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Physica ZUK

With proven clinical heritage, optimizing function and precise execution, Physica ZUK is the best performing UKA at 5, 10 & 15 years. Physica ZUK benefits from an unchanged design for more than 20 years.


Proven Clinical Heritage

Best performing UKA at 5, 10 & 15yrs (1) with its unchanged design for more than 15 years is supporting repeatable and reproducible results (2, 3, 4, 5, 6).

Optimizing Function

The fixed bearing design is reducing post-operative complications of bearing dislocation (7), improving functional outcomes and FJS (8).

Precision Execution

Simple and easy-to-use instrument set for fine-tuning preparation and repeatable and reproducible surgical technique. Same implant for Medial and Lateral UKA.

About

Physica ZUK offers an unchanged design for more than 20 years

Fixed bearing design with metal tibial baseplate + liner (available in UHMWPE or LimaVit) & all-poly tibia options, universal tibial and femoral components for lateral and medial UKA and universal tibial/femoral compatibility.
The design allows for native knee kinematics, reduces risk of overstuffing and reduces post-operative complication of bearing dislocation.


Physica ZUK has a PMMA coating on femoral and metal tibial components for advanced cement adhesion.

1. Unicompartmenal Knee Consensus on Patient Selection. LimaCorporate SpA, 2020. 2. Unicompartmental Knee Consensus on Surgical Challenges in UKA. A surgeon experience collection. LimaCorporate SpA, 2021. 3. National Joint Registry for England, Wales and Northern Ireland (NJR). Implant Summary Report on Physica ZUK. Hemel Hempstead (UK): NJR Centre. 2025 May. 4. Gill JR et al, “Clinical results and 12-year survivorship of the Physica ZUK unicompartmental knee replacement”, Knee, 2019 Jun;26(3):750-758. 5. Vasso M et al, “Unicompartmental knee arthroplasty is effective: ten year results”, Int Orthop, 2015 Dec;39(12):2341-6. 6. De Grave P et al, “Outcomes of a Fixed-Bearing, Medial, Cemented Unicondylar Knee Arthroplasty Design: Survival Analysis and Functional Score of 460 Cases”, J Arth, 2018 Sep;33(9):2792-2799 7. Biswas D et al “Medial unicompartmental knee arthroplasty in patients less than 55 years old: minimum of two years of follow-up”, J Arth, 2014 Jan;29(1):101-5. 8. R.I.P.O. (Register of the Orthopaedic Prosthetic Implants) Annual report 2024, Istituto Ortopedico Rizzoli, Bologna, Italy. 9. Servien E et al, “Lateral versus medial tibial plateau: morphometric analysis and adaptability with current tibial component design”, KSSTA, 2008 Dec;16(12):1141-5. 10. Kim Tae K et al, “Clinical Results of Lateral Unicompartmental Knee Arthroplasty: Minimum 2-Year Follow-up”, CiOS, 2016 Dec;8(4):386-392. 11. Gill JR et al, “Forgotten Joint Score: Comparison between total and unicondylar knee arthroplasty”, Knee, 2021 Mar;29:26-32. 12. Ohashi KL, Dauskardt RH. Effects of fatigue loading and PMMA precoating on the adhesion and subcritical debonding of prosthetic-PMMA interfaces J Biomed Mater Res. 2000 Aug;51(2):172-83.

Sizing and Options

7 Femoral sizes
Universal femoral component (Right Medial = Left Lateral)
Femur pre-coated with PMMA

6 Tibial sizes
Metal or all-poly tibial baseplate options
Metal tibial baseplate pre-coated with PMMA
All poly tibial component abvailable in 6 different thicknesses

6 liner sizes
6 Thicknesses
Fixed-Bearing
UHMWPE or LimaVit (Vit-E cross-linked PE) for metal-back solution options

Clinical Papers

Biswas D, Van Thiel GS, Wetters NG, Pack BJ, Berger RA, Della Valle CJ.

Medial Unicompartmental Knee Arthroplasty in Patients Less Than 55 Years Old: Minimum of Two Years of Follow-Up J Arthroplasty. 2014 Jan;29(1):101-5

Calkins TE, Hannon CP, Fillingham YA, Culvern CC, Berger RA, Della Valle CJ.

Fixed-bearing medial unicompartmental knee arthroplasty in patients younger than 55 years of age at 4-19 years of follow-up: a concise follow-up of a previous reportJ Arthroplasty. 2021.

Gill JR, Nicolai P.

Clinical results and 12-year survivorship of the Physica ZUK unicompartmental knee replacement. The Knee, 26 (2019), 750–758.

Kurien T, Stragier B, Senevirathna S, Geutjens G.

Excellent outcomes with combined single stage Physica ZUK medial unicompartment knee replacement and anterior cruciate ligament reconstruction results in young, active patients with instability and osteoarthritis with a mean follow-up of 5 years Knee, 36 (2022), 114-119.

Vasso M, Del Regno C, Perisano C, D'Amelio A, Corona K, Schiavone Panni A.

Unicompartmental knee arthroplasty is effective: ten year results. International orthopaedics (SICOT) 39, 2341–2346 (2015)

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