膝关节内侧间室骨性关节炎单髁置换术后中长期随访结果分析

被引：12

作者：

卫阔 ^{[1
]}

鲍哲明 ^{[2
]}

张鹏 ^{[3
]}

肖滋润 ^{[1
]}

张锟 ^{[1
]}

机构：

[1] 解放军第中心医院骨科一区

[2] 济南军区总医院骨病科

[3] 解放军第中心医院医务处

来源：

中国骨与关节损伤杂志 | 2018年 / 33卷 / 12期

关键词：

膝关节骨性关节炎; 内侧间室; 单髁置换术; 衬垫滑脱; 胫骨平台下沉;

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：

目的观察膝关节单髁置换术治疗膝关节内侧间室骨性关节炎的中长期临床效果,总结手术适应证并分析并发症发生的原因。方法回顾性分析自2008-01—2013-12于济南军区总医院行单髁置换术治疗的455例(533膝)膝关节内侧间室骨性关节炎,假体均为Biomet OxfordⅢ代膝关节内侧单髁系统。比较术前及末次随访时膝关节活动度、股胫角、KSS临床评分、KSS功能评分、膝关节HSS评分。结果 455例均获得随访,随访时间平均75.3(48～120)个月。随访期间18膝(3.4%)聚乙烯衬垫脱位,6膝(1.1%)假体无菌性松动,10例(1.9%)胫骨平台下沉,6膝(1.1%)膝关节长期活动疼痛;术后25膝(4.7%)行翻修手术,假体生存率95.3%。末次随访时膝关节活动度为(126.3±10.9)°,股胫角为(177.5±14.7)°,KSS临床评分为(92.1±11.1)分,KSS功能评分为(89.6±9.0)分,膝关节HSS评分为(89.6±9.0)分,均较术前明显改善,差异有统计学意义(P <0.05)。结论在严格掌握手术适应证的前提下,单髁置换术治疗膝关节内侧间室骨性关节炎可以获得良好的疗效,患者可获得长期稳定的膝关节功能,减缓了膝关节骨性关节炎的进展,但衬垫滑脱及胫骨平台下沉发生率仍较高,需要高度重视。

引用

页码：1259 / 1262

页数：4

共 12 条

[1]

Oxford活动平台单髁置换术治疗内侧间室膝关节骨性关节炎的中期疗效观察[J] 卿忠;叶久敏;王志远;马建兵;姚建锋; 中国骨与关节损伤杂志 2015, 12

[2]

UKA与TKA治疗膝关节内侧单间室骨性关节炎初期疗效比较 [J].

蒋忠 ;

沈伟中 ;

骆园 .

中国骨与关节损伤杂志, 2015, 30 (04) :353-356

[3]

Preoperative Patellofemoral Chondromalacia is Not a Contraindication for Fixed-Bearing Medial Unicompartmental Knee Arthroplasty[J] Alexander J. Adams;Gregory S. Kazarian;Jess H. Lonner The Journal of Arthroplasty 2017,

[4]

Factors Predicting the Forgotten Joint Score After Total Knee Arthroplasty[J] Henrik Behrend;Vilijam Zdravkovic;Johannes Giesinger;Karlmeinrad Giesinger The Journal of Arthroplasty 2016,

[5]

Medial Unicondylar Knee Arthroplasty Improves Patellofemoral Congruence: a Possible Mechanistic Explanation for Poor Association Between Patellofemoral Degeneration and Clinical Outcome[J] Ran Thein;Hendrik A. Zuiderbaan;Saker Khamaisy;Danyal H. Nawabi;Lazaros A. Poultsides;Andrew D. Pearle The Journal of Arthroplasty 2015,

[6]

Patient satisfaction after primary total and unicompartmental knee arthroplasty: An age-dependent analysis[J] A Von Keudell;S Sodha;J Collins;T Minas;W Fitz;AH Gomoll The Knee 2014,

[7]

Does the appearance of the patellofemoral joint at surgery influence the clinical result in medial unicompartmental knee arthroplasty?[J] Moo-Ho Song;Bu-Hwan Kim;Seong-Jun Ahn;Seong-Ho Yoo;Suk-Woong Kang;Kwan-Taek Oh The Knee 2013,

[8]

Oxford Phase 3 Unicompartmental Knee Arthroplasty in Japan — Clinical Results in Greater Than One Thousand Cases Over Ten Years[J] Kenjiro Yoshida;Masahiro Tada;Hirokazu Yoshida;Satoshi Takei;Shinichi Fukuoka;Hiroaki Nakamura The Journal of Arthroplasty 2013,

[9]

Tibial Loading After UKA: Evaluation of Tibial Slope; Resection Depth; Medial Shift and Component Rotation[J] Scott R. Small;Michael E. Berend;Renee D. Rogge;Derek B. Archer;Amanda L. Kingman;Merrill A. Ritter The Journal of Arthroplasty 2013,

[10]

Minimum Two-Year Outcomes of Modular Bicompartmental Knee Arthroplasty[J] Atul F. Kamath;Ashley Levack;Thomas John;Beverly S. Thomas;Jess H. Lonner The Journal of Arthroplasty 2013,

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