单髁置换术治疗单间室膝关节疾病的体会  

Clinical experience of unicompartmental knee arthroplasty for single compartment knee diseases

作　　者：任俊涛[1] 张云飞[1] 李鹏[1] 王翔宇[1] 余志勇[1] REN Jun-tao;ZHANG Yun-fei;LI Peng;WANG Xiang-yu;YU Zhi-yong(Department of Orthopedics,Xiangyang Hospital Affiliated to Hubei University of Traditional Chinese Medicine,Xiangyang Institute of Traditional Chinese Medicine,Xiangyang,Hubei 4411000,China)

机构地区：[1]湖北中医药大学附属襄阳医院,襄阳市中医医院(襄阳市中医药研究所)骨科,湖北441000

出　　处：《中国骨与关节损伤杂志》2022年第4期363-367,共5页Chinese Journal of Bone and Joint Injury

摘　　要：目的探讨单髁置换术治疗单间室膝关节疾病的临床体会。方法回顾性分析自2016-07—2020-10采用单髁置换术治疗的33例膝关节单间室骨性关节炎或骨坏死,31例膝关节内侧间室置换者采用活动平台单髁假体,2例外侧间室置换者采用高屈曲度固定平台单髁假体。术后定期随访,记录膝关节活动度与膝关节HSS评分。结果33例术后均获得随访,随访时间平均22(7~36)个月。随访期间除1例因摔倒导致假体松动行翻修手术外,其余32例均无假体松动、衬垫脱位、感染、另一侧间室骨性关节炎进展等并发症发生。末次随访时膝关节活动度为127°~132°,平均130.4°;膝关节HSS评分为86~89分,平均87.8分。结论在严格选择手术适应证的前提下,单髁置换术治疗单间室膝关节疾病具有手术创伤小、术后恢复快、骨量损失小等优点。Objective To investigate the clinical experience of unicompartmental knee arthroplasty(UKA)for single compartment knee diseases.Methods A retrospective analysis of 33 cases of UKA for single compartment osteoarthritis or osteonecrosis of knee from July 2016 to October 2020 was conducted.Twenty-eight cases of anteromedial osteoarthritis and 3 cases of anteromedial osteonecrosis of knee were treated by mobile-bearing medial UKA,2 cases of lateral tibiofemoral osteoarthritis were treated by high flexion fixed-bearing lateral UKA.All the patients were regularly followed up after operation,range of motion(ROM)and knee HSS score were recorded.Results All the patients were followed up for an average of 22 months(7-36months).During the follow up,one patient was revised with TKA due to prosthesis loosening after falling over.No prosthesis loosening or revision,infection,progress to osteoarthritis in orther side were found in other 32 patients.At the time of the last follow-up,the average of ROM was 130.4°(127°-132°),the average of HSS score was 87.8(86-89).Conclusion Under strict control of surgical indications,UKA in treatment of single compartment knee diseases has the advantages of minimal incision and quicker recover,smaller bone loss.

关 键 词：单间室膝关节疾病 骨性关节炎 骨坏死 单髁置换术 固定平台假体 活动平台假体 

分 类 号：R687.42[医药卫生—骨科学]