摘要
目的探讨内侧固定平台单髁置换术在膝关节内侧单间室骨关节炎患者中的治疗效果及安全性。方法110例膝关节内侧单间室骨关节炎患者,按随机数字表法分为对照组和观察组,每组55例。对照组予以内侧活动平台单髁置换术治疗,观察组给予内侧固定平台单髁置换术治疗。对比两组临床疗效,手术前后纽约特种外科医院量表(HSS)、牛津大学膝关节评分量表(OKS)评分,并发症发生情况。结果两组患者治疗总有效率比较差异无统计学意义(P>0.05)。术前,对照组患者的HSS、OKS评分分别为(65.39±2.48)、(39.78±1.85)分,观察组患者分别为(65.43±2.54)、(39.84±1.88)分;两组患者HSS、OKS评分对比,差异无统计学意义(P>0.05)。术后1个月,对照组患者的HSS、OKS评分分别为(89.54±3.79)、(16.07±1.05)分,观察组患者分别为(90.32±3.91)、(15.89±0.94)分;两组患者HSS评分较术前升高,OKS评分较术前降低,差异具有统计学意义(P<0.05);但两组患者术后1个月HSS、OKS评分对比,差异无统计学意义(P>0.05)。观察组患者的并发症发生率3.64%低于对照组的14.55%,差异具有统计学意义(P<0.05)。结论内侧固定、活动平台单髁置换术两者均可恢复膝关节内侧单间室骨关节炎患者的膝关节功能,但内侧固定平台单髁置换术的并发症少,安全性高。
Objective To discuss the effect and safety of medial fixed-bearing unicompartmental knee arthroplasty in the treatment of medial single-compartment osteoarthritis of knee joint.Methods A total of 110 patients with medial single-compartment osteoarthritis of knee joint were divided into control group and observation group according to the random numerical table,with 55 cases in each group.The control group was treated with medial mobile-bearing unicompartmental knee arthroplasty,and the observation group was treated with medial fixed-bearing unicompartmental knee arthroplasty.Both groups were compared in terms of clinical efficacy,and Hospital for Special Surgery(HSS)score and Oxford Knee Score(OKS)before and after surgery,as well as the incidence of complications.Results There was no statistically significant difference in the total effective rate between the two groups(P>0.05).Before surgery,the HSS score and OKS score of the control group were(65.39±2.48)and(39.78±1.85)points,and those of the observation group were(65.43±2.54)and(39.84±1.88)points.There was no statistically significant difference in HSS score and OKS score between the two groups(P>0.05).1 month after surgery,the HSS score and OKS score of the control group were(89.54±3.79)and(16.07±1.05)points,and those of the observation group were(90.32±3.91)and(15.89±0.94)points.1 month after surgery,the HSS score in the two groups was higher than that before surgery,and OKS score was lower than that before surgery,and the differences were statistically significant(P<0.05).However,there was no statistically significant difference in HSS score and OKS score between the two groups 1 month after surgery(P>0.05).The incidence of complications of the observation group was 3.64%,which was lower than that of 14.55% of the control group,and the difference was statistically significant(P<0.05).Conclusion Both medial mobile-and fixed-bearing unicompartmental knee arthroplasty can restore the knee joint function of patients with medial single-compartment osteoa
作者
张文涛
ZHANG Wen-tao(Second People's Hospital of Jiedong District,Jieyang 515549,China)
出处
《中国现代药物应用》
2023年第9期62-64,共3页
Chinese Journal of Modern Drug Application
关键词
膝关节内侧单间室骨关节炎
内侧固定平台单髁置换术
膝关节功能
并发症
Medial single-compartment osteoarthritis of knee joint
Medial fixed-bearing unicompartmental knee arthroplasty
Knee joint function
Complication
