Vidal J, Bensadoun J L, Maury P, Martin B
Clinique de Chirurgie Orthopédique et Traumatologique, Hôpital Lapeyronie, Montpellier.
Chirurgie. 1991;117(5-6):491-500.
100 unicompartmental knee prosthesis type Marmor-Cartier with 86 replacements of the medial compartment have been followed for a period of 5 to 15 years. Contrary to the reaxation osteotomies, a moderate hypocorrection about 3 to 5 degrees has to be respected in unicompartmental knee replacement. The two major complications are degradation of the contralateral compartment due to hypercorrection; and loosening of the tibial plateau due to hypocorrection over 5 degrees or anterior laxity or convex side laxity or misalignment of the prosthetic device. The unicompartmental knee arthroplasty is a trustful surgical procedure as long as precise indications for this method and a rigorous surgical technique are respected.
100 例 Marmor-Cartier 型单髁膝关节假体,其中 86 例为内侧间室置换,随访时间为 5 至 15 年。与松弛截骨术相反,单髁膝关节置换时必须注意适度欠矫约 3 至 5 度。两个主要并发症是:由于过度矫正导致对侧间室退变;以及由于超过 5 度的欠矫、前侧松弛、凸侧松弛或假体装置排列不齐导致胫骨平台松动。只要遵循该方法的精确适应症和严格的手术技术,单髁膝关节置换术就是一种可靠的外科手术。