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5 vs. 30.7%±12.9, P=0.001) and a higher prevalence of radial tear (P=0.021) than those in the conservative group. In the multivariate analysis, RPE remained a relevant independent factor (P=0.035) for future UKA. An ROC analysis found that the cut-off point of RPE was 33% (sensitivity, 81.2%; specificity, 63.3%). RPE was a predictor of the prognosis of patients who underwent UKA within 1year after the onset of SONK. Our results suggest that patients with RPE≥33% are at high risk for progression. RPE was a predictor of the prognosis of p