{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T04:33:44Z","timestamp":1789533224473,"version":"build-2803163510"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"12","license":[{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T00:00:00Z","timestamp":1618876800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["International Orthopaedics (SICOT)"],"published-print":{"date-parts":[[2021,12]]},"DOI":"10.1007\/s00264-021-05031-3","type":"journal-article","created":{"date-parts":[[2021,4,20]],"date-time":"2021-04-20T08:04:02Z","timestamp":1618905842000},"page":"3063-3068","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Unicompartmental knee arthroplasty: all-poly versus metal-backed tibial component\u2014a long-term follow-up study"],"prefix":"10.1007","volume":"45","author":[{"given":"Vincenzo","family":"Sessa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-746X","authenticated-orcid":false,"given":"Umberto","family":"Celentano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,4,20]]},"reference":[{"issue":"5","key":"5031_CR1","doi-asserted-by":"publisher","first-page":"1496","DOI":"10.1007\/s11999-013-3347-2","volume":"472","author":"T Niinim\u00e4ki","year":"2014","unstructured":"Niinim\u00e4ki T, Eskelinen A, M\u00e4kel\u00e4 K, Ohtonen P, Puhto AP, Remes V (2014) Unicompartmental knee arthroplasty survivorship is lower than TKA survivorship: a 27-year Finnish registry study. Clin Orthop Relat Res 472(5):1496\u20131501. https:\/\/doi.org\/10.1007\/s11999-013-3347-2","journal-title":"Clin Orthop Relat Res"},{"issue":"11","key":"5031_CR2","doi-asserted-by":"publisher","first-page":"1506","DOI":"10.1302\/0301-620X.97B11.35551","volume":"97-B","author":"AD Liddle","year":"2015","unstructured":"Liddle AD, Pandit H, Judge A, Murray DW (2015) Optimal usage of unicompartmental knee arthroplasty: a study of 41,986 cases from the National Joint Registry for England and Wales. Bone Joint J 97-B(11):1506\u20131511. https:\/\/doi.org\/10.1302\/0301-620X.97B11.35551","journal-title":"Bone Joint J"},{"issue":"1","key":"5031_CR3","doi-asserted-by":"publisher","first-page":"53","DOI":"10.1016\/j.knee.2009.05.007","volume":"17","author":"CL Saenz","year":"2010","unstructured":"Saenz CL, McGrath MS, Marker DR, Seyler TM, Mont MA, Bonutti PM (2010) Early failure of a unicompartmental knee arthroplasty design with an all-polyethylene tibial component. Knee 17(1):53. https:\/\/doi.org\/10.1016\/j.knee.2009.05.007","journal-title":"Knee"},{"key":"5031_CR4","doi-asserted-by":"publisher","first-page":"786","DOI":"10.1302\/0301-620X.97B6.35433","volume":"97-B","author":"JR Hutt","year":"2015","unstructured":"Hutt JR, Farhadnia P, Masse V, LaVigne M, Vendittoli PA (2015) A randomised trial of all-polyethylene and metal-backed tibial components in unicompartmental arthroplasty of the knee. Bone Joint J 97-B:786\u2013792. https:\/\/doi.org\/10.1302\/0301-620X.97B6.35433","journal-title":"Bone Joint J"},{"issue":"8","key":"5031_CR5","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1055\/s-0036-1597979","volume":"30","author":"IJ Koh","year":"2017","unstructured":"Koh IJ, Suhl KH, Kim MW, Kim MS, Choi KY, In Y (2017) Use of all-polyethylene tibial components in unicompartmental knee arthroplasty increases the risk of early failure. J Knee Surg 30(8):807. https:\/\/doi.org\/10.1055\/s-0036-1597979","journal-title":"J Knee Surg"},{"key":"5031_CR6","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1016\/j.arth.2010.07.021","volume":"26","author":"SR Small","year":"2011","unstructured":"Small SR, Berend ME, Ritter MA, Buckley CA, Rogge RD (2011) Metal backing significantly decreases tibial strains in a medial unicompartmental knee arthroplasty model. J Arthroplast 26:777\u2013782. https:\/\/doi.org\/10.1016\/j.arth.2010.07.021","journal-title":"J