Ahmad Sufian S, Gantenbein Benjamin, Evangelopoulos Dimitrios S, Schär Michael O, Schwienbacher Stefan, Kohlhof Hendrick, Kohl Sandro
Department of Orthopaedic Surgery and Traumatology, Inselspital, University of Bern, Switzerland, and Institute for Surgical Technology and Biomechanics, University of Bern, Switzerland.
Institute for Surgical Technology and Biomechanics, University of Bern, Switzerland.
Swiss Med Wkly. 2015 Feb 9;145:w14096. doi: 10.4414/smw.2015.14096. eCollection 2015.
Osteoarthritis of the knee is a major clinical burden. Recent decades have witnessed an improved understanding of knee physiology and kinematics, which has led to the introduction of a wide range of enhanced prosthetic implant designs for a variety of indications. However, the increase in the number of procedures performed annually has led to complications being encountered at higher rates than ever before, requiring the development of optimised therapeutic strategies. The future holds several promising options, primarily in the treatment of early osteoarthritis, biological therapy, surgical navigation and patient-specific implants. This review provides an insight into the current options of knee arthroplasty, with emphasis on available designs, and examines the complications that may be encountered.
膝关节骨关节炎是一项重大的临床负担。近几十年来，人们对膝关节生理学和运动学的理解有所改善，这导致针对各种适应症引入了广泛的改良型假体植入设计。然而，每年进行的手术数量增加，导致并发症的发生率比以往任何时候都高，这就需要制定优化的治疗策略。未来有几个很有前景的选择，主要集中在早期骨关节炎的治疗、生物治疗、手术导航和定制型植入物。本综述深入探讨了膝关节置换术的当前选择，重点介绍了现有的设计，并研究了可能遇到的并发症。
