Zengerink Imme, Duivenvoorden Tijs, Niesten Dieu, Verburg Hennie, Bloem Rolf, Mathijssen Nina
Acta Orthop Belg. 2015 Dec;81(4):776-83.
We retrospectively reviewed all 147 medial UKA's placed between 2001 and 2011 with a minimum follow-up of two years. The VAS for pain and satisfaction, the New Knee Society Score (KSS) for satisfaction and the Knee Injury and Osteoarthritis Outcome Score (KOOS) were used as patient reported outcomes (PROs). Pre-operative and follow-up radiographs of the knee were assessed. The survival rate with a median follow-up of 5.0 years is 87%. No significant difference in survival, PROs or radiographical results were seen between the obese and non-obese group. Mid-term survival, radiographical results and PROs of a UKA are not influenced by obesity. Obesity in patients with medial compartment knee osteoarthritis should not form a contra-indication when selecting patients for a UKA.
我们回顾性分析了2001年至2011年间进行的147例内侧单髁膝关节置换术（UKA），所有病例均进行了至少两年的随访。采用视觉模拟评分法（VAS）评估疼痛和满意度，采用新膝关节协会评分（KSS）评估满意度，采用膝关节损伤和骨关节炎疗效评分（KOOS）作为患者报告结局（PROs）。对膝关节术前和随访时的X线片进行评估。中位随访5.0年时的生存率为87%。肥胖组和非肥胖组在生存率、PROs或影像学结果方面均无显著差异。内侧单髁膝关节置换术的中期生存率、影像学结果和PROs不受肥胖影响。对于内侧间室膝关节骨关节炎患者，肥胖不应成为选择进行内侧单髁膝关节置换术患者的禁忌证。
