单髁置换术与微创全膝关节置换术治疗老年膝关节骨性关节炎的临床效果  

Clinical effects of unicompartment knee arthroplasty and minimally invasive total knee arthroplasty on elderly patients with knee osteoarthritis

作　　者：刘海勇[1] LIU Hai-yong(Hancheng People's Hospital,Hancheng 715400,China)

机构地区：[1]韩城市人民医院,陕西韩城715400

出　　处：《临床医学研究与实践》2020年第5期65-67,共3页Clinical Research and Practice

摘　　要：目的比较单踝置换术(UKA)及微创全膝关节置换术(MIS-TKA)治疗老年膝关节骨性关节炎的临床效果。方法选取2015年1月至2018年1月我院收治的84例膝关节骨性关节炎老年患者为研究对象,根据治疗方式的不同将其分为单踝组(42例,UKA)与全膝组(42例,MIS-TKA)。比较两组临床疗效。结果单踝组手术时间、住院时间及直腿抬高时间短于全膝组,术中出血量少于全膝组(P<0.05)。术后1个月,单踝组KSS各项评分均优于全膝组(P<0.05)。术后6个月,单踝组动态步态指数及ROW均高于全膝组(P<0.05),但术后12个月时无差异(P>0.05);术后6、12个月,两组HSS评分均无差异(P>0.05)。术后6个月,两组AIMS2-SF评分均升高,但组间无差异(P>0.05)。结论 UKA与MIS-TKA均是治疗老年膝关节骨性关节炎的有效术式,能有效改善膝关节功能,提高生活质量水平,但UKA的创伤及出血少,对膝关节骨性关节炎术后恢复更有优势。Objective To compare the clinical effects of unimalleolar knee arthroplasty(UKA) and minimally invasive total knee arthroplasty(MIS-TKA) on elderly patients with knee osteoarthritis.Methods Eighty-four elderly patients with knee osteoarthritis admitted in our hospital from January 2015 to January 2018 were selected as the research objects.According to the different treatment methods,the patients were divided into single ankle group(42 cases,UK A) and whole knee group(42 cases,MIS-TKA).The clinical efficacy of the two groups were compared.Results The operation time,hospitalization time and straight leg raising time of the single ankle group were shorter than those of the whole knee group,and the intraoperative bleeding volume was less than that of the whole knee group(P<0.05).At 1 month after operation,KSS scores of the single ankle group were better than those of the whole knee group(P<0.05).At 6 months after operation,the dynamic gait index and ROW of the single ankle group were higher than those of the whole knee group(P<0.05),but there were no differences at 12 months after operation(P>0.05);at 6,12 months after operation,there were no differences in HSS score between the two groups(P>0.05).At 6 months after operation,the AIMS2-SF scores of the two groups increased,but there was no difference between the two groups(P>0.05).Conclusion UKA and MIS-TKA are effective surgical methods in the treatment of elderly patients with knee osteoarthritis.They can effectively improve knee function and the quality of life.However,UKA has less trauma and bleeding,which is more advantageous for the recovery of knee osteoarthritis after operation.

关 键 词：单踝置换术 微创全膝关节置换术 膝关节骨性关节炎 膝关节功能 

分 类 号：R687.4[医药卫生—骨科学]