前交叉韧带变性损伤单髁膝关节置换进展

doi:10.3877/cma.j.issn.1674-134X.2021.05.012

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

[1]	帖小佳，郑如庚，赵梦，等．中国中老年人膝关节骨关节炎患病率的Meta分析[J]．中国组织工程研究，2018，22(4):650-656.
[2]	Abhishek A, Doherty M. Diagnosis and clinical presentation of osteoarthritis[J]. Rheum Dis Clin North Am, 2013, 39(1): 45-66.
[3]	Tang X, Wang SF, Zhan SY, et al. The prevalence of symptomatic knee osteoarthritis in China results from the China health and retirement longitudinal study[J]. Arthritis Rheumatol, 2016, 68(3): 648-653.
[4]	Insall JN, Scott WN.吕厚山主译．膝关节外科学[M]．北京：人民卫生出版社，2006.
[5]	Mancuso F, Christopher AD, Murray DW, et al. Medial unicompartmental knee arthroplasty in the ACL-deficient knee[J]. J Orthop Traumatol, 2016, 17(3): 267-275.
[6]	Longo UG, Loppini M, Trovato U, et al. No difference between unicompartmental versus total knee arthroplasty for the management of medial osteoarthtritis of the knee in the same patient: a systematic review and pooling data analysis[J]. Br Med Bull, 2015, 114(1): 65-73.
[7]	Jones LD, Palmer J, Jackson WFM. Unicompartmental knee arthroplasty[J]. Orthop Trauma, 2017, 31(1): 8-15.
[8]	Yoshida Y, Mizner RL, Ramsey DK, et al. Examining outcomes from total knee arthroplasty and the relationship between quadriceps strength and knee function over time[J]. Clin Biomech (Bristol, Avon), 2008, 23(3): 320-328.
[9]	Stiehl JB, Komistek RD, Dennis DA, et al. Fluoroscopic analysis of kinematics after posterior-cruciate-retaining knee arthroplasty[J]. J Bone Joint Surg Br, 1995, 77(6): 884-889.
[10]	Brugioni DJ, Andriacchi TP, Galante JO. A functional and radiographic analysis of the total condylar knee arthroplasty[J]. J Arthroplasty, 1990, 5(2): 173-180.
[11]	Alnahdi AH, Zeni JA, Snyder-Mackler L. Gait after unilateral total knee arthroplasty: frontal plane analysis[J]. J Orthop Res, 2011, 29(5): 647-652.
[12]	Dennis DA, Komistek RD, Kim RH, et al. Gap balancing versus measured resection technique for total knee arthroplasty[J]. Clin Orthop Relat Res, 2010, 468(1): 102-107.
[13]	Stiehl JB, Dennis DA, Komistek RD, et al. In vivo determination of condylar lift-off and screw-home in a mobile-bearing total knee arthroplasty[J]. J Arthroplasty, 1999, 14(3): 293-299.
[14]	Dennis DA, Komistek RD, Hoff WA, et al. In vivo knee kinematics derived using an inverse perspective technique[J]. Clin Orthop Relat Res, 1996, (331): 107-117.
[15]	Jones DL, Bhanegaonkar AJ, Billings AA, et al. Differences between actual and expected leisure activities after total knee arthroplasty for osteoarthritis[J]. J Arthroplasty, 2012, 27(7): 1289-1296.
[16]	李沂阳，孔宁，刘冠志，等．新版膝关节评分系统在评价单髁关节置换术的应用分析[J/CD]．中华关节外科杂志(电子版)，2019，13(1):47-51.
[17]	曾绪雯，杨春喜．膝关节单髁置换术假体生存率的研究进展[J/CD]．中华关节外科杂志(电子版)，2019，13(5):606-610.
[18]	Parratte S, Pauly V, Aubaniac JM, et al. No long-term difference between fixed and Mobile medial unicompartmental arthroplasty[J]. Clin Orthop Relat Res, 2012, 470(1): 61-68.
