引用本文:张新安,连鸿凯,刘云涛,张永超,谢攀攀.单髁膝置换术与全膝关节置换术治疗膝关节内侧间室骨关节炎的近期疗效比较[J].中国临床新医学,2019,12(11):1213-1217.
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单髁膝置换术与全膝关节置换术治疗膝关节内侧间室骨关节炎的近期疗效比较
张新安,连鸿凯,刘云涛,张永超,谢攀攀
450000 河南,郑州大学第二附属医院骨科(张新安,刘云涛,张永超);450000 河南,郑州大学附属郑州中心医院骨科(连鸿凯,谢攀攀)
摘要:
[摘要] 目的 探讨单髁膝置换术(UKA)与全膝关节置换术(TKA)治疗膝关节内侧间室骨关节炎的近期疗效。方法 回顾性分析2017-01~2017-10对因膝关节内侧间室骨关节炎行UKA治疗患者15例(15膝),选取同期行TKA治疗患者30例(34膝)作为对照组。术前评估并记录两组患者的疼痛视觉模拟评分(VAS)、美国特种外科医院(HSS)评分、膝关节活动度(ROM),记录手术时间、术中出血量、术后3 d血红蛋白(Hb)下降量、术后3个月及1年VAS评分、HSS评分、ROM。结果 所有患者手术顺利完成。两组患者年龄、体重指数(BMI)比较差异无统计学意义(P>0.05)。UKA组手术时间、术中出血量、术后3 d Hb下降量、VAS评分均低于TKA组,而HSS评分、ROM高于TKA组,差异均有统计学意义(P<0.05)。结论 膝关节内侧间室骨关节炎的手术治疗选择UKA更优于TKA,UKA具有手术时间短、术中出血量少、术后恢复快、功能恢复良好等优点,能够取得良好的近期疗效。
关键词:  膝关节内侧间室骨关节炎  全膝关节置换术  单髁膝置换术
DOI:10.3969/j.issn.1674-3806.2019.11.17
分类号:R 68
基金项目:
Comparision of short-term effects of unicompartmental knee arthroplasty and total knee arthroplasty on treatment of medial compartmental knee osteoarthritis
ZHANG Xin-an, LIAN Hong-kai, LIU Yun-tao, et al.
Department of Orthopaedics, the Second Affiliated Hospital of Zhengzhou University, Henan 450000, China
Abstract:
[Abstract] Objective To explore the short-term effects of unicompartmental knee arthroplasty(UKA) and total knee arthroplasty(TKA) in treatment of medial compartmental knee osteoarthritis. Methods A retrospective analysis of 15 medial compartmental knee osteoarthritis patients(15 knees) treated with unicompartmental knee arthroplasty(UKA) from January 2017 to October 2017 was performed. Thirty patients(34 knees) treated with total knee arthroplasty(TKA) over the same period were selected as the control group. The pain Visual Analogue Scale(VAS) scores, Hospital for Special Surgery(HSS) scores and range of motion(ROM) in the two groups were evaluated and recorded before operation. The time of operation, intraoperative hemorrhage, hemoglobin decrease 3 days after operation, VAS scores 3 months and 1 year after operation, HSS scores and ROM were recorded. Results All the patients were successfully completed the operation. There were no significant differences in age and body mass index(BMI) between the two groups(P>0.05). The time of operation in the UKA group was significantly shorter than that in the TKA group(P<0.05). The amount of intraoperative bleeding in the UKA group was significantly less than that in the TKA group(P<0.05). The level of hemoglobin decrease 3 days after operation and VAS scores in the UKA group were significantly lower than those in the TKA group(P<0.05). However, HSS scores and ROM in the UKA group were significantly higher than those in the TKA group(P<0.05). Conclusion UKA has better short-term effectiveness than TKA in the treatment of medial compartmental knee osteoarthritis. UKA has the advantages of shorter operation time, less intraoperative bleeding, faster postoperative recovery and better functional recovery, and achieves better short-term results.
Key words:  Medial compartmental knee osteoarthritis  Total knee arthroplasty(TKA)  Unicompartmental knee arthroplasty(UKA)