jcm-logo

Journal Browser

Journal Browser

Clinical Management of Knee Arthroplasty

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: 21 April 2026 | Viewed by 510

Special Issue Editor


E-Mail Website
Guest Editor
Department of Orthopedic Surgery, National Health Insurance Service Ilsan Hospital, Goyang 10444, Republic of Korea
Interests: knee; arthroplasty; arthroscopy; anterior cruciate ligament (ACL); posterior cruciate ligament (PCL); osteotomy; meniscus; arthritis

Special Issue Information

Dear Colleagues,

We are performing a lot of total knee arthroplasty in the last stage of degenerative arthritis. As the lifespan of humans gradually increases, the number of patients suffering from degenerative knee arthritis is expanding, and eventually, the number of patients undergoing artificial knee arthroplasty surgery is increasing. In performing such artificial knee arthroplasty, as patients become older, managing it becomes very important.

This profound and ongoing change is not just about advancing surgical techniques or artificial joint substitutions, but also about integrating them across all fields. Clinicians and researchers are now supporting various philosophies of component alignment and knee prosthesis biomechanics. This philosophy recognizes the uniqueness of each joint and supports a customized approach tailored to individual patients. Our ultimate goal is to improve the lifespan and functionality of arthroplasty, improve each patient's health-related quality of life, and achieve a sense of normalcy in the operated knee.

I would like to summarize the overall management of arthroplasty, which helps one overcome pain, swelling, and motor disorders caused by arthritis, leads one’s daily life, and maintains one’s health.

Topics to explore include:

  • Overall patient care in knee joint replacement;
  • Attention and development directions in surgery in knee joint replacement;
  • Clinical attention and management directions in knee joint replacement;
  • Defining the limits and disclosing future challenges.

We invite you all to be part of the most basic journey of this orthopedic surgery. Together, let us explore the front lines of knee arthroplasty to redefine the landscape of this field and improve the lives of patients.

Prof. Dr. Sang-Hoon Park
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • knee surgery
  • knee arthroplasty
  • knee joint replacement
  • osteoarthritis
  • knee arthritis

Benefits of Publishing in a Special Issue

  • Ease of navigation: Grouping papers by topic helps scholars navigate broad scope journals more efficiently.
  • Greater discoverability: Special Issues support the reach and impact of scientific research. Articles in Special Issues are more discoverable and cited more frequently.
  • Expansion of research network: Special Issues facilitate connections among authors, fostering scientific collaborations.
  • External promotion: Articles in Special Issues are often promoted through the journal's social media, increasing their visibility.
  • Reprint: MDPI Books provides the opportunity to republish successful Special Issues in book format, both online and in print.

Further information on MDPI's Special Issue policies can be found here.

Published Papers (1 paper)

Order results
Result details
Select all
Export citation of selected articles as:

Research

11 pages, 1772 KB  
Article
Mobile Versus Fixed-Bearing in Medial Unicompartmental Knee Arthroplasty: An Average 10-Year Follow-Up
by Sumin Lim, Tae Hun Kim, Do Young Park, Jung Sunwoo and Jun Young Chung
J. Clin. Med. 2025, 14(20), 7144; https://doi.org/10.3390/jcm14207144 - 10 Oct 2025
Viewed by 438
Abstract
Background: Unicompartmental knee arthroplasty (UKA) represents a well-recognized treatment option for isolated medial compartment osteoarthritis; however, the debate regarding the superiority of fixed-bearing versus mobile-bearing designs continues. We aimed to evaluate the mid- to long-term outcomes of medial UKA comparing mobile- versus fixed-bearing [...] Read more.
Background: Unicompartmental knee arthroplasty (UKA) represents a well-recognized treatment option for isolated medial compartment osteoarthritis; however, the debate regarding the superiority of fixed-bearing versus mobile-bearing designs continues. We aimed to evaluate the mid- to long-term outcomes of medial UKA comparing mobile- versus fixed-bearing designs within a single institution over an average 10-year follow-up. Methods: This retrospective study included 81 consecutive patients who underwent primary medial UKA (45 fixed-bearing and 36 mobile-bearing) with a minimum five-year follow-up. Clinical outcomes were measured using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and range of motion (ROM). Radiological measurements included hip-knee-ankle axis angle (HKA) and osteoarthritis progression. Implant survivorship was evaluated using Kaplan–Meier analysis, with failure defined as either conversion to total knee arthroplasty (TKA) or polyethylene (PE) exchange. Results: At a mean follow-up of 10.6 years, WOMAC scores, ROM, and radiological outcomes showed no statistically significant differences between the fixed-bearing and mobile-bearing groups. Significantly higher failure rates were observed in the mobile-bearing group, both when considering conversion only (p = 0.041) and when including conversion or PE exchange (p = 0.009). Survival analysis demonstrated 10-year rates of 97.8% for fixed-bearing and 88.9% for mobile-bearing with TKA conversion defined as failure (p = 0.066). Using combined failure criteria of TKA conversion or PE exchange, 10-year survival rates were 97.8% for fixed-bearing and 83.3% for mobile-bearing (p = 0.015). Conclusions: At a mean 10.6-year follow-up, clinical and radiological outcomes were comparable, but fixed-bearing UKA demonstrated superior survivorship. Full article
(This article belongs to the Special Issue Clinical Management of Knee Arthroplasty)
Show Figures

Figure 1

Back to TopTop