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双髁关节置换术的现状

Current status of bicompartmental arthroplasty.

作者信息

Gao Yingjian, Yue Bing, Xin Weiwei

机构信息

Department of Orthopedics, School of Medicine, Renji Hospital, Shanghai Jiao Tong University, Shanghai, 201112, China.

出版信息

Arthroplasty. 2025 Jan 3;7(1):1. doi: 10.1186/s42836-024-00283-x.

DOI:10.1186/s42836-024-00283-x
PMID:39748379
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11697474/
Abstract

BACKGROUND

Bicompartmental arthroplasty (BCA) serves as a less invasive alternative to total knee arthroplasty. This review aims to present the current status of BCA. BODY: Recent literature on BCA was reviewed and synthesized from the perspectives of function, radiological assessment, patient satisfaction, survival rate, patellar tracking, satisfaction survey, and revision rate.

CONCLUSION

BCA is beneficial for patients with bicompartmental arthritis and those suffering from deterioration in other compartments after unicompartmental knee arthroplasty (UKA). Compared to total knee arthroplasty, BCA reduces trauma, accelerates recovery, and improves sports ability. While BCA is evolving towards a more exciting future, more clinical studies are warranted to exploit its potential and validate its efficacy, eventually improving outcomes and patient satisfaction.

摘要

背景

双间室关节置换术(BCA)是全膝关节置换术的一种侵入性较小的替代方法。本综述旨在介绍BCA的现状。

主体

从功能、放射学评估、患者满意度、生存率、髌股轨迹、满意度调查和翻修率等方面对BCA的近期文献进行了综述和综合分析。

结论

BCA对双间室关节炎患者以及单髁膝关节置换术(UKA)后其他间室出现退变的患者有益。与全膝关节置换术相比,BCA减少了创伤,加速了恢复,并提高了运动能力。虽然BCA正朝着更令人期待的未来发展,但仍需要更多的临床研究来挖掘其潜力并验证其疗效,最终改善治疗效果和患者满意度。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/f76fe62fecb0/42836_2024_283_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/b48f3e10f9f5/42836_2024_283_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/d0b2a0bc30fc/42836_2024_283_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/edcf7c9ef0e5/42836_2024_283_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/f76fe62fecb0/42836_2024_283_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/b48f3e10f9f5/42836_2024_283_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/d0b2a0bc30fc/42836_2024_283_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/edcf7c9ef0e5/42836_2024_283_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e459/11697474/f76fe62fecb0/42836_2024_283_Fig4_HTML.jpg

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本文引用的文献

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Outcome of simultaneous bi-unicompartmental knee arthroplasty: a systematic review.同期双间室膝关节置换术的疗效:一项系统评价。
Acta Biomed. 2023 Dec 5;94(6):e2023240. doi: 10.23750/abm.v94i6.15006.
2
The Influence of Patello-Femoral Overstuffing After Modular Unlinked Bicompartmental Knee Arthroplasty (BiKA) for Medial Tibio-Femoral and Patello-Femoral Osteoarthritis of the Knee.模块化非铰链双髁膝关节置换术(BiKA)治疗膝内侧胫股关节和髌股关节骨关节炎后髌股关节填充过多的影响
J Arthroplasty. 2024 Mar;39(3):638-644. doi: 10.1016/j.arth.2023.08.069. Epub 2023 Aug 24.
3
Internal Rotation, Varus, and Anterior Femoral Component Malalignments Adversely Affect Patellofemoral Joint Kinematics in Patellofemoral Arthroplasty.
内旋、内翻和股骨假体前方排列不良对髌股关节置换术中髌股关节运动学产生不利影响。
Arthroplast Today. 2023 Mar 24;21:101124. doi: 10.1016/j.artd.2023.101124. eCollection 2023 Jun.
4
Better PROMs and higher return-to-sport rate after modular bicompartmental knee arthroplasty than after total knee arthroplasty for medial and patellofemoral compartment osteoarthritis.对于内侧和髌股关节间室骨关节炎,模块化双间室膝关节置换术后的患者报告结局测量指标(PROMs)优于全膝关节置换术,且恢复运动率更高。
Front Surg. 2023 Jan 6;9:1078866. doi: 10.3389/fsurg.2022.1078866. eCollection 2022.
5
Analysis of revision rates and complication rates among patients undergoing unicompartmental and bicompartmental knee Arthroplasties when compared to Total knee arthroplasty.与全膝关节置换术相比,单髁和双髁膝关节置换术患者的翻修率和并发症发生率分析。
Knee. 2023 Jan;40:166-173. doi: 10.1016/j.knee.2022.11.016. Epub 2022 Nov 24.
6
Disease Progression After Unicompartmental Arthroplasty: Add a Compartment or Revise to Total Knee Arthroplasty?单髁关节置换术后的疾病进展:增加一个间室还是修订为全膝关节置换术?
J Arthroplasty. 2022 Oct;37(10):2004-2008. doi: 10.1016/j.arth.2022.04.044. Epub 2022 May 4.
7
Staged BiCompartmental Knee Arthroplasty has Greater Functional Improvement, but Equivalent Midterm Survivorship, as Revision TKA for Progressive Osteoarthritis After Partial Knee Arthroplasty.分期双室膝关节置换术在改善功能方面更有优势,但中期生存率与全膝关节翻修术相当,用于治疗全膝关节置换术后进展性骨关节炎。
J Arthroplasty. 2022 Jul;37(7):1260-1265. doi: 10.1016/j.arth.2022.02.084. Epub 2022 Feb 26.
8
Medial bicompartmental arthroplasty patients display more normal gait and improved satisfaction, compared to matched total knee arthroplasty patients.与匹配的全膝关节置换患者相比,内侧双间室关节置换患者的步态更正常,满意度更高。
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The compartmental approach to revision of partial knee arthroplasty results in nearer-normal gait and improved patient reported outcomes compared to total knee arthroplasty.与全膝关节置换相比,采用分区法对部分膝关节置换进行翻修可使步态更接近正常,并改善患者报告的结果。
Knee Surg Sports Traumatol Arthrosc. 2023 Mar;31(3):1143-1152. doi: 10.1007/s00167-021-06691-9. Epub 2021 Aug 20.