摘要
目的比较胫骨高位截骨术(HTO)与单髁置换术(UKA)治疗膝关节单侧骨性关节炎(OA)的临床效果。方法选取2018年10月至2022年10月于三门峡市中心医院住院治疗的94例膝关节单侧OA患者为研究对象。根据治疗方法分为A组与B组,A组38例患者行HTO治疗,B组56例患者行UKA治疗。两组术后均随访1年。比较两组临床相关指标、疼痛视觉模拟评分(VAS)评分、膝关节功能[胫骨角(FTA)、膝关节活动度(ROM)、美国特种外科医院评分量表(HSS)]、术后并发症等指标。结果B组手术时间、术后下床时间、住院时间均短于A组,差异有统计学意义(P<0.05);但两组术中出血量及术后引流量比较,差异未见统计学意义(P>0.05)。术前,两组日常活动VAS评分及爬楼梯VAS评分比较差异未见统计学意义(P>0.05);术后1周及术后1年,两组日常活动VAS评分及爬楼梯VAS评分均较术前降低(P<0.05),但组间比较,差异未见统计学意义(P>0.05)。术前,两组FTA、ROM、HSS评分及Lysholm评分比较差异未见统计学意义(P>0.05);术后,两组FTA减少,ROM、HSS评分及Lysholm评分均增加,差异有统计学意义(P<0.05);术后A组ROM大于B组,差异有统计学意义(P<0.05);术后,两组FTA、HSS评分及Lysholm评分比较,差异未见统计学意义(P>0.05)。两组术后并发症发生率比较,差异未见统计学意义(P>0.05)。结论HTO及UKA治疗膝关节单侧OA的效果均显著,UKA在缩短手术时间、促进术后康复方面效果更佳,而HTO在改善膝关节活动度方面具有优势;但对于术后疼痛评分和术后并发症发生率方面,两种手术治疗无明显差异。
Objective To evaluate the clinical effects of high tibial osteotomy(HTO)and single condylar replacement(UKA)on unilateral knee osteoarthritis(OA).Methods Ninety-four patients with unilateral knee osteoarthritis who were hospitalized at Sanmenxia Central Hospital from October 2018 to October 2022 were selected as the research subjects.They were divided into group A and group B according to the treatment method,the 38 patients in group A received HTO treatment,while the 56 patients in group B received UKA treatment.Both groups were followed up for 1 year after surgery.The clinically relevant indicators,VAS scores,knee joint function[tibial angle(FTA),knee range of motion(ROM),and the American Special Surgery Hospital Rating Scale(HSS)],postoperative complications were compared between the two groups.Results The surgical time,postoperative time to get out of bed,and hospital stay in group B were all shorter than those in group A,and the differences were significant(P<0.05);However,there was no significant difference in intraoperative bleeding volume and postoperative drainage volume between the two groups(P>0.05).Before surgery,there was no significant difference in the VAS scores for daily activities and stair climbing between the two groups(P>0.05).One week and one year after surgery,the VAS scores for daily activities and stair climbing in both groups decreased compared to preoperative levels(P<0.05),but there was no significant difference between the two groups(P>0.05).Before surgery,there was no significant difference in FTA,ROM,HSS scores,and Lysholm scores between the two groups(P>0.05).After surgery,the FTA of the two groups decreased,while the ROM,HSS score,and Lysholm score increased,and the differences were significant(P<0.05);the postoperative ROM in group A was higher than that in group B,and the difference was significant(P<0.05);after surgery,there was no significant difference in FTA,HSS scores,and Lysholm scores between the two groups(P>0.05).There was no significant difference in the incidence of p
作者
卫鹏斌
高虎方
朱广伟
丁韶龙
卢豪
陈文勇
秦旭
Wei Pengbin;Gao Hufang;Zhu Guangwei;Ding Shaolong;Lu Hao;Chen Wenyong;Qin Xu(Department of Orthopedics,Sanmenxia Central Hospital,Sanmenxia 472000,China)
出处
《临床医学》
CAS
2024年第5期16-19,共4页
Clinical Medicine
关键词
骨性关节炎
膝关节
胫骨高位截骨术
单髁置换术
Osteoarthritis
Knee joint
High tibial osteotomy
Single condyle replacement
