单髁置换术与胫骨高位截骨术治疗膝关节内侧间室骨性关节炎的疗效比较  

Comparison of effectiveness between HTO and UKA in medial compartment OA

作　　者：王建[1,2] WANG Jian(Department of Orthopedic,Jining First People′s Hospital,Jining 272000,China;Dalian Medical University,Dalian 116044,China)

机构地区：[1]济宁市第一人民医院骨科,济宁272000 [2]大连医科大学,大连116044

出　　处：《济宁医学院学报》2024年第6期476-479,共4页Journal of Jining Medical University

基　　金：山东省医药卫生科技发展计划项目(202104070383)。

摘　　要：目的比较单髁置换术与胫骨高位截骨术治疗膝关节内侧间室骨性关节炎的疗效,为临床治疗提供参考。方法回顾性分析2018年1月至2019年12月我院骨关节外科手术治疗的65例膝关节内侧间室骨性关节炎患者的临床资料,根据不同治疗方式分为单髁置换术治疗组(UKA组)34例患者和胫骨高位截骨术治疗组(HTO组)31例患者,其中UKA组选择单髁置换术,采用Oxford活动半月板单髁关节(美国Biomet公司)置换。HTO组选择胫骨高位截骨术,采用内侧开放式楔形截骨。疗效评定标准选用膝关节活动度(ROM)、AKS膝关节评分、胫股角(FTA)。结果末次随访两组患者ROM值差异无统计学意义(t=-0.230,P=0.819),AKS膝关节评分差异无统计学意义(t=0.596,P=0.553),FTA值差异无统计学意义(t=1.514,P=0.135)。结论单髁置换术与胫骨高位截骨术在治疗膝关节内侧间室骨性关节炎中均有良好的临床疗效,治疗方案的选择应根据患者的膝关节畸形类型及程度、膝关节活动度、术后护理等因素选择最佳的治疗方式。Objective To compare the clinical outcome of HTO and UKA in the treatment of medial compartmental OA so as to provide reference for clinical treatment.Methods 34 cases of medial compartment OA undertaking UKA(UKA group)and 31 cases of HTO(HTO group)from January 2018 to December 2019 were retrospectively analyzed.Biomet Oxford phaseⅢunicompartmental knee prosthesis was used in UKA group,and opening wedge osteotomy was used in HTO group.Knee range of motion(ROM),AKS knee score and femorotibial angle(FTA)were selected as the evaluation curative effect.Results There was no significant difference in ROM values between the two groups(t=-0.230,P=0.819).At the final follow-up,there was no significant difference in AKS scores between the two groups(t=0.596,P=0.553).There was no significant difference in FTA values between the two groups(t=1.514,P=0.135).Conclusion Both UKA and HTO have good clinical effectiveness for treating medial compartment OA.The choice of treatment scheme should be based on the type and severity of knee deformity,knee ROM,and postoperative care.

关 键 词：膝 内侧间室骨性关节炎 单髁置换术 胫骨高位截骨术 

分 类 号：R684.3[医药卫生—骨科学]