摘要
膝单髁置换术(UKA)以其独到的优势在膝骨关节炎阶梯治疗中发挥着重要作用,自其问世以来,其适应证的扩展一直在不断地探索中。有些禁区已被解封,有些正面临挑战。近年来越来越多的研究者对前交叉韧带缺失(ACLD)患者进行UKA,有的研究者得出了其短期临床疗效与前交叉韧带完整的UKA无明显不同,而有的研究者对此持反对意见。本文从生物运动力学角度并结合实际临床疗效总结对UKA治疗ACLD的研究进展进行综述,为指导临床实际应用提供参考。
Unicompartmental knee arthroplasty(UKA)plays an important role in the stepwise treatment of knee osteoarthritis due to its unique advantages.The expansion of its indications has been continuously explored since it came out.Some have been unsealed,and others are facing challenges.In recent years,UKA has been used in more anterior cruciate ligament deficiency(ACLD)patients.Some researches showed that short-term clinical outcome of UKA in ACLD patients is not significantly different from that in patients with intact anterior cruciate ligament,while some have objections to this.In this review,we summarized whether ACLD patients can undergo UKA surgery from the perspective of biomechanics and clinical outcomes.
作者
孙逸飞
新苏雅拉图
郭万首
SUN Yifei;XIN Suyalatu;GUO Wanshou(Peking University Health Science Center,Beijing 100191;Department of Bone and Joint Surgery,China-Japan Friendship Hospital,Beijing 100029;Department of Orthopaedics,Inner Mongolia Ordos Central Hospital,Ordos 017000,Inner Mongolia,China)
出处
《中华骨与关节外科杂志》
CSCD
2023年第3期265-270,共6页
Chinese Journal of Bone and Joint Surgery
基金
国家自然科学基金面上项目(81972130)。
关键词
膝单髁置换术
前交叉韧带缺失
膝骨关节炎
Unicompartmental Knee Arthroplasty
Anterior Cruciate Ligament Deficiency
Knee Osteoarthritis