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人工膝关节单髁置换术治疗膝关节骨性关节炎的最新研究进展
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Abstract:
人工单髁膝关节置换术(UKA)作为一种新的膝关节置换方式，是治疗孤立性内侧单室性膝关节炎患者的最佳选择。可有效减少手术暴露、减少失血、保留天然关节运动学和本体感觉、加速术后恢复和兼顾成本效益。尽管UKA后早期并发症相对较低，但在远期随访中，无论是固定平台UKA还是活动平台的UKA，均表现出来比全膝关节置换术(TKA)更高的翻修率。UKA的术后并发症是造成较短假体使用寿命和较高翻修率的主要原因。本文对UKA治疗膝关节骨性关节炎进行综述，并讨论其未来前景。
As a new method of knee joint replacement, artificial unicondylar knee arthroplasty (UKA) is the best choice for the treatment of patients with isolated medial univentricular knee arthritis. It can effectively reduce surgical exposure, reduce blood loss, preserve natural joint kinematics and pro-prioception, accelerate postoperative recovery and give consideration to cost-effectiveness. Alt-hough the early complications after UKA are relatively low, in the long-term follow-up, both fixed platform UKA and mobile platform UKA show a higher revision rate than total knee arthroplasty (TKA). Postoperative complications of UKA are the main reasons for shorter service life and higher revision rate of prosthesis. This article reviews the treatment of knee osteoarthritis with UKA and discusses its future prospects.
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