摘要
目的总结牛津单髁置换术(unicompartmental knee arthroplasty,UKA)治疗膝关节内侧间室部分软骨磨损(partial thickness cartilage loss,PTCL)的研究进展,旨在进一步明确手术适应证。方法广泛查阅近年来国内外关于牛津UKA治疗膝关节内侧间室PTCL的相关文献,并对其研究进展进行综述。结果牛津UKA主要适应证是膝关节内侧间室全层软骨损伤,虽然其治疗膝关节内侧间室PTCL也显示出一定疗效,但也有相反结论报道,因此内侧间室PTCL能否选择该术式尚存在争议,有待大样本量、多中心研究进一步明确。术前准确评估软骨损伤程度尤为关键,基于此选择合适PTCL患者进行牛津UKA,有望优化治疗效果。结论对于膝关节内侧间室PTCL患者,牛津UKA可能是一种有效治疗手段,但需要严格筛选患者和准确的术前评估来确保手术成功和远期疗效。
Objective To summarize the research progress of Oxford unicompartmental knee arthroplasty(UKA)in treating partial thickness cartilage loss(PTCL)in the medial compartment of the knee joint,aiming to further clarify the indications and optimize the effectiveness of Oxford UKA.Methods A comprehensive review of recent domestic and international literature on Oxford UKA for PTCL in the medial compartment of the knee joint was conducted to summarize its application and research advancements.Results Based on current researches,the main indication for Oxford UKA is full thinckness cartilage loss in the medial compartment of the knee joint.Although it has shown certain effectiveness in treating PTCL in the medial compartment of the knee joint,there are also reports of opposite conclusions.Therefore,there is still controversy over whether Oxford UKA can be chosen for PTCL,and the large-sample and multi-center studies are needed to further clarify the controversy.Studies indicate that accurate preoperative assessment of cartilage damage severity is crucial for selecting appropriate candidates for Oxford UKA to optimize postoperative effectiveness.Conclusion Oxford UKA may represent an effective treatment for patients with PTCL in the medial compartment of the knee joint.However,strict patient selection and precise preoperative evaluation are essential to ensure surgical success and long-term effectiveness.
作者
黄文彬
刘典琦
卢伟杰
HUANG Wenbin;LIU Dianqi;LU Weijie(Department of Joint Surgery,the First Affiliated Hospital of Guangzhou Medical University,Guangzhou Guangdong,510120,P.R.China)
出处
《中国修复重建外科杂志》
CAS
CSCD
北大核心
2024年第9期1138-1142,共5页
Chinese Journal of Reparative and Reconstructive Surgery
关键词
膝关节
骨关节炎
牛津单髁置换术
部分软骨磨损
Knee joint
osteoarthritis
Oxford unicompartmental knee arthroplasty
partial thickness cartilage loss
