Fiocchi Andrea, Condello Vincenzo, Madonna Vincenzo, Bonomo M, Zorzi Claudio
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Acta Biomed. 2017 Jun 7;88(2S):38-44. doi: 10.23750/abm.v88i2-S.6510.
Unicompartmental Knee Arthroplasty (UKA) is a common procedure for the management of isolated osteoarthritis. UKA is considered less invasive compared to total knee arthroplasty, associated with less operative time, blood loss and faster recovery. Isolated lateral osteoarthritis is a relatively uncommon clinical problem, with an incidence about ten times lower than the medial compartment. In fact, lateral UKA are about 5-10% of the total amount of the UKAs. In addition, it's historically considered more challenging and with poorer results. The aim of this paper was to compare current indications, modes of failure, survivorship and clinical results of medial and lateral UKA by a narrative review of the latest literature.
单髁膝关节置换术(UKA)是治疗单纯性骨关节炎的常见手术。与全膝关节置换术相比,UKA被认为侵入性较小,手术时间较短、失血较少且恢复较快。单纯外侧骨关节炎是一个相对不常见的临床问题,其发病率比内侧间室低约十倍。事实上,外侧UKA约占UKA总量的5-10%。此外,从历史上看,它被认为更具挑战性且效果较差。本文的目的是通过对最新文献的叙述性综述,比较内侧和外侧UKA的当前适应证、失败模式、生存率和临床结果。