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老年运动员的单间室关节炎:截骨术及其他方法。

Unicompartmental arthritis in the aging athlete: osteotomy and beyond.

机构信息

Department of Orthopaedic Surgery, University of Pittsburgh, 3200 South Water St, Pittsburgh, PA, 15203, USA.

出版信息

Curr Rev Musculoskelet Med. 2013 Sep;6(3):264-72. doi: 10.1007/s12178-013-9171-1.

DOI:10.1007/s12178-013-9171-1
PMID:23749496
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4094009/
Abstract

The vitality of the aging athlete is largely dependent on continued mobility and pain-free motion. The early onset of osteoarthritis often has devastating consequences for these athletes and if left untreated, mobility declines and eventually prevents sporting activities all together. Recent advances in operative treatment for unicompartmental arthritis of the knee aim to delay the need for total joint arthroplasty by preserving or restoring the form and function of the knee to allow for continued sport participation. This review focuses on the recent literature of several surgical treatment options for unicompartmental disease including cartilage procedures, osteotomy, and unicompartmental arthroplasty.

摘要

衰老运动员的活力在很大程度上取决于持续的活动能力和无痛运动。骨关节炎的早期发作往往对这些运动员产生破坏性的后果,如果不治疗,活动能力下降,最终完全阻止运动活动。膝关节单间室关节炎的手术治疗的最新进展旨在通过保留或恢复膝关节的形态和功能来延迟全膝关节置换的需要,从而允许继续参与运动。本综述重点介绍了几种单间室疾病的手术治疗选择的最新文献,包括软骨手术、截骨术和单间室关节置换术。

相似文献

1
Unicompartmental arthritis in the aging athlete: osteotomy and beyond.老年运动员的单间室关节炎:截骨术及其他方法。
Curr Rev Musculoskelet Med. 2013 Sep;6(3):264-72. doi: 10.1007/s12178-013-9171-1.
2
[Knee osteotomy versus unicompartmental knee replacement in the treatment of unicompartmental knee arthritis].膝关节截骨术与单髁膝关节置换术治疗单髁膝关节关节炎的对比
Rev Med Chir Soc Med Nat Iasi. 2006 Jul-Sep;110(3):582-9.
3
[Operative treatment of the unicompartmental knee arthritis - results of a nationwide survey in 2008].[单髁膝关节关节炎的手术治疗——2008年全国性调查结果]
Z Orthop Unfall. 2011 Apr;149(2):153-9. doi: 10.1055/s-0030-1250359. Epub 2010 Oct 8.
4
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J Bone Joint Surg Am. 2015 May 20;97(10):807-17. doi: 10.2106/JBJS.N.00925.
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Surgical treatment of unicompartmental degenerative arthritis of the knee.膝关节单髁退行性关节炎的外科治疗
Rheum Dis Clin North Am. 1988 Dec;14(3):545-64.
6
Unicompartmental Knee Osteoarthritis (UKOA): Unicompartmental Knee Arthroplasty (UKA) or High Tibial Osteotomy (HTO)?单髁膝关节骨关节炎(UKOA):单髁膝关节置换术(UKA)还是高位胫骨截骨术(HTO)?
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Opening wedge high tibial osteotomy allows better outcomes than unicompartmental knee arthroplasty in patients expecting to return to impact sports.对于期望重返撞击性运动的患者,楔形胫骨高位截骨术的效果优于单髁膝关节置换术。
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Unicompartmental Knee Arthroplasty vs High Tibial Osteotomy for Knee Osteoarthritis: A Systematic Review and Meta-Analysis.单髁膝关节置换术与胫骨高位截骨术治疗膝关节骨关节炎的比较:系统评价和荟萃分析。
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Unicompartmental knee arthroplasty is superior to high tibial osteotomy in post-operative recovery and participation in recreational and sports activities.单髁膝关节置换术在术后恢复和参与娱乐及体育活动方面优于胫骨高位截骨术。
Int Orthop. 2019 Nov;43(11):2493-2501. doi: 10.1007/s00264-018-4272-5. Epub 2018 Dec 18.

