Campi Stefano, Tibrewal Saket, Cuthbert Rory, Tibrewal Sheo B
Department of Orthopaedics, Università Campus Bio-Medico di Roma, Rome, Italy.
Department of Trauma & Orthopaedic Surgery, Lewisham & Greenwich NHS Trust, University Hospital Lewisham, High Street, London, SE13 6LH, United Kingdom.
J Clin Orthop Trauma. 2018 Jan-Mar;9(1):17-23. doi: 10.1016/j.jcot.2017.11.013. Epub 2017 Nov 28.
Unicompartmental knee replacement (UKR) is an effective treatment for end-stage, symptomatic unicompartmental osteoarthritis of the knee. However, certain aspects of the procedure are still debated. These areas of discussion include patient selection criteria, implant design and the discrepancy in survival rates between national registries and independent case series. These may contribute in limiting the more widespread acceptance of unicompartmental knee replacement. The aim of this paper is to review the up-to-date evidence on UKR and discuss the most relevant controversies regarding this procedure.
单髁膝关节置换术(UKR)是终末期有症状的膝关节单髁骨关节炎的一种有效治疗方法。然而,该手术的某些方面仍存在争议。这些讨论领域包括患者选择标准、植入物设计以及国家登记处与独立病例系列之间生存率的差异。这些可能导致单髁膝关节置换术无法更广泛地被接受。本文的目的是回顾单髁膝关节置换术的最新证据,并讨论有关该手术最相关的争议。