McAllister Craig M
Evergreen Orthopedic Research Labs, Kirkland, WA 98034, USA.
J Knee Surg. 2008 Oct;21(4):286-92. doi: 10.1055/s-0030-1247834.
Unicondylar knee arthroplasty (UKA) and total knee arthroplasty (TKA) are both recommended for the treatment of medial compartment osteoarthritis in the varus knee. Some authors report favorable functional results and patient satisfaction from TKA on the basis of extensive, long-term success of knee arthroplasty. Others cite the arduous rehabilitation and bone loss associated with traditional knee arthroplasty, opting for UKA, especially in young, high-demand patients. This article reviews the elements of successful UKA. It emphasizes the advantages of UKA versus traditional knee arthroplasty and minimally invasive TKA.
单髁膝关节置换术（UKA）和全膝关节置换术（TKA）均被推荐用于治疗内翻膝的内侧间室骨关节炎。一些作者基于膝关节置换术广泛、长期的成功经验，报告了TKA良好的功能结果和患者满意度。另一些人则提到传统膝关节置换术相关的艰苦康复过程和骨质流失，因而选择UKA，尤其是在年轻、需求高的患者中。本文回顾了成功进行UKA的要素。它强调了UKA相对于传统膝关节置换术和微创TKA的优势。
