内侧单腔膝关节置换术的循证外科技术。

IF 4.1 Q1 ORTHOPEDICS Knee Surgery & Related Research Pub Date : 2021-01-07 DOI:10.1186/s43019-020-00084-x
Tae Kyun Kim, Anurag Mittal, Prashant Meshram, Woo Hyun Kim, Sang Min Choi
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引用次数: 8

摘要

单室膝关节置换术(UKA)是一种成功的治疗方式,在选定的患者有先进的,单室骨关节炎的膝关节。骨和韧带保留导致更短的恢复期,更好的功能结果,更低的围手术期并发症发生率,如果需要,更容易翻修,被认为是UKA比全膝关节置换术(TKA)的一些优势。尽管有一些优点,但据报道,与TKA相比,UKA的故障率更高。UKA假体的失败与术中技术相关因素直接相关,如假体的错位和无法按照术前计划复制靶肢对齐。基于证据的UKA手术技术可以帮助外科医生避免术中技术相关的错误。本文的目的是描述一种用于固定轴承内侧UKA的渐进式手术技术。
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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Evidence-based surgical technique for medial unicompartmental knee arthroplasty.

Unicompartmental knee arthroplasty (UKA) is a successful treatment modality in selected patients having advanced, single-compartment osteoarthritis of the knee. The bone and ligament preservation leading to shorter recovery periods, better functional outcomes, lower perioperative complication rates, and easier revision, if needed, are proposed as some of the advantages of UKA over total knee arthroplasty (TKA). Despite several advantages, UKA is reported to have higher failure rates as compared to TKA. The prosthesis failure of UKA is directly correlated to intraoperative technique-related factors like malpositioning of components and the inability to replicate the target-limb alignment as per preoperative planning. An evidence-based surgical technique for UKA may help surgeons to avoid the intraoperative technique-related errors. The purpose of this paper is to describe a stepwise surgical technique for the fixed-bearing medial UKA.

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