[19]	Harrysson OL, Robertsson O, Nayfeh JF. Higher cumulative revision rate of knee arthroplasties in younger patients with osteoarthritis[J]. Clin Orthop Relat Res, 2004, (421): 162-168.
[20]	Kort NP, Van Raay JJ, Van Horn JJ. The Oxford phase III unicompartmental knee replacement in patients less than 60 years of age[J]. Knee Surg Sports Traumatol Arthrosc, 2007, 15(4): 356-360.
[21]	Walton NP, Jahromi I, Lewis PL, et al. Patient-perceived outcomes and return to sport and work: TKA versus mini-incision unicompartmental knee arthroplasty[J]. J Knee Surg, 2006, 19(2): 112-116.
[22]	Naal FD, Fischer M, Preuss A, et al. Return to sports and recreational activity after unicompartmental knee arthroplasty[J]. Am J Sports Med, 2007, 35(10): 1688-1695.
[23]	Fisher N, Agarwal M, Reuben SF, et al. Sporting and physical activity following Oxford medial unicompartmental knee arthroplasty[J]. Knee, 2006, 13(4): 296-300.
[24]	Pennington DW, Swienckowski JJ, Lutes WB, et al. Unicompartmental knee arthroplasty in patients sixty years of age or younger[J]. J Bone Joint Surg Am, 2003, 85(10): 1968-1973.
[25]	Tabor OB, Tabor OB, Bernard M, et al. Unicompartmental knee arthroplasty: long-term success in middle-age and obese patients[J]. J Surg Orthop Adv, 2005, 14(2): 59-63.
[26]	Ghomrawi HM, Eggman AA, Pearle AD. Effect of age on cost-effectiveness of unicompartmental knee arthroplasty compared with total knee arthroplasty in the U．S[J]. J Bone Joint Surg Am, 2015, 97(5): 396-402.
[27]	Kozinn SC, Scott R. Unicondylar knee arthroplasty[J]. J Bone Joint Surg Am, 1989, 71(1): 145-150.
[28]	Hamilton TW, Pandit HG, Jenkins C, et al. Evidence-based indications for mobile-bearing unicompartmental knee arthroplasty in a consecutive cohort of thousand knees[J]. J Arthroplasty, 2017, 32(6): 1779-1785.
[29]	Willis-Owen CA, Brust K, Alsop H, et al. Unicondylar knee arthroplasty in the UK National Health Service: an analysis of candidacy, outcome and cost efficacy[J]. Knee, 2009, 16(6): 473-478.
[30]	Butler DL, Noyes FR, Grood ES. Ligamentous restraints to anterior-posterior drawer in the human knee. A biomechanical study[J]. J Bone Joint Surg Am, 1980, 62(2): 259-270.
[31]	Mont MA, Pivec R, Issa K, et al. Long-term implant survivorship of cementless total knee arthroplasty: a systematic review of the literature and meta-analysis[J]. J Knee Surg, 2014, 27(5): 369-376.
[32]	Amis AA, Bull AM, Gupte CM, et al. Biomechanics of the PCL and related structures: posterolateral, posteromedial and meniscofemoral ligaments[J]. Knee Surg Sports Traumatol Arthrosc, 2003, 11(5): 271-281.
[33]	Blankevoort L, Huiskes R, De Lange A. Recruitment of knee joint ligaments[J]. J Biomech Eng, 1991, 113(1): 94-103.
[34]	Rong GW, Wang YC. The role of cruciate ligaments in maintaining knee joint stability[J]. Clin Orthop Relat Res, 1987, (215): 65-71.
[35]	Brandsson S, Karlsson J, Eriksson B, et al. Kinematics after tear in the anterior cruciate ligament: dynamic bilateral radiostereometric studies in 11 patients[J]. Acta Orthop Scand, 2001, 72(4): 372-378.
[36]	Dejour H, Bonnin M. Tibial translation after anterior cruciate ligament rupture. Two radiological tests compared[J]. J Bone Joint Surg Br, 1994, 76(5): 745-749.
