Kort Nanne P, van Raay Jos J A M, van Horn Jim J
Department of Orthopaedic Surgery, Maasland Hospital, P.O. Box 5500, 6130 MB, Sittard, The Netherlands.
Knee Surg Sports Traumatol Arthrosc. 2007 Apr;15(4):356-60. doi: 10.1007/s00167-006-0204-9. Epub 2006 Oct 7.
Treatment of younger patients with medial unicompartmental disease of the knee joint remains a challenging therapeutic dilemma. With the refinement of implant design, fixation and the minimally invasive techniques employed with unicompartmental knee replacement, indications have expanded to include its use in young patients. A prospective cohort of 46 unicompartmental knee procedures were performed with a 2-year minimum and 6-year maximum follow-up, using the Oxford phase III unicompartmental knee arthroplasty, in the younger patient group (age 60 or younger). We conclude that the unicompartmental knee arthroplasty is an important option for the treatment of medial compartment disease for patients 60 years or younger. Obesity can cause technical difficulties, increased risk of complications and early failure of this prosthesis.
膝关节内侧单髁疾病的年轻患者的治疗仍然是一个具有挑战性的治疗难题。随着植入物设计、固定技术以及单髁膝关节置换所采用的微创技术的不断完善，其适应证已扩大到包括在年轻患者中的应用。对年龄在60岁及以下的年轻患者组，采用牛津三期单髁膝关节置换术进行了46例单髁膝关节手术的前瞻性队列研究，随访时间最短2年，最长6年。我们得出结论，单髁膝关节置换术是治疗60岁及以下患者内侧间室疾病的重要选择。肥胖会导致技术困难、并发症风险增加以及该假体早期失效。
