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单间室膝关节置换术,一个谜,以及内侧 UKA 的十大谜。

Unicompartmental knee arthroplasty, an enigma, and the ten enigmas of medial UKA.

机构信息

TK Orthopedic Surgery, 55 Dongpangyo-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, 13535, Republic of Korea.

Department of Orthopaedics, Johns Hopkins Medical Institute, 2360 West Joppa Road, Suite 306, Baltimore, MD, 21093, USA.

出版信息

J Orthop Traumatol. 2020 Sep 2;21(1):15. doi: 10.1186/s10195-020-00551-x.

Abstract

Unicompartmental knee arthroplasty (UKA) is a bone- and ligament-sparing alternative to total knee arthroplasty in the patients with end-stage single-compartment degeneration of the knee. Despite being a successful procedure, the multiple advantages of UKA do not correlate with its usage, most likely due to the concerns regarding prosthesis survivability, patient selection, ideal bearing design, and judicious use of advanced technology among many others. Therefore, the purpose of this study is to review and summarize the debated literature and discuss the controversies as "Ten Enigmas of UKA."

摘要

单髁膝关节置换术(UKA)是一种保膝手术,适用于膝关节单间室终末期退变的患者,可作为全膝关节置换术的替代方法。尽管 UKA 是一种成功的手术,但它的众多优点与其使用率并不相关,这可能主要是由于对假体存活率、患者选择、理想的轴承设计以及在众多其他因素中明智地使用先进技术等方面的担忧所致。因此,本研究的目的是回顾和总结有争议的文献,并讨论“UKA 的十大谜团”这一争议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd2/7468046/6c1a91d4c467/10195_2020_551_Fig1_HTML.jpg

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