首页|膝关节单髁置换术治疗高龄膝骨关节炎患者的研究进展

膝关节单髁置换术治疗高龄膝骨关节炎患者的研究进展

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目的 总结膝关节单髁置换术(unicompartmental knee arthroplasty,UKA)治疗高龄膝骨关节炎(knee osteoarthritis,KOA)患者的研究进展.方法 广泛查阅近年来国内外有关UKA治疗高龄KOA患者的文献,从高龄KOA患者的临床特点、围术期管理(包括术前评估高龄患者适应证、术中假体选择、术后并发症管理)等方面进行归纳与总结.结果 通过合理的术前评估、假体选择,以及先进的围术期管理,对于符合适应证的高龄KOA患者可考虑行UKA.相较于人工全膝关节置换术,高龄患者行UKA术后并发症发生率更低,关节意识降低,功能改善及满意度更高,选择合适的假体及固定方式可获得良好生存率.结论 在一定适应证范围内,UKA是高龄KOA患者一种安全且有效的治疗方案.
Research progress on unicompartmental knee arthroplasty for elderly patients with knee osteoarthritis
Objective To conclude the research progress of unicompartmental knee arthroplasty(UKA)in the treatment of elderly patients with knee osteoarthritis(KOA).Methods The literature on UKA at home and abroad in recent years was reviewed to summarize the clinical characteristics of elderly patients with KOA,perioperative management(including evaluating indications preoperatively,intraoperative prosthesis selection,postoperative complication management,etc).Results Through reasonable preoperative evaluation,prosthesis selection,and advanced perioperative management,for elderly patients with KOA who meet the indications,UKA can be considered.Compared with total knee arthroplasty,the incidence of postoperative complications in elderly patients undergoing UKA is lower,joint awareness is reduced,functional improvement and satisfaction are higher.Meanwhile,choosing appropriate prostheses and fixation methods can lead to a good survival rate.Conclusion UKA can provide a safe and effective treatment option for elderly patients with KOA within a certain range of indications.

Unicompartmental knee arthroplastyknee osteoarthritiselderly patienteffectiveness

郇瑞、管士坤、郭蜀新、刘雪剑、刘宁

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哈尔滨医科大学附属第一医院(哈尔滨 150001)

膝关节单髁置换术 膝骨关节炎 高龄患者 临床疗效

2024

中国修复重建外科杂志
中国康复医学会,四川大学华西医院

中国修复重建外科杂志

CSTPCD北大核心
影响因子:1.239
ISSN:1002-1892
年,卷(期):2024.38(8)
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