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中华损伤与修复杂志(电子版) ›› 2026, Vol. 21 ›› Issue (04) : 299 -303. doi: 10.3877/cma.j.issn.1673-9450.2026.04.010

综述

双间室膝关节单髁置换术在膝骨关节炎阶梯化治疗中的作用及研究进展
李阳1, 黄野2,(), 曹光磊2, 柳剑2, 刘源2, 龚龙2, 谢文勇2   
  1. 1 048000 晋城市人民医院骨关节外科
    2 100035 首都医科大学附属北京积水潭医院保膝外科
  • 收稿日期:2026-03-08 出版日期:2026-08-01
  • 通信作者: 黄野

Role and research progress of bi-unicompartmental knee arthroplasty in the stepwise treatment of knee osteoarthritis

Yang Li1, Ye Huang2,(), Guanglei Cao2, Jian Liu2, Yuan Liu2, Long Gong2, Wenyong Xie2   

  1. 1 Department of Orthopaedic Joint Surgery,Jincheng People's Hospital,Jincheng 048000,China
    2 Department of Knee Preservation Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China
  • Received:2026-03-08 Published:2026-08-01
  • Corresponding author: Ye Huang
引用本文:

李阳, 黄野, 曹光磊, 柳剑, 刘源, 龚龙, 谢文勇. 双间室膝关节单髁置换术在膝骨关节炎阶梯化治疗中的作用及研究进展[J/OL]. 中华损伤与修复杂志(电子版), 2026, 21(04): 299-303.

Yang Li, Ye Huang, Guanglei Cao, Jian Liu, Yuan Liu, Long Gong, Wenyong Xie. Role and research progress of bi-unicompartmental knee arthroplasty in the stepwise treatment of knee osteoarthritis[J/OL]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2026, 21(04): 299-303.

双间室膝关节单髁置换术(Bi-UKA)是治疗膝骨关节炎(KOA)的一种有效术式,能显著改善患者膝关节功能与生活质量。然而,Bi-UKA一度被视为全膝关节置换术(TKA)的折中或补充方案。近年来,Bi-UKA的临床价值与应用前景再次成为研究热点。越来越多证据表明,Bi-UKA通过兼顾解剖结构保留与更自然的术后运动学恢复,可能为KOA的阶梯化治疗提供新思路。该文旨在综述近年来关于Bi-UKA的基本理念、发展现状、临床效果、患者选择及未来趋势的研究进展,探讨其在KOA阶梯化治疗中的定位及目前面临的挑战,以期为临床应用提供参考。

Bi-unicompartmental knee arthroplasty (Bi-UKA) is an effective surgical approach for select knee osteoarthritis (KOA) patients,significantly improving knee function and quality of life. However,Bi-UKA was once regarded as a middle-groud or supplementary option to total knee arthroplasty (TKA). In recent years,the clinical value and application prospects of Bi-UKA have once again become a focus of research. Increasing evidence suggests that Bi-UKA,by balancing anatomical structure preservation with more natural postoperative kinematic recovery,may offer a novel strategy for the stepwise treatment of KOA. This paper aims to review recent advances concerning the fundamental concepts,current development,clinical outcomes,patient selection,and future trends of Bi-UKA,and discusses its role and challenges in the context of stepwise treatment for KOA,aiming to provide a reference for clinical application.

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