单髁置换术治疗膝单间室骨性关节炎的近期疗效  

Short-term curative effect of unicompartmental knee arthroplasty for single chamber knee osteoarthritis

作　　者：阮渊 王生介[1] 刘伟峰[1] 蒋小军[1] 厉晓龙[1] 

机构地区：[1]江苏大学附属武进人民医院骨科,江苏常州213002

出　　处：《临床骨科杂志》2016年第2期181-184,共4页Journal of Clinical Orthopaedics

摘　　要：目的探讨单髁置换术治疗膝关节单间室骨性关节炎的近期疗效。方法回顾性分析26例经单髁置换术治疗的膝关节单间室骨性关节炎患者（28膝）的资料。采用HSS评分对患者术后膝关节疼痛与关节活动度进行评估,测量术后膝关节力线,分析手术的适应症证及术后疗效。结果患者均获得随访,时间3~32个月。28膝术后关节负重内侧间室疼痛明显减轻或消失,膝屈曲度为122°~135°（128.39°±4.69°）,术后力线内翻角度为1.2°~4.0°（2.51°±0.10°）。术后HSS评分：优24膝,良2膝,可2膝。结论单髁置换术治疗膝关节骨性关节炎具有创伤小、恢复快、症状改善明显、延缓全膝置换时间等特点,近期疗效较好。Objective To investigate the clinical short-term effect of unicompartmental knee arthroplasty（ UKA） in the treatment of single chamber knee osteoarthritis. Methods The clinical data of 26 patients（ 28 knees） treated by UKA in the treatment of knee osteoarthritis were analyzed retrospectively. HSS score was used to evaluate knee pain and joint activity after surgery,postoperative knee joint force line was measured,the surgical indications and postoperative effect of the operation was analyzed. Results All the patients were followed up for 3 ~ 32 months,28 knees postoperative weight-bearing medial pain significantly reduced or disappeared, knee flexion was 122° ~ 135°（ 128. 39° ± 4. 69°）,postoperative angle of varus force line was 1. 2° ~ 4. 0°（ 2. 51° ± 0. 10°）. The postoperative HSS score was excellent in 24 cases,good in 2,fair in 2. Conclusions UKA in the treatment of osteoarthritis of the knee have advantages with less trauma,recovery quickly,symptoms improve significantly,delaying total knee replacement time,short-term curative effect is better.

关 键 词：单髁置换术 膝关节 骨性关节炎 

分 类 号：R684.3[医药卫生—骨科学] R681.2[医药卫生—外科学]