固定平台单髁置换术治疗膝关节内侧骨性关节炎  

Fixed-bearing unicompartmental knee arthroplasty for medial compartmental knee osteoarthritis

作　　者：曾智敏[1] 陶崑[1] 凌晶[1] 黄哲宇 狄正林[1] ZENG Zhi-min;TAO Kun;LING Jing;HUANG Zhe-yu;DI Zheng-lin(Department of Joint Surgery,Ningbo No.6 Hospital,Ningbo 315040,Zhejiang,China)

机构地区：[1]宁波市第六医院关节外科

出　　处：《中国骨伤》2019年第8期755-758,共4页China Journal of Orthopaedics and Traumatology

摘　　要：目的:探讨采用固定平台假体膝关节单髁置换术治疗膝关节内侧单间室骨性关节炎的早期临床疗效。方法:自2015年1月至2017年12月,采用固定平台单髁置换术治疗62例膝关节内侧间室骨性关节炎患者,其中男19例,女43例;年龄47~83(65.3±8.2)岁;病程5~72(19.4±14.3)个月。观察术后并发症情况,并采用VAS评分评价疼痛缓解程度,HSS膝关节评分评价临床疗效。结果:62例患者均获得随访,时间4~40(19.9±10.2)个月。所有患者切口愈合良好,无须术后输血,住院时间2~10(3.5±1.6)d。术后未发生脱位、感染、松动或假体周围骨折等并发症,1例患者术后1个月并发胫后静脉血栓。HSS评分由术前的69.9±7.2提高至末次随访时的90.1±7.4;其中优51例,良9例,可2例;VAS评分由术前的3.8±0.9降至末次随访时的1.1±0.9。结论:固定平台单髁关节置换术治疗膝关节内侧单间室骨性关节炎术后住院时间短,并发症低,可以获得较好的早期临床疗效。Objective:To evaluate short term clinical results of fixed bearing unicompartmental knee arthroplasty(UKA)for patients with medial compartmental knee osteoarthritis. Methods:From January 2015 to December 2017,62 patients with medial compartmental knee osteoarthritis were treated by fixed bearing UKA. Among them,including 19 males and 43 females,aged from 47 to 83 years old with an average of(65.3±8.2) years old. The courses of disease ranged from 5 to 72 months with an average of(19.4±14.3) months. Postoperative complications were observed,VAS score was used to observe degree of pain relief,Hospital for Special Surgery(HSS) score was used to evaluate clinical effects. Results:All patients were followed up from 4 to 40 months with an average of(19.9 ±10.2) months. The incision healed well without blood transfusion,hospital stays ranged from 2 to 10 days with an average of(3.5±1.6) days. No deep infection,dislocation,loosing or per prosthetic fracture occurred after operation,while 1 patient suffered from posterior tibial vein thrombosis. HSS score improved from 69.9±7.2 before operation to 90.1±7.4 at final following up,and 51 patients obtained excellent results,9 patients good and 2 moderate.VAS score decreased from 3.8±0.9 before operation to 1.1±0.9 at final following up. Conclusion:Fixed-bearing UKA for medial compartmental knee osteoarthritis could obtain short term clinical results for shorter hospital stay,less complications. with fewer complication and fast recovery.

关 键 词：关节成形术 置换 骨关节炎 膝 骨折固定术 

分 类 号：R684.3[医药卫生—骨科学]