[Research progress on unicompartmental knee arthroplasty for elderly patients with knee osteoarthritis].

Q3 Medicine 中国修复重建外科杂志 Pub Date : 2024-08-15 DOI:10.7507/1002-1892.202403092

Rui Huan, Shikun Guan, Shuxin Guo, Xuejian Liu, Ning Liu

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Abstract

Objective: To conclude the research progress of unicompartmental knee arthroplasty (UKA) in the treatment of elderly patients with knee osteoarthritis (KOA).

Methods: The literature on UKA at home and abroad in recent years was reviewed to summarize the clinical characteristics of elderly patients with KOA, perioperative management (including evaluating indications preoperatively, intraoperative prosthesis selection, postoperative complication management, etc).

Results: Through reasonable preoperative evaluation, prosthesis selection, and advanced perioperative management, for elderly patients with KOA who meet the indications, UKA can be considered. Compared with total knee arthroplasty, the incidence of postoperative complications in elderly patients undergoing UKA is lower, joint awareness is reduced, functional improvement and satisfaction are higher. Meanwhile, choosing appropriate prostheses and fixation methods can lead to a good survival rate.

Conclusion: UKA can provide a safe and effective treatment option for elderly patients with KOA within a certain range of indications.

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[老年膝关节骨性关节炎患者的单室膝关节置换术研究进展]。

目的总结单间室膝关节置换术（UKA）治疗老年膝关节骨性关节炎（KOA）的研究进展：方法：回顾近年来国内外有关UKA的文献，总结老年KOA患者的临床特点、围术期处理（包括术前适应症评估、术中假体选择、术后并发症处理等）：结果：通过合理的术前评估、假体选择和先进的围手术期管理，对于符合适应症的老年 KOA 患者，可以考虑进行 UKA。与全膝关节置换术相比，接受 UKA 的老年患者术后并发症发生率较低，关节知觉降低，功能改善程度和满意度较高。同时，选择合适的假体和固定方法可以获得良好的存活率：结论：在一定的适应症范围内，UKA 可以为老年 KOA 患者提供安全有效的治疗选择。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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