Arthroplast"},{"key":"5031_CR7","doi-asserted-by":"publisher","first-page":"1339","DOI":"10.1302\/0301-620X.95B10.31644","volume":"95-B","author":"CE Scott","year":"2013","unstructured":"Scott CE, Eaton MJ, Nutton RW, Wade FA, Pankaj P, Evans SL (2013) Proximal tibial strain in medial unicompartmental knee replacements: a biomechanical study of implant design. Bone Joint J 95-B:1339\u20131347. https:\/\/doi.org\/10.1302\/0301-620X.95B10.31644","journal-title":"Bone Joint J"},{"key":"5031_CR8","doi-asserted-by":"publisher","first-page":"36","DOI":"10.1016\/j.amsu.2019.09.010","volume":"47","author":"V Kumar","year":"2019","unstructured":"Kumar V, Hasan O, Umer M, Baloch N (2019) Cemented all-poly tibia in resource constrained country, affordable and cost-effective care. Is it applicable at this era? Review article. Ann Med Surg (Lond) 47:36\u201340. Published 2019 Sep 27. https:\/\/doi.org\/10.1016\/j.amsu.2019.09.010","journal-title":"Ann Med Surg (Lond)"},{"issue":"19","key":"5031_CR9","doi-asserted-by":"publisher","first-page":"1790","DOI":"10.2106\/JBJS.J.01303","volume":"93","author":"J Voigt","year":"2011","unstructured":"Voigt J, Mosier M (2011) Cemented all-polyethylene and metal-backed polyethylene tibial components used for primary total knee arthroplasty: a systematic review of the literature and meta-analysis of randomized controlled trials involving 1798 primary total knee implants. J Bone Joint Surg Am 93(19):1790\u20131798. https:\/\/doi.org\/10.2106\/JBJS.J.01303","journal-title":"J Bone Joint Surg Am"},{"key":"5031_CR10","doi-asserted-by":"publisher","first-page":"52","DOI":"10.1302\/0301-620X.91B1.20899","volume":"91","author":"J Newman","year":"2009","unstructured":"Newman J, Pydisetty RV, Ackroyd C (2009) Unicompartmental or total knee replacement: the 15-year results of a prospective randomised controlled trial. J Bone Joint Surg (Br) 91:52\u201357. https:\/\/doi.org\/10.1302\/0301-620X.91B1.20899","journal-title":"J Bone Joint Surg (Br)"},{"issue":"6","key":"5031_CR11","doi-asserted-by":"publisher","first-page":"981","DOI":"10.1016\/j.knee.2016.07.003","volume":"23","author":"C Forster-Horvath","year":"2016","unstructured":"Forster-Horvath C, Artz N, Hassaballa MA, Robinson JR, Porteous AJ, Murray JR, Newman JH (2016) Survivorship and clinical outcome of the minimally invasive Uniglide medial fixed bearing, all-polyethylene tibia, unicompartmental knee arthroplasty at a mean follow-up of 7.3 years. Knee 23(6):981. https:\/\/doi.org\/10.1016\/j.knee.2016.07.003","journal-title":"Knee"},{"issue":"1","key":"5031_CR12","doi-asserted-by":"publisher","first-page":"182","DOI":"10.1007\/s00167-014-3361-2","volume":"24","author":"D Bruni","year":"2016","unstructured":"Bruni D, Gagliardi M, Akkawi I, Raspugli GF, Bignozzi S, Marko T, Bragonzoni L, Grassi A, Marcacci M (2016) Good survivorship of all-polyethylene tibial component UKA at long-term follow-up. Knee Surg Sports Traumatol Arthrosc Off J ESSKA 24(1):182. https:\/\/doi.org\/10.1007\/s00167-014-3361-2","journal-title":"Knee Surg Sports Traumatol Arthrosc Off J ESSKA"},{"issue":"1","key":"5031_CR13","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11999-011-2135-0","volume":"470","author":"GR Scuderi","year":"2012","unstructured":"Scuderi GR, Bourne RB, Noble PC, Benjamin JB, Lonner JH, Scott WN (2012) The new knee society knee scoring system. Clin Orthop Relat Res 470(1):3\u201319. https:\/\/doi.org\/10.1007\/s11999-011-2135-0","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"5031_CR14","doi-asserted-by":"publisher","first-page":"88","DOI":"10.2519\/jospt.1998.28.2.88","volume":"28","author":"EM Roos","year":"1998","unstructured":"Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD (1998 Aug) Knee Injury and Osteoarthritis Outcome Score (KOOS)-development of a self-administered outcome measure. J Orthop Sports Phys Ther 