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单髁膝关节置换术的最新进展:当前适应症及失败模式

Update on unicompartmental knee arthroplasty: Current indications and failure modes.

作者信息

Vasso Michele, Antoniadis Alexander, Helmy Naeder

机构信息

Concordia Hospital for Special Surgery, Rome, Italy.

Bürgerspital Solothurn, Switzerland.

出版信息

EFORT Open Rev. 2018 Aug 1;3(8):442-448. doi: 10.1302/2058-5241.3.170060. eCollection 2018 Aug.

Abstract

Despite the excellent success rates of modern implants, unicompartmental knee arthroplasty (UKA) continues to show relatively high failure and revision rates, especially when compared with total knee arthroplasty (TKA).These higher rates of failure and revision are mainly observed during the early (< 5 years) post-operative period and are often due to incorrect indications and/or surgical errors.The correct clinical and radiological indications for UKA have therefore been analysed and correlated as far as possible with the principal mechanisms and timing of failures of UKA. Cite this article: 2018;3:442-448. DOI: 10.1302/2058-5241.3.170060.

摘要

尽管现代植入物有着出色的成功率,但单髁膝关节置换术(UKA)的失败率和翻修率仍然相对较高,尤其是与全膝关节置换术(TKA)相比时。这些较高的失败率和翻修率主要出现在术后早期(<5年),且往往是由于适应证选择不当和/或手术失误。因此,对UKA正确的临床和放射学适应证进行了分析,并尽可能将其与UKA失败的主要机制和时间相关联。引用本文:2018;3:442 - 448。DOI:10.1302/2058 - 5241.3.170060。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/64cf/6134885/e88d9036a8fc/eor-3-442-g001.jpg

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