内侧单髁膝关节置换术治疗骨坏死或骨关节炎。
Medial unicompartimental knee arthroplasty for osteonecrosis or osteoarthritis.
作者信息
Servien E, Verdonk P C M, Lustig S, Paillot J L, Kara A D, Neyret P
机构信息
Centre Albert Trillat, Groupe Hospitalier Nord, Hospices Civils de Lyon, 8 Rue Margnolles, 69300, Lyon-Caluire, France.
出版信息
Knee Surg Sports Traumatol Arthrosc. 2008 Nov;16(11):1038-42. doi: 10.1007/s00167-008-0617-8. Epub 2008 Sep 10.
We report a prospective series of 33 unicompartmental knee arthroplasties (UKAs) operated for a spontaneous osteonecrosis of the knee (SPONK) compared with 35 UKAs operated for osteoarthritis (OA). The mean follow-up was 5 years. Preoperative functional score in the SPONK group was significantly lower than that in the OA group. The results were comparable in terms of pain, knee score and function. At the last follow-up, the survival rate was 92.8% for the SPONK group and 95.4% for the OA group. We found a higher rate of radiolucencies in the SPONK group, however, without any clinical symptoms. The UKA is a good option in the treatment of SPONK.
我们报告了一组前瞻性研究，其中33例单髁膝关节置换术（UKA）用于治疗自发性膝关节骨坏死（SPONK），并与35例用于治疗骨关节炎（OA）的UKA进行比较。平均随访时间为5年。SPONK组术前功能评分显著低于OA组。在疼痛、膝关节评分和功能方面，结果具有可比性。在最后一次随访时，SPONK组的生存率为92.8%，OA组为95.4%。然而，我们发现SPONK组的透亮线发生率较高，但没有任何临床症状。UKA是治疗SPONK的一个好选择。
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