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[1]李鵬飛,David Murray,曾意榮,等.內(nèi)側(cè)活動平臺牛津單髁膝關(guān)節(jié)置換術(shù)的適應(yīng)證和禁忌證[J].中醫(yī)正骨,2018,30(10):64.
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內(nèi)側(cè)活動平臺牛津單髁膝關(guān)節(jié)置換術(shù)的適應(yīng)證和禁忌證()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年10期
頁碼:
64
欄目:
學(xué)術(shù)探討
出版日期:
2018-10-20

文章信息/Info

作者:
李鵬飛1David Murray2曾意榮3涂意輝4龐智暉3Stephen Mellon2 Christopher Dodd5樊粵光3
(1.廣東省江門市疾病預(yù)防控制中心,廣東 江門 529000; 2.牛津大學(xué),牛津 OX3 7LD; 3.廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院,廣東 廣州 510405; 4.同濟大學(xué)附屬楊浦醫(yī)院,上海 200090; 5.納菲爾德骨科中心,牛津 OX3 7LD)
關(guān)鍵詞:
關(guān)節(jié)成形術(shù)置換 牛津單髁膝關(guān)節(jié)置換術(shù) 適應(yīng)證 禁忌證
摘要:
牛津單髁膝關(guān)節(jié)置換術(shù)(Oxford unicompartmental knee arthroplasty,OUKA)已在臨床應(yīng)用40多年,因其科學(xué)的設(shè)計和卓越的臨床效果,得到了越來越多關(guān)節(jié)外科醫(yī)生的認可。其中內(nèi)側(cè)活動平臺OUKA治療的病種主要包括膝關(guān)節(jié)前內(nèi)側(cè)骨關(guān)節(jié)炎和自發(fā)性骨壞死。近年來的循證醫(yī)學(xué)證據(jù)表明,傳統(tǒng)觀點中單髁膝關(guān)節(jié)置換術(shù)的禁忌證(年齡<60歲、體質(zhì)量>82 kg、活動要求高、軟骨鈣質(zhì)沉著病和髕股關(guān)節(jié)骨暴露等)、膝前痛、髕股關(guān)節(jié)炎(外側(cè)髕股關(guān)節(jié)炎伴骨丟失、溝槽和半脫位者除外)、膝關(guān)節(jié)外側(cè)和后方骨贅、膝關(guān)節(jié)內(nèi)翻畸形,均不應(yīng)作為內(nèi)側(cè)活動平臺OUKA的禁忌證。對于內(nèi)側(cè)間室軟骨部分丟失者,則不建議進行內(nèi)側(cè)活動平臺OUKA。本文對內(nèi)側(cè)活動平臺OUKA的適應(yīng)證和禁忌證的最新進展進行了探討。

參考文獻/References:


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備注/Memo

備注/Memo:
基金項目:第六批全國老中醫(yī)藥專家學(xué)術(shù)經(jīng)驗繼承項目(粵中醫(yī)函[2017]445號); 廣東省首批名中醫(yī)師承項目(粵中醫(yī)函[2015]20號); 廣州中醫(yī)藥大學(xué)第一附屬醫(yī)院第二批杏林英才項目(2016)
通訊作者:龐智暉 E-mail:adi008@126.com
更新日期/Last Update: 2019-02-25