膝关节单间室置换术适应证研究进展

Advances in the indications of unicompartmental knee arthroplasty

膝关节单间室置换术(UKA)是治疗膝关节单间室骨关节炎(OA)的外科手术之一,可有效缓解膝关节疼痛并改善膝关节功能。UKA的传统手术适应证较为严格,对患者的人口学特点、膝关节功能和影像学测量均有要求。随着假体设计和手术技术的不断进步,UKA的手术治疗范围发生一定变化,一些传统的禁忌证被打破,适应证的范围有所扩大。本文对UKA手术治疗在年龄、体质量指数(BMI)、前交叉韧带(ACL)功能和髌股关节炎的适应范围进行综述,为临床医疗提供参考。

Unicompartmental knee arthroplasty(UKA) is one of the surgical treatments for single-compartment knee osteoarthritis(OA),which can provide symptomatic relief and promote knee function.However,the traditional operation indications of UK A are strict,including requirements of demographic characteristics,knee joint function and radiological measurement.With the development of implant design and surgical technique,the indications and contraindications of UKA keeps are changing.Some contraindications are break through,and the range of indications are expanded.Therefore,the current review focuses on the indications of UKA from the aspects of age,body mass index(BMI),anterior cruciate ligament(ACL) function and patella-femoral joint arthritis(PFO) to provide reference for clinical treatment.