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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Sep 15;38(9):1138-1142. doi: 10.7507/1002-1892.202403091.
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本文引用的文献

1
[Reconsideration of the indications for unicompartmental knee arthroplasty].[单髁膝关节置换术适应症的重新审视]
Zhonghua Yi Xue Za Zhi. 2024 Jan 30;104(5):319-324. doi: 10.3760/cma.j.cn112137-20230518-00820.
2
Malposition is main cause of failure of Oxford mobile-bearing medial unicompartmental knee arthroplasty.位置不当是牛津活动平台内侧单髁膝关节置换术失败的主要原因。
Bone Jt Open. 2023 Dec 1;4(12):914-922. doi: 10.1302/2633-1462.412.BJO-2023-0135.R1.
3
Imaging of Cartilage and Chondral Defects: An Overview.软骨及软骨损伤的影像学:综述
Life (Basel). 2023 Jan 28;13(2):363. doi: 10.3390/life13020363.
4
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.
5
Excellent outcomes with Oxford Uni-compartmental knee arthroplasty in anteromedial osteoarthritis patients (≤60 years) at mid-term follow-up.牛津单髁膝关节置换术治疗前内侧骨关节炎患者(≤60 岁)的中期随访结果良好。
BMC Musculoskelet Disord. 2021 Oct 8;22(1):859. doi: 10.1186/s12891-021-04747-y.
6
Coronal shaft bowing of the femur affects varus inclination of the surgical transepicondylar axis in varus knee osteoarthritis.股骨冠状骨干弯曲会影响内翻型膝关节骨关节炎中手术的髁间轴的内翻倾斜度。
Knee Surg Sports Traumatol Arthrosc. 2021 Mar;29(3):814-819. doi: 10.1007/s00167-020-06025-1. Epub 2020 Apr 25.
7
Mid-term functional, clinical, and radiological outcomes with factors affecting revision of mobile-bearing medial unicompartmental knee arthroplasty.中期功能、临床及影像学结果以及影响活动平台内侧单髁膝关节置换翻修的因素
Knee. 2020 Mar;27(2):527-534. doi: 10.1016/j.knee.2019.11.012. Epub 2020 Jan 8.
8
Non-surgical treatment of knee osteoarthritis.膝关节骨关节炎的非手术治疗。
Hong Kong Med J. 2019 Apr;25(2):127-133. doi: 10.12809/hkmj187600. Epub 2019 Mar 28.
9
Usage of unicompartmental knee arthroplasty.单髁膝关节置换术的应用
Bone Joint J. 2018 Apr 1;100-B(4):432-435. doi: 10.1302/0301-620X.100B4.BJJ-2017-0716.R1.
10
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。
J Arthroplasty. 2017 Oct;32(10):3000-3003. doi: 10.1016/j.arth.2017.05.008. Epub 2017 May 11.

牛津单髁膝关节置换术治疗膝关节内侧间室部分厚度软骨损伤的研究进展

[Research progress in Oxford unicompartmental knee arthroplasty for partial thickness cartilage loss in medial compartment of knee joint].

作者信息

Huang Wenbin, Liu Dianqi, Lu Weijie

机构信息

Department of Joint Surgery, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou Guangdong, 510120, P. R. China.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2024 Sep 15;38(9):1138-1142. doi: 10.7507/1002-1892.202403091.

DOI:10.7507/1002-1892.202403091
PMID:39300891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11440162/
Abstract

OBJECTIVE

To summarize the research progress of Oxford unicompartmental knee arthroplasty (UKA) in treating partial thickness cartilage loss (PTCL) in the medial compartment of the knee joint, aiming to further clarify the indications and optimize the effectiveness of Oxford UKA.

METHODS

A comprehensive review of recent domestic and international literature on Oxford UKA for PTCL in the medial compartment of the knee joint was conducted to summarize its application and research advancements.

RESULTS

Based on current researches, the main indication for Oxford UKA is full thinckness cartilage loss in the medial compartment of the knee joint. Although it has shown certain effectiveness in treating PTCL in the medial compartment of the knee joint, there are also reports of opposite conclusions. Therefore, there is still controversy over whether Oxford UKA can be chosen for PTCL, and the large-sample and multi-center studies are needed to further clarify the controversy. Studies indicate that accurate preoperative assessment of cartilage damage severity is crucial for selecting appropriate candidates for Oxford UKA to optimize postoperative effectiveness.

CONCLUSION

Oxford UKA may represent an effective treatment for patients with PTCL in the medial compartment of the knee joint. However, strict patient selection and precise preoperative evaluation are essential to ensure surgical success and long-term effectiveness.

摘要

目的

总结牛津单髁膝关节置换术(UKA)治疗膝关节内侧间室部分厚度软骨损伤(PTCL)的研究进展,旨在进一步明确其适应证并优化牛津UKA的疗效。

方法

全面回顾近期国内外关于牛津UKA治疗膝关节内侧间室PTCL的文献,总结其应用情况及研究进展。

结果

基于目前的研究,牛津UKA主要适应证为膝关节内侧间室全层软骨损伤。尽管其在治疗膝关节内侧间室PTCL方面已显示出一定疗效,但也有相反结论的报道。因此,对于PTCL是否可选择牛津UKA仍存在争议,需要大样本、多中心研究进一步阐明该争议。研究表明,术前准确评估软骨损伤严重程度对于选择合适的牛津UKA患者以优化术后疗效至关重要。

结论

牛津UKA可能是治疗膝关节内侧间室PTCL患者的有效方法。然而,严格的患者选择和精确的术前评估对于确保手术成功和长期疗效至关重要。