两种不同平台单髁置换术对内侧单间室膝骨性关节炎短期疗效比较  

Comparison of Short-term Therapeutic Effects of Two Different Platforms of Unicompartmental Knee Arthroplasty on Lrealmenl of Knee Osleoarthritis

作　　者：陈德胜 杨绿林[1] 王胤斌 张梓炀 马涛[1] 龚文涛 CHEN Desheng;YANG Lyulin;WANG Yinbin;ZHANG Ziyang;MA Tao;GONG Wentao(Department of Orthopaedics,Ningxia Hui Autonomous Region People’s Hospital,Third Clinical Medical College of Ningxia Medical University,Yinchuan 750002,China)

机构地区：[1]宁夏回族自治区人民医院骨科,宁夏医科大学第三临床医学院,银川750002

出　　处：《宁夏医科大学学报》2024年第3期271-275,共5页Journal of Ningxia Medical University

基　　金：国家自然科学基金项目(82060408);宁夏回族自治区重点研发计划项目(2021BEG03049);宁夏留学人员创新创业项目(2020-75)。

摘　　要：目的观察活动平台与固定平台单髁置换术对膝骨性关节炎手术治疗的短期疗效。方法选取内侧单间室膝骨关节炎患者155例,均行人工单髁置换术,其中97例选择美国邦美Oxford第三代活动平台(mobilebearing,MB)单髁假体,58例选择德国LINK固定平台(fixed-bearing,FB)单髁假体。比较两组手术时间及术中出血量;术前及术后1周、1个月视觉模拟评分(VAS);术前及术后1个月、3个月、6个月膝关节活动度(range of motion,ROM)及美国特种外科医院(hospital for special surgery,HSS)评分,并进行统计学分析。结果MB组与FB组手术时间及术中出血量比较差异均无统计学意义(P均>0.05)。术前、术后1周及术后1个月VAS评分差异均无统计学意义(P均>0.05),术前及术后1个月、3个月、6个月两组间ROM、HSS评分及术后6个月内并发症发病率差异均无统计学意义(P均>0.05)。结论MB和FB单髁置换术在膝骨性关节炎中短期疗效差异无统计学意义,MB单髁假体术后易出现假体脱位。Objective To observe the short-term effect of unicompartmental knee arthroplasty with mobile-bearing(MB)and fixed-bearing(FB)in the treatment of knee osteoarthritis.Methods A total of 155 patients with knee osteoarthritis were selected,and all of them underwent unicompartmental knee arthroplasty.Among them,97 patients chose the American Oxford third-generation MB unicondylar prosthesis,and 58 patients chose the German LINK FB unicondylar prosthesis.The operation time and blood loss were compared between the two groups.The degree of visual analogue score(VAS)before operation,1 week and 1 month after operation;knee range of motion(ROM)and hospital for special surgery(HSS)score before operation and 1 month,3 months and 6 months after operation were statistically analyzed.Results There was no significant difference in operation time and blood loss between the MB and FB groups(P all>0.05).There were no statistically significant differences in VAS scores before operation,one week after operation,and one month after operation(P all>0.05).There were no statistical differences in ROM.HSS scores before operation,one month,three months,and six months after operation,and the incidence rate of complications within six months after operation(P all>0.05).Conclusion There is no significant difference in short-term efficacy between the MB and FB unicondylar prosthesis in knee osteoarthritis.The MB unicondylar prosthesis is prone to dislocation.

关 键 词：膝骨性关节炎 单髁置换术 活动平台 固定平台 

分 类 号：R684[医药卫生—骨科学]