[1]汤月平,高剑峰,金虎△.单髁置换术与全膝关节置换术治疗外侧间室膝骨关节炎早期疗效对比[J].中国中医骨伤科杂志,2023,31(05):40-44.[doi:10.20085/j.cnki.issn1005-0205.230508]
　TANG Yueping,GAO Jianfeng,JIN Hu.Comparison of Early Clinical Outcome between Lateral Unicompartmental Knee Arthroplasty and Total Knee Arthroplasty on the Treatment of Isolated Lateral Osteoarthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2023,31(05):40-44.[doi:10.20085/j.cnki.issn1005-0205.230508]
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单髁置换术与全膝关节置换术治疗外侧间室膝骨关节炎早期疗效对比()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第31卷
期数:
2023年05期
页码:
40-44
栏目:
临床研究
出版日期:
2023-05-15

文章信息/Info

Title:
Comparison of Early Clinical Outcome between Lateral Unicompartmental Knee Arthroplasty and Total Knee Arthroplasty on the Treatment of Isolated Lateral Osteoarthritis
文章编号:
1005-0205(2023)05-0040-05
作者:
汤月平1; 高剑峰1; 金虎1△
1江苏苏州市立医院骨科(江苏 苏州,215008)
Author(s):
TANG Yueping1; GAO Jianfeng1; JIN Hu1△
1Orthopedics Department of Suzhou Municipal Hospital,Suzhou 215008,Jiangsu China.
关键词:
骨关节炎;  外侧间室;  外侧单髁置换术;  全膝关节置换术;  早期疗效
Keywords:
osteoarthritis;  lateral compartment;  lateral unicompartmental knee arthroplasty;  total knee arthroplasty;  early clinical outcomes
分类号:
R684.3
DOI:
10.20085/j.cnki.issn1005-0205.230508
文献标志码:
A
摘要:
目的:对比保留后交叉韧带全膝关节置换术(Total Knee Arthroplasty,TKA)与固定平台外侧单髁置换术(Lateral Unicompartmental Knee Arthroplasty,LUKA)治疗外侧单间室膝骨关节炎(KOA)的临床疗效。方法:选择2019年1月至2021年7月收治的60例膝骨关节炎患者,分为观察组和对照组,观察组接受外侧单髁置换术,对照组接受全膝关节置换术。对比两组手术时间、失血量、切口长度、术后下地时间,手术前及术后1周、1个月、3个月、6个月疼痛视觉模拟量表(VAS)评分、美国特种外科医院(the Hospital for Special Surgery,HSS)膝关节评分、美国西安大略和麦克马斯特大学(the Western Ontario and McMaster Universities,WOMAC)骨关节炎指数、牛津膝关节评分(Oxford Knee Score,OKS)、膝关节活动度(Range of Motion,ROM)。结果:两组患者术后1周VAS评分、HSS评分、OKS 评分、WOMAC 评分、活动度较术前均显著改善,差异有统计学意义(P<0.05)。外侧单髁置换术组手术时间、失血量、切口长度、术后下地时间、术后早期VAS评分、HSS评分、OKS 评分、WOMAC 评分、活动度优于全膝关节置换术组,差异有统计学意义(P<0.05)。结论:外侧单髁置换术与全膝关节置换术均能有效缓解外侧间室膝骨关节炎患者症状,矫正外翻畸形,改善膝关节功能。相比全膝关节置换术,外侧单髁置换术具有手术创伤小、术中失血量少、手术时间短、术后快速康复、本体感觉好等术后早期优势。
Abstract:
Objective:To compare early clinical outcomes of lateral unicompartmental knee arthroplasty(LUKA)and total knee arthroplasty(TKA)on the treatment of isolated lateral osteoarthritis of the knee joint.Methods:60 patients(60 hips)who underwent LUKA or TKA from January 2019 to July 2021 were prospectively enrolled and randomly allocated into two groups(n=30).The operation time,incision length,total blood loss,out-of-bed time,visual analogue scale(VAS)scores,the Hospital for Special Surgery(HSS)scores,Oxford knee score(OKS),the Western Ontario and McMaster Universities(WOMAC)osteoarthritis index and range of motion(ROM)were compared between the two groups.Results:Postoperative VAS,HSS,OKS,WOMAC and ROM was significantly improved from these scores preoperatively.Compared with TKA group,LUKA group had shorter operation time,less total blood loss,shorter incision,earlier out-of-bed time,and better scores,with statistically significant differences.Conclusion:Compared with TKA group,LUKA group has advantages in less blood loss and early fast recovery.

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备注/Memo

备注/Memo:
基金项目:苏州市科技局医疗卫生科技创新-关键技术攻关项目(20210094)
△通信作者 E-mail:tigerking20210203@163.com
更新日期/Last Update: 2023-05-10