内侧单室膝关节置换术：与全膝关节置换术相关的影像学表现-一项病例对照研究

IF 3.2 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2025-07-04 DOI:10.1016/j.ejrad.2025.112284

Anna L. Falkowski , Christoph Germann , Céline Gfeller , Fides R. Schwartz , Thomas Marth , Sandro F. Fucentese , Stefan M. Zimmermann , Reto Sutter

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引用次数: 0

摘要

目的：鉴别单室膝关节置换术（UKA）后可能导致转行全膝关节置换术（TKA）的影像学表现，并与无需转行全膝关节置换术的无症状对照组进行比较。材料与方法将无菌转化为TKA前的UKA患者x线片与未转化的无症状对照组进行比较。影像学表现包括骨溶解、骨溶解、材料完整性和定位、假体周围骨折和骨关节炎（OA）。结果共纳入99例患者(男/女，60/39；平均年龄（67±9.7岁），转换组42岁，对照组57岁。在转换组中，在股骨和胫骨部位分别有16.7%和54.8%出现溶骨缘伴硬化线，而在对照组中分别有10.5%和30.7%出现溶骨缘伴硬化线(股骨，p = 0.676；胫骨，p = 0.014)。转换组股骨部分有1.2%的骨溶解，胫骨部分有8.3%的骨溶解，而对照组股骨或胫骨部分没有骨溶解(股骨，p = 0.32；胫骨，p = 0.008)。与对照组相比，转换组股骨外侧胫间室的骨关节炎更严重(p <；0.001)和髌股腔室（p = 0.008）。转换组股骨材料完整性更完整（p = 0.045），对照组股骨胫比更高（p = 0.040）。结论需要从UKA向TKA转换的患者中常见的特征是胫骨溶骨缘和骨溶解。此外，与无症状对照组相比，转换组在股胫外侧腔室和髌股腔室的骨关节炎更严重。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Medial unicompartmental knee arthroplasties: Radiographic findings associated with conversion to total knee arthroplasty – A Case control study

查看原文本刊更多论文

Medial unicompartmental knee arthroplasties: Radiographic findings associated with conversion to total knee arthroplasty – A Case control study

Purpose

Identify radiographic findings after Unicompartmental Knee Arthroplasty (UKA) that might lead to conversion to Total Knee Arthroplasty (TKA) in comparison to an asymptomatic control group without the need to conversion to TKA.

Materials and Methods

Radiographs of patients with UKA before aseptic conversion to TKA were compared to an asymptomatic control group without conversion. Radiographic findings like osteolytic rim, osteolysis, material integrity and positioning, periprosthetic fractures, and osteoarthritis (OA) were evaluated.

Results

A total of 99 patients were included (male/female, 60/39; mean age, 67 ± 9.7 years), 42 in the conversion group and 57 in the control group. In the conversion group, an osteolytic rim with a sclerotic line was observed at the femoral component in 16.7 % and at the tibial component in 54.8 %, while it was observed in 10.5 % and 30.7 % in the control group (femoral, p = 0.676; tibial, p = 0.014, respectively). Osteolysis was present in the conversion group at the femoral component in 1.2 % and at the tibial component in 8.3 %, while no femoral or tibial component osteolysis was present in the control group (femoral, p = 0.32; tibial, p = 0.008, respectively). OA was more advanced in the conversion group compared to the control group in the lateral femorotibial compartment (p < 0.001) and the patellofemoral compartment (p = 0.008). The femoral material integrity was more often intact in the conversion group (p = 0.045), and the femorotibial ratio was higher in the control group (p = 0.040).

Conclusion

Features commonly present in patients needing a conversion from UKA to TKA were tibial osteolytic rim and osteolysis. Additionally, OA was more advanced in the conversion group at the lateral femorotibial compartment and patellofemoral compartment compared to the asymptomatic control group.

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来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.