Favorable midterm clinical results of medial unicompartmental knee arthroplasty guided by coronal limb alignment using an image-free navigation system

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  • 1

    Medial unicompartmental knee arthroplasty (UKA) offers excellent outcomes but is prone to malpositioning and alignment issues with conventional techniques.

  • 2

    Image-free navigation is utilized in this study to enhance coronal limb alignment and minimize tibial resection during medial UKA.

  • 3

    The study included 144 knees with a mean follow-up of 63.1 months, focusing on midterm clinical outcomes and implant-related complications.

  • 4

    Postoperative goals include achieving a hip-knee-ankle angle of 2°–5° varus to improve patient satisfaction while avoiding excessive deformity.

  • 5

    Results indicate that alignment-guided medial UKA using image-free navigation can lead to favorable clinical outcomes and low complication rates.

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