单髁膝关节假体治疗膝关节单间室骨关节炎的安全性和疗效。
Safety and Efficacy of Unicondylar Knee Prosthesis Treatment for Unicompartmental Osteoarthritis of the Knee Joint.
机构信息
Department of Orthopedics, The First Affiliated Hospital of Xi'an Medical University, 710000, China.
出版信息
Comput Math Methods Med. 2022 Jul 15;2022:2938380. doi: 10.1155/2022/2938380. eCollection 2022.
BACKGROUND
Knee osteoarthritis (KOA) is a chronic disease that seriously endangers the health of the elderly. Choosing appropriate surgery for knee osteoarthritis patients is especially important.
OBJECTIVE
To investigate the safety and efficacy of unicondylar knee prosthesis treatment for unicompartmental osteoarthritis of the knee.
MATERIALS AND METHODS
One hundred patients with unicondylar osteoarthritis of the knee treated in our hospital from June 2019 to June 2021 were selected as retrospective study subjects and were divided into 50 cases each in the comparison group and the observation group according to the different surgical methods. Among them, the comparison group was treated with unicondylar knee arthroplasty (UKA), and the observation group was treated with unicondylar knee prosthesis replacement, and the differences in AKS score, knee flexion angle, tibial angle orthosis, joint mobility, and postoperative recovery were compared between the two groups.
RESULTS
The AKS score and knee flexion angle score of the observation group were higher than those of the comparison group after surgery. However, the tibial angle orthopedic score of the observation group was significantly lower than that of the comparison group after surgery for comparison, and the VAS score of the observation group was lower than that of the comparison group. However, the Lysholm score of the observation group was higher than that of the control group after surgery ( < 0.05). The complication rate of patients in the observation group was significantly lower than that of the comparison group, and the HSS score, VAS score, and knee mobility (ROM) of the two groups were statistically significant ( < 0.05) when compared at 7 d after surgery and 6 months after surgery.
CONCLUSION
The clinical efficacy of unicondylar knee prosthesis replacement for osteoarthritis of the knee is better than that of unicondylar knee arthroplasty (UKA) treatment.
背景
膝骨关节炎（KOA）是一种严重危害老年人健康的慢性疾病。为膝骨关节炎患者选择合适的手术尤为重要。
目的
探讨单髁膝关节假体治疗膝关节单间室骨关节炎的安全性和有效性。
材料和方法
选取 2019 年 6 月至 2021 年 6 月在我院治疗的 100 例膝关节单间室骨关节炎患者作为回顾性研究对象，根据不同手术方法分为对照组和观察组各 50 例。其中对照组采用单髁膝关节置换术（UKA）治疗，观察组采用单髁膝关节假体置换术治疗，比较两组患者 AKS 评分、膝关节屈曲角度、胫骨角矫形、关节活动度、术后恢复等方面的差异。
结果
观察组患者术后 AKS 评分和膝关节屈曲角度评分均高于对照组，但观察组术后胫骨角矫形评分明显低于对照组，观察组 VAS 评分低于对照组，但观察组 Lysholm 评分高于对照组（均<0.05）。观察组患者的并发症发生率明显低于对照组，术后 7d 及术后 6 个月两组 HSS 评分、VAS 评分、膝关节活动度（ROM）比较差异均有统计学意义（均<0.05）。
结论
单髁膝关节假体置换治疗膝关节骨关节炎的临床疗效优于单髁膝关节置换术（UKA）。
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