International Journal of Medicine and Data
International Journal of Medicine and Data. 2022; 6: (7) ; 10.12208/j.ijmd.20220280 .
总浏览量: 299
承德医学院附属医院 河北承德
*通讯作者： 徐丛,单位：承德医学院附属医院 河北承德；
膝关节骨性关节炎是引起老年人膝关节疼痛及功能障碍的常见疾病，随着人口老龄化的不断进展而发病率不断提升。在膝关节置换术的发展过程中，医生在早期就发现膝关节骨性关节炎通常发生在膝关节内侧间室。随着单髁假体设计的不断完善以及临床技术的提高，膝关节单髁置换术的优点得以充分体现。既往Kozinn和Scott所提出的针对疾病和患者的理想的UKA手术适应症已不完全适用于新一代的单髁假体，越来越多的研究证明这一适应症在原有基础上不断扩大。本文将对“非理想”患者膝内侧牛津单髁置换术研究现状做一综述。
Knee osteoarthritis is a common disease causing knee pain and dysfunction in the elderly. With the continuous progress of population aging, the incidence of knee osteoarthritis is increasing. Early in the development of knee replacement, doctors discovered that knee osteoarthritis usually occurs in the medial compartment of the knee. With the continuous improvement of the design of unicondylar prosthesis and the improvement of clinical techniques, the advantages of unicondylar knee arthroplasty have been fully reflected. In the past, the ideal indications for UKA surgery for diseases and patients proposed by Kozinn and Scott are not fully applicable to the new generation of unicondylar prosthesis, and more and more studies have proved that this indication is expanding on the original basis. This article will review the research status of Oxford unicondyle replacement of medial knee in "non-ideal" patients.
[1] Wiik, A.V., et al., Unicompartmental knee arthroplasty enables near normal gait at higher speeds, unlike total knee arthroplasty. J Arthroplasty, 2013. 28(9 Suppl): p. 176-8.
[2] Price, A.J. and U. Svard, A second decade lifetable survival analysis of the Oxford unicompartmental knee arthroplasty. Clin Orthop Relat Res, 2011. 469(1): p. 174-9.
[3] 王兴山,柳剑,蒋毅,黄野.应用Oxford单髁置换术治疗年轻膝内侧单间室骨关节炎患者的早期疗效[J].骨科临床与研究杂志,2020,5(01):32-36.
[4] Mannan A, Pilling RWD, Mason K, Stirling P, Duffy D, London N. Excellent survival and outcomes with fixed-bearing medial UKA in young patients (≤ 60 years) at minimum 10-year follow-up. Knee Surg Sports Traumatol Arthrosc. 2020;28(12):3865-3870.
[5] Greco, N.J., et al., Medial Mobile-Bearing Unicompartmental Knee Arthroplasty in Young Patients Aged Less Than or Equal to 50 Years. J Arthroplasty, 2018. 33(8): p. 2435-2439.
[6] Berend, K.R., et al., Early failure of minimally invasive unicompartmental knee arthroplasty is associated with obesity. Clin Orthop Relat Res, 2005. 440: p. 60-6.
[7] Molloy, J., et al., Obesity should not be considered a contraindication to medial Oxford UKA: long-term patient-reported outcomes and implant survival in 1000 knees. Knee Surg Sports Traumatol Arthrosc, 2019. 27(7): p. 2259-2265.
[8] Kellgren, J.H. and J.S. Lawrence, Radiological assessment of osteo-arthrosis. Ann Rheum Dis, 1957. 16(4): p. 494-502.
[9] Faschingbauer, M., et al., Are lateral compartment osteophytes a predictor for lateral cartilage damage in varus osteoarthritic knees?: Data from the Osteoarthritis Initiative. Bone Joint J, 2015. 97-B(12): p. 1634-9.
[10] Hamilton, T.W., et al., Lateral osteophytes do not represent a contraindication to medial unicompartmental knee arthroplasty: a 15-year follow-up. Knee Surg Sports Traumatol Arthrosc, 2017. 25(3): p. 652-659.
[11] Berend KR, Lombardi AV Jr, Morris MJ, Hurst JM, Kavolus JJ. Does preoperative patellofemoral joint state affect medial unicompartmental arthroplasty survival?. Orthopedics. 2011;34(9):e494-e496. Published 2011 Sep 9.
[12] Hamilton TW, Pandit HG, Maurer DG, et al. Anterior knee pain and evidence of osteoarthritis of the patellofemoral joint should not be considered contraindications to mobile-bearing unicompartmental knee arthroplasty: a 15-year follow-up. Bone Joint J. 2017;99-B(5):632-639..
[13] Konan S, Haddad FS. Does location of patellofemoral chondral lesion influence outcome after Oxford medial compartmental knee arthroplasty?. Bone Joint J. 2016;98-B(10 Supple B):11-15.
[14] Foran, J.R., et al., Long-term survivorship and failure modes of unicompartmental knee arthroplasty. Clin Orthop Relat Res, 2013. 471(1): p. 102-8.