单髁与全膝置换治疗老年单间室骨关节炎比较

被引：17

作者：

王亮 ^{[1
]}

伍骥 ^{[2
]}

郑超 ^{[2
]}

吴迪 ^{[2
]}

黄蓉蓉 ^{[2
]}

杜俊杰 ^{[2
]}

初冬 ^{[2
]}

赵旭红 ^{[2
]}

薛静 ^{[2
]}

吴狄 ^{[2
]}

王鹏 ^{[3
]}

汪萌 ^{[2
]}

机构：

[1] 安徽医科大学空军临床学院

[2] 空军总医院

[3] 北京大学第三医院骨科

来源：

中国矫形外科杂志 | 2017年 / 15期

关键词：

单髁置换; 全膝置换; 单间室骨关节炎;

D O I：

暂无

中图分类号：

R687.4 [关节手术];

学科分类号：

100220 [骨科学];

摘要：

[目的]比较单髁置换（UKA）与全膝置换（TKA）治疗老年膝关节单间室骨关节炎的近期临床疗效。[方法]回顾性分析2008年3月2010年3月本院收治膝关节单间室骨关节炎患者43例,20例接受UKA治疗,23例接受TKA治疗。对比两组患者术前及末次随访膝关节屈曲活动度（ROM）、膝关节学会评分（KSS）、视觉模拟量表评分（VAS）及术中出血量和术后并发症。[结果]术中平均出血量UKA组（193.00±41.81）ml,TKA组（347.83±93.52）ml（P<0.05）,TKA组术后5例患者输血,UKA组术后无患者输血（P<0.05）。UKA组术后屈膝到90°所用时间为（3.15±0.75）d,TKA组为（5.83±0.72）d（P<0.05）。术后早期无感染、深静脉血栓发生。患者均获得2年以上随访（平均26.5个月）,UKA组术前与末次随访ROM、KSS评分和VAS评分对比,差异有统计学意义（P<0.001）,TKA组差异也有统计学意义（P<0.001）。末次随访时UKA组与TKA组间ROM、KSS评分和VAS评分对比,差异无统计学意义（P>0.05）。患者随访期间无假体松动、关节翻修等严重并发症出现。[结论]对于膝关节单间室骨关节炎患者,在严格掌握手术适应证的前提下,UKA与TKA均能显著改善膝关节功能,近期疗效无显著差异。UKA具有创伤小、出血少、恢复快、术后早期膝关节活动度良好等优点,但是长期效果还有待研究。

引用

页码：1372 / 1377

页数：6

共 15 条

[1]

Why Do Medial Unicompartmental Knee Arthroplasties Fail Today?[J] Jelle P. van der List;Hendrik A. Zuiderbaan;Andrew D. Pearle The Journal of Arthroplasty 2016,

[2]

Unicompartmental Knee Arthroplasty Versus High Tibial Osteotomy: United States Practice Patterns for the Surgical Treatment of Unicompartmental Arthritis[J] Benedict U. Nwachukwu;Frank M. McCormick;William W. Schairer;Rachel M. Frank;Matthew T. Provencher;Martin W. Roche The Journal of Arthroplasty 2014,

[3]

Mobile bearing UKA compared to fixed bearing TKA: A randomized prospective study[J] Peng-Fei Sun;Yu-Hua Jia The Knee 2011,

[4]

The clinical outcome of revision knee replacement after unicompartmental knee arthroplasty versus primary total knee arthroplasty: 8–17 years follow-up study of 49 patients[J] Jaakko J?rvenp??;Jukka Kettunen;Hannu Miettinen;Heikki Kr?ger International Orthopaedics 2010,

[5]

Total or partial knee replacement? Cost-utility analysis in patients with knee osteoarthritis based on a 2-year observational study[J] Feng Xie;Ngai-Nung Lo;Jean-Eric Tarride;Daria O’Reilly;Ron Goeree;Hin-Peng Lee The European Journal of Health Economics 2010,

[6]

Participation in sporting activities following knee replacement: total versus unicompartmental[J] Graeme Philip Hopper;William Joseph Leach Knee Surgery; Sports Traumatology; Arthroscopy 2008,

[7]

Yearly Incidence of Unicompartmental Knee Arthroplasty in the United States[J] Daniel L. Riddle;William A. Jiranek;Fred J. McGlynn The Journal of Arthroplasty 2008,

[8]

Does arthroplasty type influence knee joint proprioception? A longitudinal prospective study comparing total and unicompartmental arthroplasty[J] S.M. Isaac;K.L. Barker;I.N. Danial;D.J. Beard;C.A. Dodd;D.W. Murray The Knee 2007,

[9]

Patient-Perceived Outcomes and Return to Sport and Work: TKA Versus Mini-Incision Unicompartmental Knee Arthroplasty[J] Neil Walton;Ismail Jahromi;Peter Lewis;Peter Dobson;Kevin Angel;David Campbell J Knee Surg 2006,

[10]

Total knee replacement using the Genesis II prosthesis: a 5-year follow up study of the first 100 consecutive cases[J] Richard S. Laskin;John Davis The Knee 2004,

← 1 2 →