[37]	Williams RJ 3rd, Wickiewicz TL, Warren RF. Management of unicompartmental arthritis in the anterior cruciate ligament-deficient knee[J]. Am J Sports Med, 2000, 28(5): 749-760.
[38]	Macintosh D. Hemiarthroplasty of the knee using a space-occupying prosthesis for painful varus and valgus deformities[J]. J Bone Joint Surg, 1958, 40: 1431.
[39]	Murray DW, Goodfellow JW, O′connor JJ. The Oxford medial unicompartmental arthroplasty：a ten-year survival study[J]. J Bone Joint Surg Br, 1998, 80(6): 983-989.
[40]	Price AJ, Dodd CA, Svard UG, et al. Oxford medial unicompartmental knee arthroplasty in patients younger and older than 60 years of age[J]. J Bone Joint Surg Br, 2005, 87(11): 1488-1492.
[41]	Engh GA, Ammeen D. Is an intact anterior cruciate ligament needed in order to have a well-functioning unicondylar knee replacement？[J]. Clin Orthop Relat Res, 2004, (428): 170-173.
[42]	Boissonneault A, Pandit H, Pegg E, et al. No difference in survivorship after unicompartmental knee arthroplasty with or without an intact anterior cruciate ligament[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(11): 2480-2486.
[43]	Hurst JM, Berend KR, Morris MJ, et al. Abnormal preoperative MRI does not correlate with failure of UKA[J]. J Arthroplasty, 2013, 28(9 Suppl): 184-186.
[44]	Sharpe I, Tyrrell PN, White SH. Magnetic resonance imaging assessment for unicompartmental knee replacement: a limited role[J]. Knee, 2001, 8(3): 213-218.
[45]	Brandser EA, Riley MA, Berbaum KS, et al. Mr imaging of anterior cruciate ligament injury: independent value of primary and secondary signs[J]. AJR Am J Roentgenol, 1996, 167(1): 121-126.
[46]	Van Dyck P, De Smet E, Veryser J, et al. Partial tear of the anterior cruciate ligament of the knee: injury patterns on MR imaging[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(2): 256-261.
[47]	Van Dyck P, Gielen JL, Vanhoenacker FM, et al. Stable or unstable tear of the anterior cruciate ligament of the knee: an Mr diagnosis？[J]. Skeletal Radiol, 2012, 41(3): 273-280.
[48]	Yao L, Gentili A, Petrus L, et al. Partial ACL rupture: an Mr diagnosis？[J]. Skeletal Radiol, 1995, 24(4): 247-251.
[49]	Van Dyck P, Vanhoenacker FM, Gielen JL, et al. Three tesla magnetic resonance imaging of the anterior cruciate ligament of the knee: can we differentiate complete from partial tears？[J]. Skeletal Radiol, 2011, 40(6): 701-707.
[50]	Mccauley TR, Moses M, Kier R, et al. Mr diagnosis of tears of anterior cruciate ligament of the knee: importance of ancillary findings[J]. AJR Am J Roentgenol, 1994, 162(1): 115-119.
[51]	Prince JS, Laor T, Bean JA. MRI of anterior cruciate ligament injuries and associated findings in the pediatric knee: changes with skeletal maturation[J]. AJR Am J Roentgenol, 2005, 185(3): 756-762.
[52]	Deschamps G, Lapeyre B. Rupture of the anterior cruciate ligament: a frequently unrecognized cause of failure of unicompartmental knee prostheses. Apropos of a series of 79 Lotus prostheses with a follow-up of more than 5 years[J]. Rev Chir Orthop Reparatrice Appar Mot, 1987, 73(7): 544-551.
[53]	Goodfellow JW, Kershaw CJ, Benson MK, et al. The Oxford knee for unicompartmental osteoarthritis. the first 103 cases[J]. J Bone Joint Surg Br, 1988, 70(5): 692-701.
[54]	Goodfellow J, O′connor J. The anterior cruciate ligament in knee arthroplasty. A risk-factor with unconstrained meniscal prostheses[J]. Clin Orthop Relat Res, 1992, (276): 245-252.
