单髁置换术治疗膝内侧间室骨关节炎的疗效观察
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摘要
目的探讨单髁置换术(Unicompartmental Knee Arthroplasty,UKA)治疗膝内侧间室骨关节炎的临床疗效。方法回顾性分析30例用单髁置换术治疗的膝关节内侧间室骨关节炎患者,记录手术前后膝关节疼痛视觉模拟评分(VAS)、美国特种外科医院膝关节评分(HSS)及关节活动度。结果所有30例患者均进行随访,随访时间18～29个月,平均22个月。术后患者膝关节HSS评分及关节活动度均较术前提高,VAS评分较术前降低,且差异具有统计学意义(P<0.05)。结论在严格把握手术适应证的前提下,UKA是膝关节内侧间室骨关节炎的一种有效治疗方法。
Objective To explore the clinical effect of unicompartmental knee arthroplasty(UKA) in the treatment of medial compartment arthritis. Methods Thirty patients with medial compartment osteoarthritis of the knee treated with unicondylar replacement were retrospectively analyzed. Visual analogue score(VAS), knee joint score(HSS)and range of joint motion were recorded before and after operation. Results All 30 patients were followed up for an average of 22 months, ranging from 18～29 months. Postoperative knee HSS score and range of joint motion were higher than those before operation, VAS score was lower than those before operation, and the difference was statistically significant(P<0.05). Conclusion UKA is an effective treatment for medial compartment osteoarthritis of knee joint on the premise of strictly grasping surgical indications.
Objective To explore the clinical effect of unicompartmental knee arthroplasty(UKA) in the treatment of medial compartment arthritis. Methods Thirty patients with medial compartment osteoarthritis of the knee treated with unicondylar replacement were retrospectively analyzed. Visual analogue score(VAS), knee joint score(HSS)and range of joint motion were recorded before and after operation. Results All 30 patients were followed up for an average of 22 months, ranging from 18～29 months. Postoperative knee HSS score and range of joint motion were higher than those before operation, VAS score was lower than those before operation, and the difference was statistically significant(P<0.05). Conclusion UKA is an effective treatment for medial compartment osteoarthritis of knee joint on the premise of strictly grasping surgical indications.
引文
[1] Rodr i guez EC, G o mez P. Unicompartmental knee arthroplasty:current indications,technical issues and results[J].EFORT Open Rev,2018,3(6):363-373.
[2]邬波,柳椰,杜明昌,等.膝关节单髁置换治疗膝内侧间室骨关节炎的疗效观察[J].中华骨与关节外科杂志,2017,10(2):123-125.
[3] Drager J, Hart A, Khalil JA, et al. Shorter hospital stay and lower 30-day readmission after unicondylar knee arthroplasty compared to total knee art-hroplasty[J].J Arthro plasty,2016,31(2):356-361.
[4] Zuiderbaan HA, Van JP, Khamaisy S,et al.Unicompartmental knee arthroplasty versus totalknee arthroplasty:which type of artificial joint do patients forget[J].Knee Surg Sports Traumatol Arthrosc,2017,25(3):681-686.
[5] Morris MJ, Molli RG, Berend KR, et al. Mortality and perioperative complications after uni-compartmental knee arthroplasty[J].Knee,2013,20(3):218-220.
[6] Shankar S, Tetreault MW, Jegier BJ, et al. A cost comparison of unicompartmental and tota-1 knee arthroplasty[J].Knee,2016,23(6):1016-1019.
[7] Bradley B, Middleton S, Davis N, et al. Discharge on the day of surgery following unicomp-artmental knee arthroplasty within the United Kingdom NHS[J].Bone Joint J,2017,99(B6):788-792.
[8]邓迎杰,梁治权,方锐.单髁置换术治疗膝骨性关节炎227例临床报道[J].中华矫形外科杂志,2018,26(17):1555-1559.
[9]杨述华,刘先哲.膝关节假体置换适应证选择是获得良好效果的关键[J].中国骨与关节杂志,2018,7(4):241-244.
[10] Liddle AD,Pandit H, Judge A, et al. Effect of surgical caseload on revison rate following total and unicompartmental knee replacement[J]. J Bone Joint Surg Am,2016,98(1):1-8.
[2]邬波,柳椰,杜明昌,等.膝关节单髁置换治疗膝内侧间室骨关节炎的疗效观察[J].中华骨与关节外科杂志,2017,10(2):123-125.
[3] Drager J, Hart A, Khalil JA, et al. Shorter hospital stay and lower 30-day readmission after unicondylar knee arthroplasty compared to total knee art-hroplasty[J].J Arthro plasty,2016,31(2):356-361.
[4] Zuiderbaan HA, Van JP, Khamaisy S,et al.Unicompartmental knee arthroplasty versus totalknee arthroplasty:which type of artificial joint do patients forget[J].Knee Surg Sports Traumatol Arthrosc,2017,25(3):681-686.
[5] Morris MJ, Molli RG, Berend KR, et al. Mortality and perioperative complications after uni-compartmental knee arthroplasty[J].Knee,2013,20(3):218-220.
[6] Shankar S, Tetreault MW, Jegier BJ, et al. A cost comparison of unicompartmental and tota-1 knee arthroplasty[J].Knee,2016,23(6):1016-1019.
[7] Bradley B, Middleton S, Davis N, et al. Discharge on the day of surgery following unicomp-artmental knee arthroplasty within the United Kingdom NHS[J].Bone Joint J,2017,99(B6):788-792.
[8]邓迎杰,梁治权,方锐.单髁置换术治疗膝骨性关节炎227例临床报道[J].中华矫形外科杂志,2018,26(17):1555-1559.
[9]杨述华,刘先哲.膝关节假体置换适应证选择是获得良好效果的关键[J].中国骨与关节杂志,2018,7(4):241-244.
[10] Liddle AD,Pandit H, Judge A, et al. Effect of surgical caseload on revison rate following total and unicompartmental knee replacement[J]. J Bone Joint Surg Am,2016,98(1):1-8.