Department of Orthopaedic Surgery, Campus Grosshadern, Ludwig-Maximilians-University Marchioninistr Munich, Germany.
J Arthroplasty. 2014 Oct;29(10):1991-5. doi: 10.1016/j.arth.2014.05.016. Epub 2014 Jun 2.
The bone-preservation by UKA in medial osteoarthritis constitutes only an advantage if in the case of revision an unconstrained TKA can be implanted. The aim of this study was to evaluate a revision technique using an autologous bone slice from the lateral to the medial proximal tibia. We report on 17 patients with a mean follow up of 3.1years. Patient's satisfaction and pain, WOMAC- and Oxford-Knee-Score, radiological and clinical knee symptoms/function were assessed. No loosening, wear or implant subsidence could be detected during the follow up. In comparison with results after primary TKA in the literature we found our clinical results to be within the range. The study demonstrates that thismethod is safe and produces good midterm results.
UKA 对内侧骨关节炎的保骨作用只有在翻修时可以植入非约束性 TKA 的情况下才是有利的。本研究的目的是评估一种使用来自胫骨外侧到内侧近端的自体骨片的翻修技术。我们报告了 17 例患者，平均随访 3.1 年。评估了患者的满意度和疼痛、WOMAC 和牛津膝关节评分、影像学和临床膝关节症状/功能。在随访期间，未发现松动、磨损或植入物下沉。与文献中初次 TKA 的结果相比，我们发现我们的临床结果在范围内。该研究表明，该方法安全有效，中期效果良好。
