Faour Martín Omar, Valverde García Jose Antonio, Martín Ferrero Miguel Ángel, Vega Castrillo Aurelio, Zuil Acosta Patricia, Suárez De Puga César Carlos
Acta Orthop Belg. 2015 Jun;81(2):283-8.
Younger patients with unicompartmental degenerative knee joint diseases present a therapeutic dilemma. The purpose of this study is to evaluate the long-term results of the Oxford phase III unicompartmental knee replacement through a minimally invasive approach in the young patient.
We have studied a total of 51 patients (59 interventions) who underwent the Oxford Phase III Unicompartmental Knee Replacement. A clinical, radiographical and functional evaluation was performed twelve years after intervention.
According to the American Knee Society Score using Insall's criteria overall results of unicompartmental knee arthroplasty showed an excellent or good outcome for 53 knees (96.36%), fair for 1 (1.81%) and poor for 1 (1.81%) in the postoperative long term. The survival rate of the implants was close to 95% at follow-up.
Twelve years follow-up results of UKA through a minimally invasive exposure in young patients demonstrate predictably good outcomes.
患有单髁退行性膝关节疾病的年轻患者面临治疗困境。本研究的目的是评估通过微创方法对年轻患者进行牛津三期单髁膝关节置换的长期效果。
我们共研究了51例接受牛津三期单髁膝关节置换的患者(59次手术)。在干预12年后进行了临床、影像学和功能评估。
根据美国膝关节协会评分标准(采用英萨尔标准),单髁膝关节置换术后长期总体结果显示,53个膝关节(96.36%)为优或良,1个(1.81%)为中,1个(1.81%)为差。随访时植入物的生存率接近95%。
对年轻患者采用微创暴露进行单髁膝关节置换的12年随访结果显示,效果可预测良好。