Contemporary Unicompartmental Knee Arthroplasty

被引:43
作者
Bonutti, Peter M. [1 ]
Dethmers, Daniel A. [1 ]
机构
[1] Bonutti Clin, Effingham, IL 62401 USA
关键词
unicompartmental knee; fixed bearing; mobile bearing; long-term results;
D O I
10.1016/j.arth.2008.06.025
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Contemporary unicompartmental knee arthroplasty has shown resurgence in use partly because of studies reporting excellent long-term survivorship. Both fixed-bearing as well as mobile-bearing designs have shown comparable results. Fixed-bearing designs, in particular, implants with metal-backed tibial components have shown more consistent long-term survival, whereas fixed bearings with allpolyethylene tibial component have had mixed results. Similar to the allpolyethylene tibial component designs, mobile-bearing designs have demonstrated mixed results. One concern with mobile bearings is the high rate of complete tibial radiolucent lines. The keys to long-term survival of both fixed and mobile-bearing designs in unicompartmental knee arthroplasty are patient selection, surgical technique, and surgical experience.
引用
收藏
页码:24 / 27
页数:4
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