单髁置换术与全膝关节置换术治疗膝关节骨性关节炎的效果比较  

Comparsion of single ankle replacement and total knee arthroplasty on patients with knee osteoarthritis

作　　者：樊飞[1] 王煜巍[1] 张佳玥[1] 张志敏 范广 庞薇[1] Fan Fei;Wang Yuwei;Zhang Jiayue;Zhang Zhimin;Fan Guang;Pang Wei(Department of Orthopaedics,the Third People’s Hospital of Datong City,Datong 037008,China)

机构地区：[1]山西省大同市第三人民医院骨科,037008

出　　处：《中国实用医刊》2019年第24期51-54,共4页Chinese Journal of Practical Medicine

摘　　要：目的 比较单髁置换术(UKA)和全膝关节置换术(TKA)治疗膝关节骨性关节炎的临床疗效。方法 抽取2017年1月至2019年1月大同市第三人民医院治疗的80例膝关节骨性关节炎并接受置换术的患者为研究对象,接受UKA及TKA治疗者各40例,分别设为UKA组及TKA组。分析两组临床疗效、术后肢体功能及生活质量。结果 UKA组术中出血量低于TKA组(P<0.05),且UKA组手术时间、膝关节自主屈膝至90°时间及住院时间短于TKA组(P<0.05);术后6个月时两组最大屈膝角度、膝关节HSS评分比较差异未见统计学意义(P>0.05),但术后6个月UKA组股骨-胫骨角大于TKA组(P<0.05)。术后12个月两组最大屈膝角度及膝关节HSS评分与术后6个月相比显著改善(P<0.05)。股骨-胫骨角检查结果显示,两组术后6个月、12个月比较差异未见统计学意义(P>0.05);术后3个月、6个月UKA组患者生活质量各维度评分优于TKA组(P<0.05),术后6个月UKA组生活质量各维度评分结果改善状况优于TKA组(P<0.05)。结论 UKA治疗膝关节骨性关节炎临床疗效及术后患者肢体功能、生活质量改善状况优于TKA。Objective To compare the effects of single ankle replacement(UKA)and total knee arthroplasty(TKA)in patients with knee osteoarthritis.Methods Eighty patients with knee osteoarthritis treated by surgery in the Third People’s Hospital of Datong City from January 2017 to January 2019 were enrolled in this study.Of them,40 patients were treated by UKA and 40 patients were treated by TKA,and they were divided into UKA group and TKA group.The clinical efficacy,postoperative limb function and quality of life of the two groups were analyzed statistically.Results The amount of intraoperative blood loss in the UKA group was significantly lower than that in the TKA group(P<0.05),and the operation time of the UKA group,knee flexion to 90°time and hospitalization time were significantly shorter than those in the TKA group(P<0.05).Six months postoperatively,the maximum knee flexion angle and knee HSS scores were not significantly different between the two groups(P>0.05),but the femoral-tibia angle in the UKA group was significantly greater than that in the TKA group at 6 months postoperatively(P<0.05).In the 12th month after operation,the maximum knee flexion angle and knee HSS score were significantly improved compared with 6 months after operation(P<0.05).The results of femoral-tibia angle examination showed no significant difference between the two groups(P>0.05);3 months and 6 months after operation,the scores of each dimension of quality of life in UKA group were better than those in TKA group(P<0.05),and the improvement of each dimension of quality of life in UKA group was better than that in TKA group(P<0.05).Six months after operation,the improvement of quality of life in the UKA group was significantly better than that in the TKA group(P<0.05).Conclusions The clinical efficacy of UKA in the treatment of knee osteoarthritis and the improvement of limb function and quality of life after surgery are significantly better than TKA.

关 键 词：单髁置换术 全膝关节置换术 膝关节骨性关节炎 

分 类 号：R687[医药卫生—骨科学]