Jamali Amir A, Scott Richard D, Rubash Harry E, Freiberg Andrew A
Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, CA 95817, USA.
Am J Orthop (Belle Mead NJ). 2009 Jan;38(1):17-23.
Unicompartmental knee arthroplasty (UKA) has a more than 30-year history in the treatment of arthritis of one compartment of the tibiofemoral joint. Despite early negative reports, the procedure has evolved into are liable and safe treatment. Successful outcomes withUKA require proper patient selection, meticulous surgical technique, and avoidance of deformity overcorrection.This procedure is indicated for patients with localized pain, preserved range of motion, and radiographically isolated tibiofemoral disease. UKA can provide more range of motion and improved patient satisfaction relative to total knee arthroplasty with comparable midterm longevity.
单髁膝关节置换术(UKA)在治疗胫股关节单髁关节炎方面已有30多年的历史。尽管早期有负面报道,但该手术已发展成为一种可靠且安全的治疗方法。UKA的成功结果需要正确选择患者、精湛的手术技术以及避免畸形过度矫正。该手术适用于有局部疼痛、保留活动范围且影像学显示孤立性胫股疾病的患者。与全膝关节置换术相比,UKA能提供更大的活动范围并提高患者满意度,且中期生存率相当。