotomy or unicompartmental knee arthroplasty

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JLJessica LearyDHDouglas Stewart HancockRKRitwik Kejriwal

Key Points

  • The study aims to compare the risk of revision in total knee arthroplasty (TKA) following periarticular osteotomy or unicompartmental knee arthroplasty (UKA).
  • Compared revision rates in TKA following previous osteotomy and UKA
  • Focused on a cohort of younger patients
  • Analyzed data to assess performance differences between the two prior surgeries
  • Patients with prior osteotomy had a lower risk of revision compared to those with UKA
  • TKA after osteotomy significantly outperformed TKA after UKA
  • Younger patients benefited more from a previous osteotomy when undergoing TKA.

Abstract

Patients undergoing TKA after periarticular osteotomy exhibit a lower risk of revision compared to those with previous UKA, particularly in younger patients. Our study enhances the understanding of the risk of revision of a TKA following previous procedures, and confirms that TKA after osteotomy performs significantly better compared with previous unicompartmental arthroplasty.

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Cite This Study

Leary et al. (2026) studied this question.

synapsesocial.com/papers/69cf5dc55a333a821460bc31https://doi.org/10.1302/0301-620x.108b4.bjj-2025-0569.r1
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