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首页> 外文期刊>Journal of orthopaedics and traumatology: official journal of the Italian Society of Orthopaedics and Traumatology >Tissue-sparing surgery with the bi-unicompartmental knee prosthesis: retrospective study with minimum follow-up of 36 months
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Tissue-sparing surgery with the bi-unicompartmental knee prosthesis: retrospective study with minimum follow-up of 36 months

机译：保留双单室膝关节假体的组织保留手术：回顾性研究，最少随访36个月

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Despite its theoretical advantages in terms of less invasive surgery, bi-unicompartmental knee replacement still represents a controversial knee reconstructive procedure. Many orthopaedic surgeons are skeptical about this demanding procedure despite the possibility of maximally preserving anatomy, with benefits for functional aspects such as gait, muscle activity and proprioception. Presently, no results of bi-unicompartmental knee replacement have been reported in the literature, even if several surgeons use it in selected cases. We present a retrospective analysis of our experience with this implant at a minimum follow-up of 36 months. At the latest follow-up, the mean Knee Society score was 80.58, the mean functional score was 83.5 and the mean postoperative GIUM score was 78. No implant has been revised and all patients are satisfied with the outcome. We consider bi-unicompartmental knee replacement to be a reasonable, less invasive option for the treatment of knee arthritis in selected cases.
机译：尽管其在微创手术方面具有理论优势，但双室隔膝关节置换术仍代表着有争议的膝关节重建手术。尽管有可能最大程度地保留解剖结构，但许多整形外科医生对这种苛刻的手术方法仍持怀疑态度，并有益于步态，肌肉活动和本体感受等功能方面。目前，即使在某些病例中有几名外科医生使用双单室膝关节置换术，也没有文献报道。我们将对至少36个月的随访情况进行回顾性分析，以总结我们的经验。在最新的随访中，膝关节协会的平均评分为80.58，平均功能评分为83.5，术后GIUM平均评分为78。未进行任何植入物翻修，所有患者对结果均满意。我们认为，在某些情况下，双单室膝关节置换术是治疗膝关节炎的合理，微创的选择。

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