[55]	Jean-Noël AA, Komistek RD, Jean-Manuel A, et al. In vivo determination of knee kinematics for subjects implanted with a unicompartmental arthroplasty[J]. J Arthroplasty, 2002, 17(8): 1049-1054.
[56]	Kuipers BM, Kollen BJ, Bots PC, et al. Factors associated with reduced early survival in the Oxford phase III medial unicompartment knee replacement[J]. Knee, 2010, 17(1): 48-52.
[57]	Møller JT, Weeth RE, Keller JO, et al. Unicompartmental arthroplasty of the knee. Cadaver study of the importance of the anterior cruciate ligament[J]. Acta Orthop Scand, 1985, 56(2): 120-123.
[58]	Suggs JF, Li G, Park SE, et al. Function of the anterior cruciate ligament after unicompartmental knee arthroplasty：an in vitro robotic study[J]. J Arthroplasty, 2004, 19(2): 224-229.
[59]	Suggs JF, Li G, Park SE, et al. Knee biomechanics after UKA and its relation to the ACL--a robotic investigation[J]. J Orthop Res, 2006, 24(4): 588-594.
[60]	Ventura A, Legnani C, Terzaghi C, et al. Medial unicondylar knee arthroplasty combined to anterior cruciate ligament reconstruction[J]. Knee Surg Sports Traumatol Arthrosc, 2017, 25(3): 675-680.
[61]	Elise CP, Mancuso F, Alinejad M, et al. Sagittal kinematics of mobile unicompartmental knee replacement in anterior cruciate ligament deficient knees[J]. Clin Biomech (Bristol, Avon), 2016, 31: 33-39.
[62]	Suter L, Roth A, Angst M, et al. Is ACL deficiency always a contraindication for medial UKA? Kinematic and kinetic analysis of implanted and contralateral knees[J]. Gait Posture, 2019, 68: 244-251.
[63]	Zumbrunn T, Schütz P, Von KF, et al. Medial unicompartmental knee arthroplasty in ACL-deficient knees is a viable treatment option: in vivo kinematic evaluation using a moving fluoroscope[J]. Knee Surg Sports Traumatol Arthrosc, 2020, 28(6): 1765-1773.
[64]	Van DJ, Chawla H, Zuiderbaan HA, et al. The role of preoperative patient characteristics on outcomes of unicompartmental knee arthroplasty: a meta-analysis critique[J]. J Arthroplasty, 2016, 31(11): 2617-2627.
[65]	Engh GA, Ammeen DJ. Unicondylar arthroplasty in knees with deficient anterior cruciate ligaments[J]. Clin Orthop Relat Res, 2014, 472(1): 73-77.
[66]	Hernigou P, Deschamps G. Posterior slope of the tibial implant and the outcome of unicompartmental knee arthroplasty[J]. J Bone Joint Surg Am, 2004, 86-A(3): 506-511.
[67]	刘少华，周观明，陈希聪，等．前交叉韧带缺陷对固定平台单髁置换后中期疗效的影响[J]．中国组织工程研究，2021，25(6):860-865.
[68]	彭松．前交叉韧带缺陷和髌股关节退变对固定平台单髁置换术后疗效影响的研究[D]．上海：第二军医大学，2016.
[69]	Krishnan SR, Randle R. ACL reconstruction with unicondylar replacement in knee with functional instability and osteoarthritis[J/OL]. J Orthop Surg Res, 2009, 4(1): 43. doi: 10.1186/1749-799X-4-43.
[70]	Pandit H, Duren BV, Gallagher JA, et al. Combined anterior cruciate reconstruction and Oxford unicompartmental knee arthroplasty: In vivo kinematics[J]. Knee, 2008, 15(2): 101-106.
[71]	Tinius M, Hepp P, Becker R. Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction[J]. Knee Surg Sports Traumatol Arthrosc, 2012, 20(1): 81-87.
