关节镜辅助单髁置换术治疗膝内侧间室骨性关节炎的临床疗效观察  

Clinical efficacy of unicompartmental knee arthroplasty with arthroscopy for medial compartment osteoarthritis of knee

作　　者：李坚[1] 陈孙裕[1] 肖展豪[1] 潘玲[1] 吴德仙[1] 

机构地区：[1]厦门大学附属福州第二医院运动损伤科,福建省福州市350007

出　　处：《中国骨与关节损伤杂志》2013年第12期1146-1148,共3页Chinese Journal of Bone and Joint Injury

摘　　要：目的总结关节镜辅助单髁置换术治疗膝内侧间室骨性关节炎的临床疗效。方法选择自2008-03—2011-01行手术治疗的18例单侧膝关节骨性关节炎。均以膝关节内侧间室病损为主。术前进行MR及X线片评估；术中采用关节镜进行检查和清理。并行膝关节内侧间室单髁置换术：术后进行膝关节功能及影像学评估。结果所有患者均获平均21（18～36）个月随访，影像学检查显示假体位置良好，无松动与假体周围骨溶解的迹象。末次随访时膝关节功能HSS评分由术前71．3分提高至87．2分，优15膝，良3膝；平均关节活动范围（ROM）127°（112～141°）。结论关节镜下准确评估、清理关节病损为人工膝关节单髁置换术提供临床依据，提高了疗效，是治疗膝关节单间室骨性关节炎的有效方法。Objective To summarize clinical efficacy of unicompartmental knee arthroplasty for medial compartment osteoarthritis with arthroscopy. Methods Eighteen patients with osteoarthritis of the knee and mostly medial compartment lesions were selected. Preoperative MR and X-ray were evaluated and unicompartmental knee replacement was performed. Arthrescopy surgery for inspection and cleaning, and medial compartment unicompartmental arthroplasty were performed. Postoperative knee function and radiographic evaluation was conducted. Results All patients were followed up for 18 to 36 months （mean 21 months）. The imaging showed no poor position of prosthesis, no loosening and no perlpresthetic osteolysis signs. At last follow-up, knee function HSS score increased from preoperative 71.3 points to 87.2 points, excellent in 15 knees, good in 3 knees, with an aver age range of motion （ROM） 127°（112° to 141°）. Conclusion Arthroscopic accurate evaluation and joint lesion cleaning up provide clinical basis for unicompartmental knee arthroplasty. It can increase the treatment efficacy and is a effective treatment for single compartment osteoarthritis of knee.

关 键 词：骨性关节炎 膝关节内侧间室 单髁置换术 关节镜 

分 类 号：R687.42[医药卫生—骨科学]