28(2):88\u201396. https:\/\/doi.org\/10.2519\/jospt.1998.28.2.88","journal-title":"J Orthop Sports Phys Ther"},{"issue":"12","key":"5031_CR15","doi-asserted-by":"publisher","first-page":"3549","DOI":"10.1007\/s11999-012-2582-2","volume":"470","author":"KA Nouta","year":"2012","unstructured":"Nouta KA, Verra WC, Pijls BG, Schoones JW, Nelissen RG (2012) All-polyethylene tibial components are equal to metal-backed components: systematic review and meta-regression. Clin Orthop Relat Res 470(12):3549\u20133559. https:\/\/doi.org\/10.1007\/s11999-012-2582-2","journal-title":"Clin Orthop Relat Res"},{"key":"5031_CR16","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1097\/BLO.0b013e31812f7879","volume":"464","author":"TJ Gioe","year":"2007","unstructured":"Gioe TJ, Sinner P, Mehle S, Ma W, Killeen KK (2007) Excellent survival of all-polyethylene tibial components in a community joint registry. Clin Orthop Relat Res 464:88\u201392. https:\/\/doi.org\/10.1097\/BLO.0b013e31812f7879","journal-title":"Clin Orthop Relat Res"},{"issue":"7","key":"5031_CR17","doi-asserted-by":"publisher","first-page":"1587","DOI":"10.2106\/JBJS.G.01427","volume":"91","author":"KA Bettinson","year":"2009","unstructured":"Bettinson KA, Pinder IM, Moran CG, Weir DJ, Lingard EA (2009) All-polyethylene compared with metal-backed tibial components in total knee arthroplasty at ten years. A prospective, randomized controlled trial. J Bone Joint Surg Am 91(7):1587\u20131594. https:\/\/doi.org\/10.2106\/JBJS.G.01427","journal-title":"J Bone Joint Surg Am"},{"issue":"11","key":"5031_CR18","doi-asserted-by":"publisher","first-page":"3620","DOI":"10.1007\/s00167-016-4168-0","volume":"25","author":"UG Longo","year":"2017","unstructured":"Longo UG, Ciuffreda M, D\u2019Andrea V, Mannering N, Locher J, Denaro V (2017) All-polyethylene versus metal-backed tibial component in total knee arthroplasty. Knee Surg Sports Traumatol Arthrosc 25(11):3620\u20133636. https:\/\/doi.org\/10.1007\/s00167-016-4168-0","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"6","key":"5031_CR19","doi-asserted-by":"publisher","first-page":"530","DOI":"10.3109\/17453674.2013.862459","volume":"84","author":"V Mohan","year":"2013","unstructured":"Mohan V, Inacio MC, Namba RS, Sheth D, Paxton EW (2013) Monoblock all-polyethylene tibial components have a lower risk of early revision than metal-backed modular components. Acta Orthop 84(6):530\u2013536. https:\/\/doi.org\/10.3109\/17453674.2013.862459","journal-title":"Acta Orthop"},{"issue":"6","key":"5031_CR20","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1016\/j.otsr.2013.03.018","volume":"99","author":"T Rouanet","year":"2013","unstructured":"Rouanet T, Combes A, Migaud H, Pasquier G (2013) Do bone loss and reconstruction procedures differ at revision of cemented unicompartmental knee prostheses according to the use of metal-back or all-polyethylene tibial component? Orthop Traumatol Surg Res 99(6):687\u2013692. https:\/\/doi.org\/10.1016\/j.otsr.2013.03.018","journal-title":"Orthop Traumatol Surg Res"},{"issue":"5","key":"5031_CR21","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1007\/s00402-018-2908-y","volume":"138","author":"CEH Scott","year":"2018","unstructured":"Scott CEH, Wade FA, MacDonald D, Nutton RW (2018) Ten-year survival and patient-reported outcomes of a medial unicompartmental knee arthroplasty incorporating an all-polyethylene tibial component. Arch Orthop Trauma Surg 138(5):719\u2013729. https:\/\/doi.org\/10.1007\/s00402-018-2908-y","journal-title":"Arch Orthop Trauma Surg"},{"key":"5031_CR22","doi-asserted-by":"publisher","first-page":"752","DOI":"10.1016\/j.medengphy.2009.02.004","volume":"31","author":"DJ Simpson","year":"2009","unstructured":"Simpson DJ, Price AJ, Gulati A, Murray DW, Gill HS (2009) Elevated proximal tibial strains following unicompartmental knee replacement\u2014a