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摘要 骨关节炎(osteoarthritis,OA)是老年人的常见疾病之一,以膝关节最多见。国内有学者研究发现65岁以上人群患病率为8.1%,其中超过30%为单间室退变。膝关节单间室OA内侧多见,外侧相对少见,发生率不足10%。关节置换是目前治疗终末期OA的有效方法,常见的有膝关节单髁置换术(unicompartmental knee arthroplasty,UKA)和全膝关节置换术(total knee arthroplasty,TKA)。目前内侧UKA已显示出较好的疗效,国内外相关研究和报道也较多,而外侧UKA的相关文献报道较少,手术量也较低,约占所有UKA的5%~10%,仅占所有膝关节置换术的1%。近年来,随着对适应证的把握和手术技术的发展,越来越多的医生乐意接受外侧UKA。本文将外侧UKA所涉及的临床问题作一综述。
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通讯作者:
张民
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作者简介: 刘泽(1994- ),男,研究生在读,山西医科大学第二医院骨科,030001。 |
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