[72]	Weston-Simons JS, Pandit H, Jenkins C, et al. Outcome of combined unicompartmental knee replacement and combined or sequential anterior cruciate ligament reconstruction：a study of 52 cases with mean follow-up of five years[J]. J Bone Joint Surg Br, 2012, 94(9): 1216-1220.
[73]	Volpin A, Kini SG, Meuffels DE. Satisfactory outcomes following combined unicompartmental knee replacement and anterior cruciate ligament reconstruction[J]. Knee Surg Sports Traumatol Arthrosc, 2018, 26(9): 2594-2601.
[74]	Christensen NO. Unicompartmental prosthesis for gonarthrosis. A nine-year series of 575 knees from a Swedish hospital[J]. Clin Orthop Relat Res, 1991, (273): 165-169.
[75]	Cartier P, Sanouiller JL, Grelsamer RP. Unicompartmental knee arthroplasty surgery. 10-year minimum follow-up period[J]. J Arthroplasty, 1996, 11(7): 782-788.
[76]	刘泽，张民．前交叉韧带重建联合单髁置换术的临床应用进展[J/CD]．中华关节外科杂志(电子版)，2020，14(3):352-356.
[77]	Giffin JR, Vogrin TM, Zantop T, et al. Effects of increasing tibial slope on the biomechanics of the knee[J]. Am J Sports Med, 2004, 32(2): 376-382.
[78]	Eduardo MS, Musa C, Michael BC, et al. Effects of tibial slope changes in the stability of fixed bearing medial unicompartmental arthroplasty in anterior cruciate ligament deficient knees[J]. Knee, 2012, 19(4): 365-369.
[79]	Shao Q, Macleod TD, Manal K, et al. Estimation of ligament loading and anterior tibial translation in healthy and ACL-deficient knees during gait and the influence of increasing tibial slope using EMG-driven approach[J]. Ann Biomed Eng, 2011, 39(1): 110-121.
[80]	Oral E, Neils AL, Rowell SL, et al. Increasing irradiation temperature maximizes vitamin E grafting and wear resistance of ultrahigh molecular weight polyethylene[J]. J Biomed Mater Res B Appl Biomater, 2013, 101(3): 436-440.
[81]	Todd MS, Lalliss S, Garcia E, et al. The relationship between posterior tibial slope and anterior cruciate ligament injuries[J]. Am J Sports Med, 2010, 38(1): 63-67.
[82]	Mancuso F, Hamilton TW, Kumar V, et al. Clinical outcome after UKA and HTO in ACL deficiency: a systematic review[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(1): 112-122.
[83]	马童，薛华明，文涛，等．单髁置换术应用于骨关节炎合并前交叉韧带缺失的三维有限元研究[J]．生物骨科材料与临床研究，2019，16(3):12-17.
[84]	朱广铎，郭万首，程立明，等．活动平台单髁膝关节置换三维有限元模型的建立[J]．中国矫形外科杂志，2015，23(21):1994-1998.
[85]	Kwon OR, Kang KT, Son J, et al. Biomechanical comparison of fixed-and mobile-bearing for unicomparmental knee arthroplasty using finite element analysis[J]. J Orthop Res, 2014, 32(2): 338-345.
[86]	Fiacchi F, Zambianchi F, Digennaro V, et al. In vivo kinematics of medial unicompartmental osteoarthritic knees during activities of daily living[J]. Knee, 2014, 21 Suppl 1: S10-S14.
[87]	Plancher KD, Dunn AS, Petterson SC. The anterior cruciate ligament-deficient knee and unicompartmental arthritis[J]. Clin Sports Med, 2014, 33(1): 43-55.
[88]	Palumbo BT, Scott RD. Diagnosis and indications for treatment of unicompartmental arthritis[J]. Clin Sports Med, 2014, 33(1): 11-21.
[89]	Hasegawa A, Otsuki S, Pauli C, et al. Anterior cruciate ligament changes in the human knee joint in aging and osteoarthritis[J]. Arthritis Rheum, 2012, 64(3): 696-704.
