单髁置换术治疗骨性关节炎的临床疗效观察  

Observation on the Clinical Effect of Single Condylar Replacement for Osteoarthritis

作　　者：何天达[1] 王益民[1] 朱隽科[1] 韦兆祥[1] HE Tianda;WANG Yimin;ZHU Junke;WEI Zhaoxiang(Department of Orthopaedics,The First People's Hospital of Changzhou,Changzhou Jiangsu 213000,China)

机构地区：[1]常州市第一人民医院骨关节科

出　　处：《中国继续医学教育》2019年第36期113-115,共3页China Continuing Medical Education

摘　　要：目的探讨单髁置换术治疗膝关节内侧间室骨性关节炎的临床疗效。方法选择2018年1月-2019年6月就诊于医院的70例膝关节内侧间室骨性关节炎患者,按随机数字表法分为两组,各35例。A组行单髁置换术治疗,B组行全膝关节置换术。对比两组手术情况、术后并发症发生率、膝关节功能、膝关节活动度。结果与B组相比,A组手术用时、住院时间较短,术中出血量较低,差异有统计学意义(P <0.05);术后,两组均未发生假体周围骨折、栓塞、感染等并发症;A组膝关节评分(HSS)、膝关节活动度分别为(90.05±3.42)分、(120.07±7.08)°,高于B组的(77.89±4.94)分、(107.96±7.57)°,差异有统计学意义(P <0.05)。结论与全膝关节置换术相比,单髁置换术治疗膝关节内侧间室骨性关节炎可减少手术用时,降低失血量,缩短住院时间,提高膝关节活动度,改善膝关节功能。Objective To investigate the clinical effect of single condylar replacement on osteoarthritis of medial compartment of knee joint. Methods A total of 70 patients with osteoarthritis of the medial compartment of the knee joint who were treated in our hospital from January 2018 to June 2019 were selected and divided into two groups according to the random number table method, 35 cases each. Group A underwent monosacral replacement, and group B underwent total knee replacement. The surgical conditions, incidence of postoperative complications, knee function, and knee mobility were compared between the two groups. Results Compared with group B, group A had shorter operation time and shorter hospital stay, and lower intraoperative blood loss, and the difference was statistically significant(P < 0.05). Postoperatively, no fractures, embolism, Infections and other complications;knee score(HSS) and knee mobility of group A were(90.05±3.42) points,(120.07±7.08)°, which were higher than those of group B(77.89±4.94) points and(107.96±7.57)°, the difference was statistically significant(P < 0.05). Conclusion Compared with total knee arthroplasty, single-sacral arthroplasty for osteoarthritis of the medial compartment of the knee joint can reduce the operation time, reduce blood loss, shorten the length of hospital stay, improve knee mobility, and improve knee function.

关 键 词：膝关节内侧间室骨性关节炎 单髁置换术 膝关节功能 全膝关节置换术 并发症 膝关节活动度 

分 类 号：R684[医药卫生—骨科学]