引用本文的文献

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RETURN TO SPORTS FOLLOWING KNEE OSTEOTOMY IN COMPETITIVE ATHLETES - CASE SERIES.竞技运动员膝关节截骨术后重返运动——病例系列
Acta Ortop Bras. 2025 Feb 3;33(1):e278744. doi: 10.1590/1413-785220253301e278744. eCollection 2025.
2
Risk Factors for Postoperative Knee Stiffness in Patients with Anteromedial Knee Osteoarthritis Undergoing Unicompartmental Knee Arthroplasty with Cemented Prostheses: A Short-Term, Retrospective, Case-Control Study.单髁膝关节置换术后伴水泥型假体的前内侧膝关节骨关节炎患者术后膝关节僵硬的危险因素:一项短期回顾性病例对照研究。
Med Sci Monit. 2023 Nov 25;29:e942440. doi: 10.12659/MSM.942440.
3
Return to Sports After High Tibial Osteotomy Using the Opening Wedge Technique.采用开放楔形技术行高位胫骨截骨术后的重返运动情况
Rev Bras Ortop (Sao Paulo). 2021 Jun;56(3):313-319. doi: 10.1055/s-0040-1715514. Epub 2020 Sep 25.
4
High Rates of Return to Sports Activities and Work After Osteotomies Around the Knee: A Systematic Review and Meta-Analysis.膝关节周围截骨术后高比例的重返体育活动和工作:一项系统回顾和荟萃分析。
Sports Med. 2017 Nov;47(11):2219-2244. doi: 10.1007/s40279-017-0726-y.

本文引用的文献

1
Improved outcomes with combined autologous chondrocyte implantation and patellofemoral osteotomy versus isolated autologous chondrocyte implantation.与单纯自体软骨细胞移植术相比,联合应用自体软骨细胞移植术和髌股关节成形术可改善预后。
Arthroscopy. 2013 Mar;29(3):566-74. doi: 10.1016/j.arthro.2012.10.008. Epub 2013 Jan 8.
2
Risk of revision for fixed versus mobile-bearing primary total knee replacements.固定与活动平台初次全膝关节置换翻修风险比较。
J Bone Joint Surg Am. 2012 Nov 7;94(21):1929-35. doi: 10.2106/JBJS.K.01363.
3
Survivorship of high tibial osteotomy in the treatment of osteoarthritis of the knee: Finnish registry-based study of 3195 knees.高位胫骨截骨术治疗膝关节骨关节炎的生存率:基于芬兰登记处的3195例膝关节研究
J Bone Joint Surg Br. 2012 Nov;94(11):1517-21. doi: 10.1302/0301-620X.94B11.29601.
4
Osteotomy and unicompartmental knee arthroplasty converted to total knee arthroplasty: data from the New Zealand Joint Registry.截骨术和单髁膝关节置换术转为全膝关节置换术:来自新西兰关节登记处的数据。
J Arthroplasty. 2012 Dec;27(10):1827-31. doi: 10.1016/j.arth.2012.05.031. Epub 2012 Oct 11.
5
Ten-year follow-up of a prospective, randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint of athletes.运动员膝关节骨软骨缺损自体镶嵌骨软骨移植与微骨折术治疗的前瞻性随机临床研究 10 年随访结果。
Am J Sports Med. 2012 Nov;40(11):2499-508. doi: 10.1177/0363546512458763. Epub 2012 Sep 28.
6
Patellofemoral arthroplasty: the other unicompartmental knee replacement.髌股关节成形术:另一种单间室膝关节置换术。
J Bone Joint Surg Am. 2012 Sep 19;94(18):1712-20. doi: 10.2106/JBJS.L.00539.
7
Long-term survivorship and failure modes of unicompartmental knee arthroplasty.单髁膝关节置换术的长期生存率和失败模式。
Clin Orthop Relat Res. 2013 Jan;471(1):102-8. doi: 10.1007/s11999-012-2517-y.
8
Comparison of high tibial osteotomy and unicompartmental knee arthroplasty at a minimum follow-up of 3 years.高胫骨截骨术与单髁膝关节置换术的 3 年以上随访比较。
J Arthroplasty. 2013 Feb;28(2):243-7. doi: 10.1016/j.arth.2012.06.011. Epub 2012 Jul 31.
9
A case series of lateral opening wedge high tibial osteotomy for valgus malalignment.外侧开口楔形胫骨高位截骨术治疗外翻畸形的病例系列研究。
Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):152-60. doi: 10.1007/s00167-012-2070-y. Epub 2012 Jun 17.
10
Patellofemoral alignment and anterior knee pain after closing- and opening-wedge valgus high tibial osteotomy.髌股关节对线和闭楔形与开楔形胫骨高位截骨术后的前膝痛。
Arthroscopy. 2012 Aug;28(8):1087-93. doi: 10.1016/j.arthro.2012.02.002. Epub 2012 Apr 20.