[1]李鹏飞,David Murray,曾意荣,等.内侧活动平台牛津单髁膝关节置换术的适应证和禁忌证[J].中医正骨,2018,30(10):64.
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内侧活动平台牛津单髁膝关节置换术的适应证和禁忌证()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年10期
页码:
64
栏目:
学术探讨
出版日期:
2018-10-20

文章信息/Info

作者:
李鹏飞1David Murray2曾意荣3涂意辉4庞智晖3Stephen Mellon2 Christopher Dodd5樊粤光3
(1.广东省江门市疾病预防控制中心,广东 江门 529000; 2.牛津大学,牛津 OX3 7LD; 3.广州中医药大学第一附属医院,广东 广州 510405; 4.同济大学附属杨浦医院,上海 200090; 5.纳菲尔德骨科中心,牛津 OX3 7LD)
关键词:
关节成形术置换 牛津单髁膝关节置换术 适应证 禁忌证
摘要:
牛津单髁膝关节置换术(Oxford unicompartmental knee arthroplasty,OUKA)已在临床应用40多年,因其科学的设计和卓越的临床效果,得到了越来越多关节外科医生的认可。其中内侧活动平台OUKA治疗的病种主要包括膝关节前内侧骨关节炎和自发性骨坏死。近年来的循证医学证据表明,传统观点中单髁膝关节置换术的禁忌证(年龄<60岁、体质量>82 kg、活动要求高、软骨钙质沉着病和髌股关节骨暴露等)、膝前痛、髌股关节炎(外侧髌股关节炎伴骨丢失、沟槽和半脱位者除外)、膝关节外侧和后方骨赘、膝关节内翻畸形,均不应作为内侧活动平台OUKA的禁忌证。对于内侧间室软骨部分丢失者,则不建议进行内侧活动平台OUKA。本文对内侧活动平台OUKA的适应证和禁忌证的最新进展进行了探讨。

参考文献/References:


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备注/Memo

备注/Memo:
基金项目:第六批全国老中医药专家学术经验继承项目(粤中医函[2017]445号); 广东省首批名中医师承项目(粤中医函[2015]20号); 广州中医药大学第一附属医院第二批杏林英才项目(2016)
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更新日期/Last Update: 2019-02-25