possible cause of pain. Med Eng Phys 31:752\u2013757. https:\/\/doi.org\/10.1016\/j.medengphy.2009.02.004","journal-title":"Med Eng Phys"},{"issue":"3","key":"5031_CR23","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1007\/s11420-017-9557-5","volume":"13","author":"JP van der List","year":"2017","unstructured":"van der List JP, Kleeblad LJ, Zuiderbaan HA, Pearle AD (2017) Mid-term outcomes of metal-backed unicompartmental knee arthroplasty show superiority to all-polyethylene unicompartmental and total knee arthroplasty. HSS J 13(3):232\u2013240. https:\/\/doi.org\/10.1007\/s11420-017-9557-5","journal-title":"HSS J"},{"issue":"2","key":"5031_CR24","doi-asserted-by":"publisher","first-page":"180","DOI":"10.1055\/s-0038-1677506","volume":"33","author":"GG Costa","year":"2020","unstructured":"Costa GG, Lo Presti M, Grassi A, Agr\u00f2 G, Cialdella S, Mosca M, Caravelli S, Zaffagnini S (2020) Metal-backed tibial components do not reduce risk of early aseptic loosening in unicompartmental knee arthroplasty: a systematic review and meta-analysis. J Knee Surg 33(2):180\u2013189. https:\/\/doi.org\/10.1055\/s-0038-1677506","journal-title":"J Knee Surg"},{"key":"5031_CR25","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.otsr.2008.04.001","volume":"95","author":"S Lustig","year":"2009","unstructured":"Lustig S, Paillot JL, Servien E, Henry J, Ait Si Selmi T, Neyret P (2009) Cemented all polyethylene tibial insert unicompartmental knee arthroplasty: a long term follow-up study. Orthop Traumatol Surg Res 95:12\u201321. https:\/\/doi.org\/10.1016\/j.otsr.2008.04.001","journal-title":"Orthop Traumatol Surg Res"},{"key":"5031_CR26","doi-asserted-by":"publisher","first-page":"315","DOI":"10.1007\/s00264-006-0184-x","volume":"31","author":"A Manzotti","year":"2007","unstructured":"Manzotti A, Confalonieri N, Pullen C (2007) Unicompartmental versus computer-assisted total knee replacement for medial compartment knee arthritis: a matched paired study. Int Orthop 31:315\u2013319. https:\/\/doi.org\/10.1007\/s00264-006-0184-x","journal-title":"Int Orthop"},{"key":"5031_CR27","unstructured":"Sessa V, Paciotti M, Celentano U, Papalia R. Two peg versus flat tibial tray design in unicompartmental knee arthroplasty. Oral presentation 19\u00b0 EFORT Congress, Barcelona 30 may - 01 june, 2018"}],"container-title":["International Orthopaedics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-021-05031-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00264-021-05031-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00264-021-05031-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,26]],"date-time":"2021-11-26T06:33:04Z","timestamp":1637908384000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00264-021-05031-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,20]]},"references-count":27,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["5031"],"URL":"https:\/\/doi.org\/10.1007\/s00264-021-05031-3","relation":{},"ISSN":["0341-2695","1432-5195"],"issn-type":[{"value":"0341-2695","type":"print"},{"value":"1432-5195","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,20]]},"assertion":[{"value":"30 July 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 March 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 April 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This retrospective cohort study was conducted at S. Giovanni Calibita Hospital of Rome in accordance with the ethical standards of the institutional and national research committee, the 1964 Declaration of Helsinki, and its later amendments or comparable ethical standards. Informed consent was obtained from all individual participants included in the study. Patients were informed and gave consent regarding the use of their data for publication purposes.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}]}}