[1]柴巍巍,尚延春△,申晟,等.单髁置换治疗前内侧膝骨关节炎30例[J].中国中医骨伤科杂志,2018,26(12):46-49.
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单髁置换治疗前内侧膝骨关节炎30例()
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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12期
页码:
46-49
栏目:
临床报道
出版日期:
2018-12-03

文章信息/Info

文章编号:
1005-0205(2018)12-0046-04
作者:
柴巍巍1尚延春1△申晟1刘云龙1孙永强1
1河南省洛阳正骨医院/河南省骨科医院(郑州,450016) 通信作者 E-mail:springriver8@163.com
关键词:
膝骨关节炎 关节成形术 置换 单髁
分类号:
R684.3
文献标志码:
B
摘要:
目的:观察单髁置换术治疗膝骨关节炎的临床疗效和安全性。方法:2016 年1月至2017年12月,采用OxfordⅢ单髁置换术治疗膝骨关节炎患者28例,30膝:男3例,女25例; 2例双膝病人; 年龄55 ~83岁,中位数60岁; 左侧13例,右侧17例。术后随访观察有无并发症发生、膝关节功能评分及膝关节活动度改善情况。结果:所有患者均获随访,随访时间 3 ~6个月,中位数4个月。1例膝关节术后发生交锁,膝关节镜下取出骨水泥颗粒。余假体位置良好,均无脱位、感染、疼痛、松动、胫骨平台骨折等并发症发生。膝关节HSS评分由术前(40.83 ±7.55)分提高至末次随访时(92.93 ±5.35)分,膝关节活动度由术前 114.48°±3.53°提高至术后末次随访时 129.31°±6.07°.结论:在严格掌握适应症的前提下,采用UKA治疗老年膝骨关节炎,能够显著缓解疼痛,恢复关节功能,具有创伤小、恢复快、并发症少等优点,值得临床推广应用。

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更新日期/Last Update: 2018-12-03