[90]	White SH, Ludkowski PF, Goodfellow JW. Anteromedial osteoarthritis of the knee[J]. J Bone Joint Surg Br, 1991, 73(4): 582-586.
[91]	Lohmander LS, Englund PM, Dahl LL, et al. The long-term consequence of anterior cruciate ligament and meniscus injuries：osteoarthritis[J]. Am J Sports Med, 2007, 35(10): 1756-1769.
[92]	Boyd JL, Kurtenbach CA, Sikka RS. Patient-specific instrumentation and return to activities after unicondylar knee arthroplasty[J]. Clin Sports Med, 2014, 33(1): 133-148.

[1]	陈晓玲, 钟永洌, 刘巧梨, 李娜, 张志奇, 廖威明, 黄桂武. 超高龄髋膝关节术后谵妄及心血管并发症风险预测[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 575-584.
[2]	马桥桥, 张传开, 郭开今, 蒋涛, 王子豪, 刘勇, 郝亮. 可降解止血粉减少初次全膝关节置换术失血量的研究[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 585-589.
[3]	刘鹏, 罗天, 许珂媛, 邓红美, 李瑄, 唐翠萍. 八段锦对膝关节炎疗效的初步步态分析[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 590-595.
[4]	李焕玺, 何淳诺, 田志敏, 周胜虎, 吴昊越, 张浩强. 全膝关节置换术后股骨远端假体周围骨折治疗现状[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 630-637.
[5]	王相迎, 杨长生, 曲铁兵. 固定平台单髁置换假体合适位置的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 638-645.
[6]	苏介茂, 齐岩松, 王永祥, 魏宝刚, 马秉贤, 张鹏飞, 魏兴华, 徐永胜. 关节镜手术在早中期膝骨关节炎治疗的应用进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 646-652.
[7]	谢佳乐, 李琦, 芦升升, 姜劲松. 内侧膝骨关节炎伴胫股关节冠状半脱位的手术治疗[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 653-657.
[8]	郭艳波, 马亮, 李刚, 阎伟, 骆帝, 岳亮, 吴伟山. 全膝关节置换术后胫股关节脱位的研究进展[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 658-671.
[9]	陈翠萍, 李佩君, 杜景榕, 谢青梅, 许一宁, 卓姝妤, 李晓芳. 互联网联合上门护理在老年全髋关节置换术后的应用效果[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 676-681.
[10]	王振宇, 张洪美, 荆琳, 何名江, 闫奇. 膝骨关节炎相关炎症因子与血浆代谢物间的因果关系及中介效应[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(06): 467-473.
[11]	宋庆成, 郑占乐, 王天瑞, 王宇钏, 张凯旋, 纳静, 蔚佳昊, 杨思繁, 宋九宏, 张英泽. “人老膝不老”：膝关节健康管理的全方位探索与实践[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 321-324.
[12]	郑占乐, 王宇钏, 蔚佳昊, 宋庆成, 张凯旋, 纳静, 王天瑞, 宋九宏, 张英泽, 王娟. 保膝须“开膝”——“开膝”在膝骨关节炎中的临床应用价值[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(06): 325-330.
[13]	茹江英, 廖启宇, 温国洪, 潘思华, 刘栋, 张皓琛, 牛云飞. 直接前方入路和后外侧入路半髋关节置换治疗老年痴呆股骨颈骨折的疗效比较[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(05): 287-293.
[14]	高广涵, 张耀南, 石磊, 王林, 王飞, 郑子天, 王鸿禹, 郭民政, 薛庆云. 膝骨关节炎患者前交叉韧带功能影像学影响因素分析[J/OL]. 中华老年骨科与康复电子杂志, 2024, 10(05): 301-307.
[15]	王松雷, 张贻良, 孟浩, 宋威, 白林晨, 袁心, 张辉. 股骨前髁预截骨髓外定位技术在全膝关节置换术中的应用[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 811-819.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

Progress of unicompartmental knee arthroplasty with injured anterior cruciate ligament

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

Progress of unicompartmental knee arthroplasty with injured anterior cruciate ligament