[1]杨伟铭 曹学伟 赵彩琼.单髁置换术治疗膝关节内侧间室骨关节炎短期临床观察[J].中国中医骨伤科杂志,2018,26(04):40-44.
　YANG Weiming CAO Xuewei ZHAO Caiqiong.Short-term Efficacy of Unicompartmental Knee Arthroplasty in the Treatment of Medial Knee Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2018,26(04):40-44.
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单髁置换术治疗膝关节内侧间室骨关节炎短期临床观察()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年04期
页码:
40-44
栏目:
临床论著
出版日期:
2018-04-10

文章信息/Info

Title:
Short-term Efficacy of Unicompartmental Knee Arthroplasty in the Treatment of Medial Knee Osteoarthritis
文章编号:
1005-0205(2018)04-0040-05
作者:
杨伟铭1 曹学伟1 赵彩琼1
1广东省中医院关节科(广州,510120)
Author(s):
YANG Weiming1 CAO Xuewei1 ZHAO Caiqiong1
1Department of Joints,Guangdong Provincial Hospital of Traditional Chinese Medicine.Guangzhou 510120,China.
关键词:
单髁置换术;  膝骨关节炎;  临床疗效;  下肢力线
Keywords:
Keywords: unicompartmental knee arthroplasty;  knee osteoarthritis;  efficacy;  Limb alignment
分类号:
R684.3
文献标志码:
A
摘要:
目的:探讨单髁置换术治疗膝关节内侧间室骨关节炎短期临床疗效。方法:收集2015年1月至2016年1月在广东省中医院关节科诊断为膝骨关节炎的患者,并选择行小切口内侧单髁置换术治疗的患者。疗效评估采用美国膝关节协会评分(KSS)、膝关节的美国特种外科医院膝关节评分(HSS)系统。疼痛严重程度评定采用标准视觉类比量表(VAS),分别在术前和术后6个月、术后1年及末次随访时对患者进行评估。通过测量下肢负重全长X线片及膝关节正侧位X线片分析膝关节力线和假体位置。测量术前和术后下肢力学轴线(髋-膝-踝角HKA、胫股角FTA),并对结果进行比较。利用SPSS 18.0统计软件进行分析。结果:术后随访18～29个月,平均22个月。KSS临床评分、KSS功能评分、HSS评分、膝关节活动度和VAS评分在术后6个月和术后1年时,均比术前有明显改善,差异有统计学意义(P<0.05),提示经治疗后患者症状得到明显缓解。术后1年与术后6个月相比较,除KSS功能评分、VAS评分差异有统计学意义(P<0.05),其余评分差异均无统计学意义(P<0.05),提示患者在术后6个月和术后1年比较时,其功能状态基本稳定。在双下肢全长负重位X线片上分别测量术前、术后下肢力学轴线及髋-膝-踝角(HKA)、胫股角(FTA),术前与术后对比均有明显改善,差异有统计学意义(P<0.05),提示经治疗后患者下肢力线内翻畸形得到改善。结论:单髁置换术治疗膝关节内侧间室骨关节炎短期临床疗效满意,经治疗后下肢力线得到改善。
Abstract:
Abstract Objective:To investigate the short-term clinical efficacy of unicompartmental knee arthroplasty in the treatment of medial knee osteoarthritis.Methods:The patients with knee osteoarthritis undergoing unicompartmental knee arthroplasty in our hospital from January 2015 to January 2016 were selected.The KSS score and HSS score were used to evaluate the knee function.The visual analogue scale was used to evaluate the pain severity before treatment,6 months and 12 months after treatment and at the last follow-up.The mechanical axis of the lower extremity was measured before and after surgery(hip-knee-angle,HKA,femorotibial angle,FTA)and the results were compared.SPSS 18 statistical software was used for analysis.Results:Postoperative follow-up was 18～29 months,with an average of 22 months.Compared with preoperative,KSS clinical score,KSS function score,HSS score,knee range of motion and VAS score improved significantly 6 months and 12 months after operation(P<0.05),suggesting that symptoms were relieved after treatment.The scores at 6 months were compared with those at 1 year,and it shows significant differences in KSS function score and VAS score(P<0.05),while there was no significant difference in other scores(P<0.05).It was suggested that the knee function was table at 6 months and 1 year after the operation.The axial alignment of the lower extremity,the HKA and FTA were significantly improved after operation(P<0.05),suggesting that the deformity of the lower extremity was improved after surgery.Conclusion:The short-term efficacy of unicompartmental knee arthroplasty is satisfactory in the treatment of medial knee osteoarthritis,and the axial alignment of the lower extremity was improved after treatment.

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备注/Memo

备注/Memo:
基金项目:广东省中医药局科研项目(2017Z081)
更新日期/Last Update: 2018-04-15