摘要
目的:探讨单髁置换术治疗老年膝关节单间室骨关节炎临床疗效。方法:对2010年3月至2014年5月我院48例老年患者膝关节内侧间室骨关节炎(51个膝)行单髁置换术。对手术前后HSS评分、WOMAC评分、膝关节屈曲度、负重位膝内翻角、屈曲挛缩度进行比较,分析单髁置换术治疗老年膝关节单间室骨关节炎近中期临床疗效。结果:所有老年患者均获得完整随访,无术后感染、假体松动等严重并发症。HSS评分和WOMAC评分在术前和末次随访时比较差异有统计学意义(P<0.05),膝关节屈曲度、负重位膝内翻角和屈曲挛缩均有所改善,差异具有统计学意义(P<0.05)。结论:单髁置换术治疗老年膝关节单间室骨关节炎具有较好的近中期临床效果,但远期疗效需进一步观察随访。
Objective： To discuss the clinical outcome of unicompartmental knee arthroplsty to treat single compartment osteoarthritis of elderly＇s knee. Methods： From March 2010 to May 2014,48 patients（ totally 51knees） with single compartment osteoarthritis were treated by unicompartmental knee arthroplasty. HSS score,WOMAC score,knee flexion,varus angle of weight-bearing position and flexion contracture between preoperative and follow- up were evaluated. Results： All elderly which did not have serious complication of postoperative infection and loosening were reviewed. There were significant differences in HSS score,WOMAC score between preoperation and last follow-up（ P〈0. 05）. The knee flexion,varus angle of weight-bearing position and flexion contracture were improved,which had significant differences（ P〈0. 05）. Conclusion： The early and midterm outcome of unicompartmental knee arthroplasty to treat single compartment osteoarthritis of elderly is good,but the long-term outcome still needs further observation.
出处
《现代医学》
2016年第5期701-704,共4页
Modern Medical Journal
关键词
老年
单间室
骨关节炎
单髁置换术
elderly
single compartment
osteoarthritis
unicompartmental knee arthroplasty
