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中华关节外科杂志(电子版)

中华关节外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 601 -608. doi: 10.3877/cma.j.issn.1674-134X.2021.05.012

综述

前交叉韧带变性损伤单髁膝关节置换进展
吴颖斌1, 卢伟杰1,†()   
  1. 1. 510000　广州医科大学附属第一医院关节外科
  • 收稿日期:2021-06-03 出版日期:2021-10-01
  • 通信作者: 卢伟杰

Progress of unicompartmental knee arthroplasty with injured anterior cruciate ligament

Yingbin Wu1, Weijie Lu1,†()   

  1. 1. Department of Joint Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou 510000, China
  • Received:2021-06-03 Published:2021-10-01
  • Corresponding author: Weijie Lu
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引用本文：

吴颖斌, 卢伟杰. 前交叉韧带变性损伤单髁膝关节置换进展[J]. 中华关节外科杂志(电子版), 2021, 15(05): 601-608.

Yingbin Wu, Weijie Lu. Progress of unicompartmental knee arthroplasty with injured anterior cruciate ligament[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2021, 15(05): 601-608.

作为目前单间室膝关节骨关节炎(KOA)的有效治疗术式之一：单髁膝关节置换术(UKA)，其历史最早可追溯至20世纪50年代。早期由于对此技术的认识尚浅等原因，UKA术后疗效并非十分理想，而且手术适应范围相对较窄。随着UKA的假体设计、材料工艺以及手术技术的发展，在术后中长期疗效上，UKA已与全膝关节置换术(TKA)相当，手术适应证及禁忌证也有了改变，前交叉韧带(ACL)变性损伤是否能行UKA仍存分歧，本文将对此问题作综述，为临床工作提供参考。

关键词: 膝, 关节成形术, 前交叉韧带, 禁忌证

As one of the current effective treatments for single-compartment knee osteoarthritis (KOA): unicompartmental knee arthroplasty (UKA), its history can be traced back to the 1950s. In the early stage, due to the lack of understanding of this technique and other reasons, the postoperative effect of UKA was not very satisfactory, and the scope of surgical adaptation was narrow relatively. With the development of prosthesis design, material technology and surgical technology of the UKA, in terms of medium and long-term effects after surgery, UKA has been comparable to total knee arthroplasty (TKA). The indications and contraindications of UKA have also changed. Whether patients with injured anterior cruciate ligament can perform UKA is still divided. This article made a review of the above problems to provide reference for clinical work.

Key words: Knee, Arthroplasty, Anterior cruciate ligament, Contraindications
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