单室膝骨关节炎单髁与全膝置换术短期效果比较

被引：21

作者：

马尚 ^{[1
]}

王上增 ^{[2
]}

机构：

[1] 河南中医药大学

[2] 河南中医药大学第二临床医学院骨科

来源：

中国矫形外科杂志 | 2021年 / 29卷 / 15期

关键词：

单髁关节置换术; 全膝关节置换术; 膝关节; 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]比较单髁关节置换术(unicompartmental knee arthroplasty, UKA)与全膝关节置换术(total knee arthroplasty,TKA)治疗内侧单间室膝骨关节炎的临床效果。[方法]回顾性分析2017年5月—2019年5月本院手术治疗内侧单间室膝骨关节炎120例患者,依据术前医患沟通结果,62例采用UKA术,58例采用TKA术。比较两组围手术期、随访与影像资料。[结果]两组手术均顺利完成,术中均无严重并发症。术后不良事件,UKA组仅1例患者切口浅表感染;TKA组浅表感染2例、神经麻痹1例、延迟愈合1例。UKA组手术时间、术中出血量、切口长度、术后引流量及住院时间均显著优于TKA组(P<0.05)。所有患者随访12～32个月,平均(15.52±3.41)个月。随访期间,两组患者均未发生疼痛加剧、功能严重减退者,均无需再次手术翻修者。与术前相比,末次随访时两组患者膝关节ROM、VAS和HSS评分均显著改善(P<0.05)。未次随访时,UKA组膝关节ROM、VAS和HSS评分均显著优于TKA组(P<0.05)。影像方面,与术前相比,末次随访时两组患者FTA和MPTA均显著改善(P<0.05),而PTS均无显著改变(P>0.05)。相应时间点,两组间FTA、MPTA和PTS的差异均无统计学意义(P<0.05)。[结论]对内侧单间室膝骨关节炎采用UKA的近期临床效果优于TKA。

引用

页码：1359 / 1363

页数：5

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