1 A.O.U. San Luigi Gonzaga, Regione Gonzole 10, 10043 Orbassano, Torino, Italy ; 2 University of Study of Torino, Via Giuseppe Verdi, 8, Torino, Italy ; 3 Orthopaedics and Traumatology Città della Scienza e della Salute - CTO, University of Torino, via Zuretti 29, 10126 Torino, Italy.
Ann Transl Med. 2016 Apr;4(7):129. doi: 10.21037/atm.2016.01.34.
Interest for uncemented total knee arthroplasty (TKA) has greatly increased in recent years. This technique, less used than cemented knee replacement in the last decades, sees a revival thanks an advance in prosthetic design, instrumentation and operative technique. The related literature in some cases shows conflicting data on survival and on the revision's rate, but in most cases a success rate comparable to cemented TKA is reported. The optimal fixation in TKA is a subject of debate with the majority of surgeons favouring cemented fixation.
近年来,非骨水泥全膝关节置换术(TKA)的应用日益受到关注。与过去几十年中广泛应用的骨水泥膝关节置换术相比,这种技术的应用有所减少,但由于假体设计、器械和手术技术的进步,它正在复兴。相关文献在某些情况下显示出有关生存率和翻修率的数据相互矛盾,但在大多数情况下,报告的成功率与骨水泥 TKA 相当。TKA 中的最佳固定方式是一个有争议的话题,大多数外科医生倾向于骨水泥固定。