Objective:To explore the value of the application of the arthroscope in unicompartmental knee arthroplasty(UKA) for the patients with medial osteoarthritis of the knee.Methods:A clinical retrospective study have been done on 30 knees in 21 patients.The patients were evaluated in preoperative X-rays,physical examination,the knee society score(KSS) evalution,the presentation of arthroscopical examination as well as the ultimate operation method.Results:Arthroscopic examination showed that the osteoarthritis are mainly located in medial compartment of the knee.Tibia terrace cartilage and condyle of femur showed outbrigeⅢ°~Ⅳ°degeneration.26/30(87%) of the patients showed medial menisci injury in different degree,and 4/30(13.3%) of the patients showed lateral menisci degenerated,and pathological changes of osteoarthritis were located at front medial compartment.And 19/30 (63%)of the patients combinedâ… Â°ï½žâ…£Â°of localized or broad patellar cartilage degeneration,the lateral compartment normal or localized patellar cartilage degeneration less thanⅡ°for all patients.The result of the arthroscopic examination was consistent with the preoperative clinical examination and the imaging examination.All the patients received Oxfordâ…¢prosthesis UKA by microinvasive approach and there was no case that had to change operation method due to arthroscope detection. Conclusion:1.The main purpose for the application of the arthroscopic in UKA is to deal with other disease inside the knee rather than to confirm the indication of the operation.2.Arthroscopy is a effective way for the patients combined lateral menisci injury and other compartmental mild osteoarthritis.
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