Orthopaedic and Traumatologic Surgery, University of Chieti, Chieti, Scalo, Italy.
Clin Rheumatol. 2010 Apr;29(4):339-46. doi: 10.1007/s10067-009-1354-1.
There has been a resurgence of interest in unicompartmental knee arthroplasty (UKA) for treatment of medial unicompartmental knee osteoarthritis (OA). Improved prosthetic design, minimally invasive surgical techniques, and strict patient selection criteria have resulted in improved survivorship and functional outcomes. A review of orthopedic literature was conducted regarding the advantages of UKA versus total knee arthroplasty (TKA), UKA indications, survivorship, conversion of UKA to TKA, rehabilitation, and outcomes. The UKA appears to be a viable option for patients with knee medial compartment OA, including younger and active patients. Survivorship rates of 94% to 97% at 10 years have been reported.
对于治疗内侧单间室膝关节骨关节炎(OA),单髁膝关节置换术(UKA)再次受到关注。改进的假体设计、微创外科技术和严格的患者选择标准,使生存率和功能结果得到改善。本文对矫形文献进行了回顾,探讨了 UKA 相对于全膝关节置换术(TKA)的优势、UKA 的适应证、生存率、UKA 向 TKA 的转换、康复和结果。对于膝关节内侧间室 OA 的患者,包括年轻和活跃的患者,UKA 似乎是一种可行的选择。报道的 10 年生存率为 94%至 97%。