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单髁膝关节置换术(别名单膝置换术)。概述及护理要点

Unicompartmental knee arthroplasty (alias uni-knee). An overview with nursing implications.

作者信息

Hall Virginia L, Hardwick Mary, Reden Lianette, Pulido Pamela, Colwell Clifford

机构信息

Scripps Clinic Center Orthopaedic Research and Education, La Jolla, CA, USA.

出版信息

Orthop Nurs. 2004 May-Jun;23(3):163-71; quiz 172-3. doi: 10.1097/00006416-200405000-00003.

Abstract

During the past 30 years, the unicompartmental knee arthroplasty has undergone growing pains with various implant designs, refining indications, and improving surgical techniques and instrumentation. Today, studies show survivorship results comparable to the tricompartmental total knee arthroplasty and a renewed interest has emerged. Even though the unicompartmental knee arthroplasty is recommended for only a select 10-15% who have osteoarthritis of the knee, it has many advantages over the total knee arthroplasty. Although the nursing care and rehabilitation are similar to the total knee arthroplasty, including wound care, prophylactic antibiotics, and venous thromboembolism prophylaxis, the patient frequently has less pain, increased range of motion, shorter hospitalization, and fewer complications, resulting in a quicker rehabilitation.

摘要

在过去30年里,单髁膝关节置换术经历了成长的烦恼,出现了各种植入物设计,适应证不断细化,手术技术和器械也不断改进。如今,研究表明其生存率与全髁膝关节置换术相当,人们对它的兴趣再度兴起。尽管单髁膝关节置换术仅推荐给特定的10%至15%的膝骨关节炎患者,但它相对于全膝关节置换术有许多优势。虽然护理和康复与全膝关节置换术相似,包括伤口护理、预防性使用抗生素和预防静脉血栓栓塞,但患者通常疼痛较轻、活动范围增加、住院时间缩短且并发症较少,从而康复更快。

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