单髁置换与全膝关节置换治疗内侧胫股关节炎早中期疗效比较  

The Early Results for the Treatment of Medial Compartmental Knee Osteoarthritis: Unicompartmental Knee Arthroplasty( Oxford Ⅲ) Versus Total Knee Arthroplasty

作　　者：房小文[1] 薛峰[1] 盛晓文[1] 王正飞[1] 杨兴[1] 

机构地区：[1]常熟市第一人民医院骨科,江苏常熟215500

出　　处：《实用骨科杂志》2015年第6期497-499,共3页Journal of Practical Orthopaedics

摘　　要：目的比较OxfordⅢ代单髁置换(unicompartmental knee arthroplasty,UKA)和全膝关节置换术(total knee artgroplasty,TKA)治疗膝关节内侧胫股关节炎的早期疗效。方法 2013年4月至2014年8月我院收治内侧胫股关节炎患者31例32膝,UKA组15例16膝,TKA组16例16膝。术前对UKA组和TKA组患者膝关节的功能评价采用膝关节评分(keen society score,KSS),分别为55.94分和56.47分;美国特种外科医院膝关节评分(hospital for special surgery knee score,HSS)分别为57.25分和59.37分;分别进行单髁置换和全膝关节置换。结果两组患者术后2周的功能改善情况UKA组较TKA组好,膝关节活动度更大;两组的手术时间UKA组较TKA组短。结论人工单髁置换治疗膝内侧胫股关节炎是一种行之有效的方法,与全膝置换早期效果类似,但手术时间短,恢复快。Objective To investigate the early resuit of unicompartmental knee arthroplasty（ Oxford Ⅲ） versus total knee arthroplasty for the treatment of medial compartmental knee osteoarthritis. Methods From April 2013 to August 2014,15 cases（ 16 knee） of medial compartmental knee osteoarthritis were treated by unicompartmental knee arthroplasty（ Oxford Ⅲ）,16cases（ 16 knee） of medial compartmental knee osteoarthritis were treated by total knee arthroplasty. The UKA group and TKA group hospital for special surgery knee score（ HSS） were 57. 25 and 59. 37 respectively; Keen Society Score（ KSS） were 55. 94 and 56. 47 respectively. Results All the patients＇ data were collected. By the time of 2 weeks after operation,Patients in the group UKA had better results than group TKA in the range of motion（ ROM）,KSS,HSS and the operation time. Conclusion With the strict indications selection,UKA for the treatment of medial compartmental knee osteoarthritis is comparable to TKA,and has less time for operation,rapid postoperative recovery than TKA.

关 键 词：关节成形术 置换 膝 单髁置换 

分 类 号：R687.42[医药卫生—骨科学]