Thirteen fresh-frozen matched pair cadaveric knees were tested in a hydraulic testing machine. Lateral UKA was based on a left knee, while the medial UKA based on a right knee. The aim of this biomechanical study was to compare the normalised abduction and adduction range of motion of lateral and medial UKA. In medial UKA, to preserve the fibres of the medial meniscus, the fibres of the medial collateral ligament (MCL) must be preserved. However, medial unicompartmental knee arthroplasty (UKA) is technically challenging. In lateral UKA, the tension of the lateral ligaments can be preserved by preserving the fibres of the lateral meniscus. In modern TKA, some arthroplasty designs have focused on lateral unicompartmental knee arthroplasty (UKA).
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