Lateral unicompartmental knee arthroplasty: challenges and hopes
10.3760/cma.j.cn112139-20200229-00164
- VernacularTitle:外侧单髁置换术：挑战与希望并存
- Author:
Yihui TU
1
Author Information
1. 同济大学附属杨浦医院骨关节科，上海 200090
- Keywords:
Osteoarthritis, knee;
Arthroplasty, replacement;
Unicompartmental knee arthroplasty;
Lateral compartment;
Challenges
- From:
Chinese Journal of Surgery
2020;58(9):687-690
- CountryChina
- Language:Chinese
-
Abstract:
There is a low prevalence of osteoarthritis in the lateral compartment of the knee, but the overall number of domestic patients is large, and lateral unicompartmental arthroplasty (UKA) has good prospects.The unique anatomical structure and kinematic characteristics of the lateral compartment make the surgical operation more challenging.Traditional UKA patients have a high incidence of lower limb mal-alignment and poor prosthetic position, which leads to limit of their promotion and application.In recent years, with the development of treatment concepts, surgical techniques and materials, the survival time of UKA prosthesis has been continuously extended, and the clinical effect has been continuously optimized.Strictly grasp the surgical indications in radiology, anatomy and clinical manifestations, familiarize with the lateral compartment anatomy and biomechanical features, and master the technical details are the prerequisites and guarantees for the success of the lateral UKA.With the advancement of technology, minimal invasion, precision and individuation should be the goal pursued for lateral UKA surgery.
