Thirty-eight lateral compartment arthroplasties were performed in 22 years.
Eighteen joints in 17 patients with an average age of 64.5 years were eval
uated with minimum 5-year follow-up. Using the Hospital for Special Surgery
knee score, 16 of 18 joints had satisfactory results in terms of function
and pain relief. The average preoperative alignment on standing was 14.9 de
grees of valgus angulation, which was corrected to 6.9 degrees of valgus. O
n radiographic analysis, no radiolucent lines were seen under the tibial co
mponent, but the femoral component was loose in 1 joint. Although 5 joints
showed slight deterioration of osteoarthritic change in the medial compartm
ent, lateral compartment arthroplasty is a reliable and successful option i
n the treatment of patients with a low level of physical activity.