[New technologies (robotics, "custom-made") for unicondylar knee arthroplasty-contra].

BACKGROUND

Numerous long-term results for both medial and lateral unicondylar knee arthroplasty (UKA) demonstrate that UKA is a reliable and successful treatment for isolated anteromedial or lateral osteoarthritis of the knee when the correct indications are used. The relationship between operation volume and implant performance has clearly been established from recent studies and registry data. The use of novel technologies allows for an improvement in the accuracy of implant positioning with fewer outliers. However, evidence-based target zones for the positioning of available implants have not been sufficiently established.

INDIVIDUAL ENDOPROSTHETICS

Current data does not support the routine use of patient-specific instruments or custom-made implants.

ROBOTICS

Robot-assisted procedures must be interpreted as a very promising approach for the future. So far, there is insufficient evidence that robotically assisted surgical techniques improve implant performance or lead to better functional results from the patient's point of view.