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如何在牛津 UKA 中表现更好?来自 500 多次手术经验的技术说明。

How to Perform Better on Oxford UKA? A Technical Note from over 500 Surgical Experiences.

机构信息

Department of Orthopaedics, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.

出版信息

Orthop Surg. 2023 Sep;15(9):2445-2453. doi: 10.1111/os.13811. Epub 2023 Jul 5.

DOI:10.1111/os.13811
PMID:37403559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10475656/
Abstract

Oxford unicompartmental knee arthroplasty (UKA) has been particularly prevalent because the concept of knee preservation is deeply rooted in people's minds. Mobile bearing UKA is a surgical type of UKA with considerable advantages. This note describes some surgical techniques, including patient position, surgical field exposure, selection of the size of the prosthesis, sagittal tibial osteotomy, placement of the femoral prosthesis and gap balance, to assist surgeons with less experience in performing these operations successfully. The techniques described in this note have been used in over 500 Oxford UKA cases, and nearly 95% patients achieved good prosthesis position and satisfactory postoperative outcome. We hope that the empirical summaries from numerous cases will help surgeons to learn Oxford UKA quickly and effectively, driving the spread of the technique and benefiting more patients.

摘要

牛津单髁膝关节置换术(UKA)在临床上特别流行,因为膝关节保护的理念深入人心。活动衬垫型 UKA 是一种具有明显优势的 UKA 手术类型。本笔记介绍了一些手术技术,包括患者体位、手术野显露、假体大小选择、胫骨矢状骨切开术、股骨假体放置和间隙平衡,以帮助经验较少的外科医生成功完成这些手术。本笔记中描述的技术已应用于超过 500 例牛津 UKA 病例中,近 95%的患者获得了良好的假体位置和满意的术后效果。我们希望这些来自大量病例的经验总结能帮助外科医生快速有效地学习牛津 UKA,推动该技术的普及,使更多患者受益。

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本文引用的文献

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Bone Joint J. 2023 Mar 1;105-B(3):269-276. doi: 10.1302/0301-620X.105B3.BJJ-2022-0872.R2.
2
Unicompartmental Knee Arthroplasty Has Lower Infection, Conversion, and Complication Rates Compared to High Tibial Osteotomy.单髁膝关节置换术感染率、翻修率和并发症发生率均低于高胫骨截骨术。
J Knee Surg. 2022 Dec;35(14):1518-1523. doi: 10.1055/s-0042-1757597. Epub 2022 Dec 20.
3
Mobile bearing versus fixed bearing medial unicompartmental knee replacement: an independent two center matched-pairs analysis.
活动平台与固定平台单髁膝关节置换的比较:一项独立的双中心配对分析。
Arch Orthop Trauma Surg. 2023 Jun;143(6):3383-3389. doi: 10.1007/s00402-022-04629-5. Epub 2022 Sep 28.
4
Optimized medial unicompartmental knee arthroplasty outcome: learning from 20 years of propensity score matched registry data.优化的内侧单髁膝关节置换术效果:从 20 年的倾向评分匹配登记数据中学习。
Acta Orthop. 2022 Apr 6;93:390-396. doi: 10.2340/17453674.2022.2265.
5
The Effect of Patient Age and Surgical Appropriateness and Their Influence on Surgeon Recommendations for Primary TKA: A Cross-Sectional Study of 2,037 Patients.患者年龄与手术适宜性及其对初次全膝关节置换术外科医生建议的影响:一项对2037例患者的横断面研究
J Bone Joint Surg Am. 2022 Apr 20;104(8):700-708. doi: 10.2106/JBJS.21.00597. Epub 2022 Feb 28.
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Revision arthroplasty after unicompartimental knee arthroplasty.单间室膝关节置换术后翻修术。
J Orthop Surg Res. 2021 Nov 12;16(1):666. doi: 10.1186/s13018-021-02767-x.
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J Bone Joint Surg Am. 2021 Dec 1;103(23):2170-2176. doi: 10.2106/JBJS.21.00346. Epub 2021 Sep 21.
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