膝内侧室骨关节炎Oxford第三代单髁置换近期效果  

Short-term outcomes of Oxford phase 3 unicompartmental knee arthroplasty for medial osteoarthritis of the knee

作　　者：许志庆 龚志兵 庄至坤 陈建松[2] 陈玲[2] 吴荣凯 徐福东 XU Zhi-qing;GONG Zhi-bing;ZHUANG Zhi-kun;CHEN Jian-song;CHEN Ling;WU Rong-kai;XU Fu-dong(Department of Joint Surgery,Quanzhou Orthopedics Hospital,Quanzhou 362000f China;Department of Orthopedics,The Second Hospital of Fuzhou City,Xiamen University,Fuzhou 350001,China)

机构地区：[1]福建省泉州市正骨医院关节外科,福建泉州362000 [2]厦门大学附属福州市第二医院骨科,福建福州350001

出　　处：《中国矫形外科杂志》2022年第10期940-942,946,共4页Orthopedic Journal of China

摘　　要：[目的]探讨Oxford第三代单髁置换(unicompartmental knee arthroplasty, UKA)治疗膝内侧室骨关节炎的近期疗效。[方法]回顾性分析2017年5月—2020年5月行单侧Oxford第三代UKA 158例患者的临床资料,评价其临床及影像结果。[结果]所有患者均顺利完成手术,术中无神经、血管损伤等严重并发症。手术时间(42.42±6.26) min,术中出血量(33.40±9.67) ml。所有患者均获随访,随访时间12~48月,末次随访AKSS临床评分、功能评分、OKS评分均较术前显著增加(P<0.05),影像方面,末次随访HKA较术前显著增加(P<0.05)。所有患者均未出现衬垫脱位、假体松动和下沉,以及膝关节外侧室Kellgren-Lawrence分级进展。[结论] Oxford第三代UKA治疗膝内侧室骨关节炎,具有手术时间短、失血量少、住院时间短、术后快速康复等优点,可获得满意的近期疗效。[Objective] To evaluate the short-term clinical outcomes of Oxford phase 3 unicompartmental knee arthroplasty(UKA) for medial osteoarthritis of the knee. [Methods] A total of 158 patients underwent unilateral Oxford phase 3 UKA for medial osteoarthritis of the knee from May 2017 to May 2020 in our hospitals. The clinical and imaging results in short term were evaluated. [Results] All patients were successfully operated without serious complications such as nerve and vascular injury, whereas with operative time of(42.42±6.26)min, and intraoperative blood loss of(33.40±9.67) ml. As time went during the follow-up lasted for 12 to 48 months, the AKSS clinical and functional scores as well as OKS score significantly increased(P<0.05). Radiographically, hip-knee-ankle angle(HKA) was significantly higher at the latest follow-up than that before surgery(P<0.05). None of the patients showed prosthetic dislocation, loosening or subsidence, as well as osteoarthritic progression of the lateral compartment of the knee in term of Kellgren-Lawrence grading at the latest followup. [Conclusion] The Oxford phase 3 UKA with advantages of short operation time, less blood loss, short hospital stay and rapid postoperative recovery does achieve satisfactory clinical outcomes in short term for medial compartment osteoarthritis of the knee.

关 键 词：膝内侧室骨关节炎 Oxford第三代混合型单髁假体 功能 近期疗效 

分 类 号：R687.4[医药卫生—骨科学]