The Indication and Result of Unicompartment Knee Arthroplasty (UKA)-30 Cases Reports and Literature Review

半人工膝關節置換術之適應症及初步結果－30個案例之報告及文獻討論

周禮智(Li-Chih Chou) ； 施國正(Kuo-Cheng Shih)

《東港安泰醫護雜誌》 12卷3期 (2006/09) Pp. 169-175

https://doi.org/10.7078/TSMHMNJ.200609.0169

摘要

半人工膝關節置換術開始於1972年，與全人工膝關節置換術幾乎同時。初期因為材料之設計及手術之技術，結果並不理想。但隨著植入物的改良及手術經驗的累積，半人工膝關節置換術不再視為姑息手術，而是一種治癒手術！本院從2004年貳月開始，針對單一腔室(compartment)之退化性關節炎、骨頭壞死、及創傷性關節炎施行半人工膝關節置換術，共計30個案例。追蹤結果均有良好預後。我們將透過文獻整理來討論半人工膝關節置換術之適應症及手術時應注意之關鍵步驟，因為這些因素會影響手術的結果。

關鍵字

半人工膝關節置換術 ； 關節炎 ； 骨頭壞死

並列摘要

Unicompartment knee arthroplasty (UKA) was introduced, along with total knee arthroplasty, as an option for managing gonarthrosis in 1972. Because the amelioration of implant design and surgical technique, UKA had not been justified as a temporizing procedure, it is a definitive procedure for isolated gonarthrosis! In our hospital, 30 cases performed UKA due to osteoarthritis, osteonecrosis or traumatic isolated unicompartment arthritis since Feb, 2004.
After 2 years followed up, we discussed the results and surgical indication via literature review that found the good prognosis need detail pre-op evaluation and well-trained surgical techniques.

並列關鍵字

unicompartment knee arthroplasty UKA ； gonarthrosis ； osteonecrosis