Janssen Stein J, van Oost Iris, Breugem Stefan J M, van Geenen Rutger C I
Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam Movement Sciences, Amsterdam, The Netherlands.
Department of Orthopaedic Surgery, FORCE (Foundation for Orthopaedic Research Care Education), Amphia Hospital, Breda, The Netherlands.
EFORT Open Rev. 2021 Oct 19;6(10):850-860. doi: 10.1302/2058-5241.6.200105. eCollection 2021 Oct.
Unicompartmental knee arthroplasty (UKA) has several advantages over total knee arthroplasty; however, in many reports, the risk of revision remains higher after UKA.Many reasons for failure of UKA exist.Successful treatment starts with accurate assessment of the symptomatic UKA as a specific mode of failure requires a specific solution.A structured and comprehensive evaluation aids assessment of the symptomatic UKA.This review provides an overview of the causes for a symptomatic medial UKA, its risk factors, diagnostic modalities that can be used, and briefly discusses treatment options. Cite this article: 2021;6:850-860. DOI: 10.1302/2058-5241.6.200105.
单髁膝关节置换术(UKA)相较于全膝关节置换术有多个优势;然而,在许多报告中,UKA术后翻修风险仍然较高。UKA失败存在多种原因。成功的治疗始于对有症状的UKA进行准确评估,因为特定的失败模式需要特定的解决方案。结构化且全面的评估有助于对有症状的UKA进行评估。本综述概述了有症状的内侧UKA的病因、其风险因素、可使用的诊断方法,并简要讨论了治疗选择。引用本文:2021;6:850 - 860。DOI:10.1302/2058 - 5241.6.200105。