Walton Neil P, Jahromi Ismail, Lewis Peter L, Dobson Peter J, Angel Kevin R, Campbell David G
Wakefield Orthopaedic Clinic, Adelaide, Australia.
J Knee Surg. 2006 Apr;19(2):112-6. doi: 10.1055/s-0030-1248089.
Few reports have been published about patient-perceived outcomes and return to sport following total knee arthroplasty (TKA) compared with unicompartmental knee arthroplasty (UKA). This article compares the two procedures using self-assessment questionnaires to determine whether there was a difference in patient-perceived Oxford scores, return to sport, and return to work. Patient-perceived outcomes of mini-incision UKA (Oxford; Biomet Inc, Warsaw, Ind) and TKA were retrospectively reviewed at a minimum of 12 months after surgery. A total of 150 patients underwent 183 UKAs (mean age: 71.5 years; standard deviation [SD]: 9.85) and 120 patients underwent 142 TKAs (mean age: 71.53 years; SD: 9.87). Oxford knee questionnaires were used assessing modified Grimby score, sports, and work activities. Mean Oxford knee score (22.17; SD: 9.03) for UKA was superior to TKA (24.5; SD: 9.68) (P=.04) scores. Mean modified Grimby score for UKA (3.89; SD:1.27) was superior to TKA (2.76; SD:1.12) (P<.0001). More patients returned to or increased sports following UKA (P=.0003), but no sooner than TKA patients. Patient-perceived Oxford and modified Grimby scores were better and sporting activity was greater following mini-incision UKA compared to TKA.
与单髁膝关节置换术（UKA）相比，关于全膝关节置换术（TKA）后患者感知的结果和恢复运动的报道较少。本文使用自我评估问卷对这两种手术进行比较，以确定患者感知的牛津评分、恢复运动和恢复工作方面是否存在差异。对接受小切口UKA（牛津；Biomet公司，印第安纳州华沙）和TKA手术的患者，在术后至少12个月进行回顾性评估其患者感知的结果。共有150例患者接受了183例UKA手术（平均年龄：71.5岁；标准差[SD]：9.85），120例患者接受了142例TKA手术（平均年龄：71.53岁；SD：9.87）。使用牛津膝关节问卷评估改良的格林比评分、运动和工作活动。UKA的平均牛津膝关节评分（22.17；SD：9.03）优于TKA（24.5；SD：9.68）（P = 0.04）。UKA的平均改良格林比评分（3.89；SD：1.27）优于TKA（2.76；SD：1.12）（P < 0.0001）。UKA术后更多患者恢复或增加了运动（P = 0.0003），但不比TKA患者更早。与TKA相比，小切口UKA术后患者感知的牛津和改良格林比评分更好，体育活动更多。
