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单髁膝关节置换术——当前观点

Unicompartmental knee replacement - Current perspectives.

作者信息

Campi Stefano, Tibrewal Saket, Cuthbert Rory, Tibrewal Sheo B

机构信息

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.

出版信息

J Clin Orthop Trauma. 2018 Jan-Mar;9(1):17-23. doi: 10.1016/j.jcot.2017.11.013. Epub 2017 Nov 28.

DOI:10.1016/j.jcot.2017.11.013
PMID:29628678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5884047/
Abstract

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.

摘要

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。

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Acta Orthop. 2018 Feb;89(1):101-107. doi: 10.1080/17453674.2017.1367577. Epub 2017 Aug 23.
2
The Interaction of Caseload and Usage in Determining Outcomes of Unicompartmental Knee Arthroplasty: A Meta-Analysis.病例数量与使用情况在单髁膝关节置换术预后判定中的相互作用:一项荟萃分析
J Arthroplasty. 2017 Oct;32(10):3228-3237.e2. doi: 10.1016/j.arth.2017.04.063. Epub 2017 May 11.
3
The Combination of Preoperative Bone Marrow Lesions and Partial-Thickness Cartilage Loss Did Not Result in Inferior Outcomes After Medial Unicompartmental Knee Arthroplasty.术前骨髓损伤与部分厚度软骨损伤相结合,在内侧单髁膝关节置换术后并未导致较差的结果。
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