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单髁膝关节置换术:过去、现在与未来。

Unicompartmental knee arthroplasty: past, present, and future.

作者信息

Jamali Amir A, Scott Richard D, Rubash Harry E, Freiberg Andrew A

机构信息

Department of Orthopaedic Surgery, University of California Davis Medical Center, Sacramento, CA 95817, USA.

出版信息

Am J Orthop (Belle Mead NJ). 2009 Jan;38(1):17-23.

PMID:19238263
Abstract

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.

摘要

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。

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Unicompartmental knee arthroplasty: past, present, and future.单髁膝关节置换术:过去、现在与未来。
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2
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引用本文的文献

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Medial unicompartmental knee replacement is a viable treatment option after failed high tibial osteotomy: a systematic review.内侧单髁膝关节置换术是高位胫骨截骨术失败后的一种可行治疗选择:一项系统评价。
EFORT Open Rev. 2022 Aug 4;7(8):569-575. doi: 10.1530/EOR-21-0133.
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Patient Satisfaction, Functional Outcomes, and Implant Survivorship in Patients Undergoing Customized Unicompartmental Knee Arthroplasty.接受定制单髁膝关节置换术患者的满意度、功能结果及植入物生存率
J Pers Med. 2021 Jul 30;11(8):753. doi: 10.3390/jpm11080753.
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Kinematic alignment of medial UKA is safe: a systematic review.
内侧 UKA 的运动对线是安全的:系统评价。
Knee Surg Sports Traumatol Arthrosc. 2022 Mar;30(3):1082-1094. doi: 10.1007/s00167-021-06462-6. Epub 2021 Mar 20.
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Early osteoarthritis of the knee: from conservative to surgical management.膝关节早期骨关节炎:从保守治疗到手术治疗
Ann Transl Med. 2018 Oct;6(20):398. doi: 10.21037/atm.2018.08.18.
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Clinical interest of quantitative bone SPECT-CT in the preoperative assessment of knee osteoarthritis.定量骨SPECT-CT在膝关节骨关节炎术前评估中的临床意义
Medicine (Baltimore). 2018 Aug;97(35):e11943. doi: 10.1097/MD.0000000000011943.
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A systematic approach to predicting the risk of unicompartmental knee arthroplasty revision.一种系统性方法预测单髁膝关节置换翻修的风险。
Osteoarthritis Cartilage. 2016 Jun;24(6):991-9. doi: 10.1016/j.joca.2016.01.004. Epub 2016 Jan 14.
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The coronal alignment after medial unicompartmental knee arthroplasty can be predicted: usefulness of full-length valgus stress radiography for evaluating correctability.内侧单髁膝关节置换术后的冠状面对线可以预测:全长外翻应力量线片在评估可矫正性方面的作用。
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Innovations in total knee replacement: new trends in operative treatment and changes in peri-operative management.全膝关节置换术的创新:手术治疗的新趋势及围手术期管理的变化
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