膝关节单髁置换术围手术期管理专家共识

Expert consensus on perioperative management of unicompartmental knee arthroplasty

膝关节单髁置换术(UKA)作为治疗膝关节单间室病变的有效方法,在国内迅速发展,有创伤小、出血少、恢复快等优势。随着加速康复外科(ERAS)理念在关节外科领域应用不断深入,若结合ERAS理念,规范UKA围手术期管理,从而减少并发症、缩短住院时间、提高患者满意度,将有利于更好促进UKA技术发展和推广应用。基于中国UKA快速发展现状,中国研究型医院学会关节外科学专业委员会膝关节部分置换研究学组检索大量临床证据,遵循循证医学原则,经过全国专家组多次反复研究讨论及调查,整理完成本共识,供广大骨科医师在临床工作中根据医院条件和患者情况参考和应用。本共识主要内容包括患者选择、术前教育及相关检查、术中处理及手术技术、术后处理与康复等四大部分。

As an effective method in treatment of unicompartmental knee disease, unicompartmental knee arthroplasty(UKA) is used widely in China with many advantages like less trauma, less bleeding and rapid recovery. With the spread of enhanced recovery after surgery(ERAS) concept in the field of joint replacement, we believe that an excellent perioperative management combining with ERAS will be beneficial to the development of UKA, with fewer complications, shorter hospital stay and higher patient’s satisfaction. Partial Knee Arthroplasty Group of Joint Surgery Professional Committee in Chinese Research Hospital Association reviewed a large number of clinical evidences, conducted a questionnaire survey and organized nationwide experts to study and discuss repeatedly to compile the consensus following the principles of evidence-based medicine so as to provide reference for orthopedic surgeons in clinical practice. The main contents of this consensus include four parts as patient selection, preoperative education and imaging examinations, intraoperative treatment and surgical technique, postoperative management and rehabilitation.