单间室和全膝关节置换术:为什么要破坏成功?

IF 0.4 4区 医学 Q4 SPORT SCIENCES Operative Techniques in Sports Medicine Pub Date : 2024-06-01 DOI:10.1016/j.otsm.2024.151085
Simon L.E. Walgrave, David A. Parker
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引用次数: 0

摘要

本章探讨了老年运动员膝关节骨性关节炎(OA)终末期的治疗方法。在这一人群中,治疗重点从单纯缓解疼痛转向使其恢复特定的体育活动。全膝关节置换术(TKA)仍然是黄金标准,具有广泛的适应症和较高的总体成功率。单间室膝关节置换术(UKA)主要针对孤立的膝关节OA,恢复运动率较高。文献表明,这两种方案都偏向于低冲击活动。UKA和TKA都是治疗膝关节OA终末期的成功方案,即使在活跃的运动人群中也是如此。
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Unicompartmental and Total Knee Arthroplasty: Why Mess with Success?

This chapter explores the management of end stage knee osteoarthritis (OA) in the aging athlete.

In this population, the focus shifts from solely pain relief to enabling a return to specific athletic activities. Different and higher patient expectations cause the need for more careful consideration of surgical techniques, implant selection, and rehabilitation.

Total knee arthroplasty (TKA) remains the gold standard, offering broad indications, and a high success rate overall. Unicompartmental Knee Arthroplasty (UKA) targets isolated OA and demonstrates higher return-to-sport rates. Literature suggests both options favour low-impact activities.

Both UKA and TKA are successful options in the treatment of end stage knee OA, even in an active and athletic population.

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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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