| 赵鹏,严锋合,李长福,李二虎,曾学珠.不同手术方式治疗膝关节内侧间室骨关节炎的效果[J].中国临床保健杂志,2018,21(4):547-550. |
| 不同手术方式治疗膝关节内侧间室骨关节炎的效果 |
| Comparison on the efficacies of different surgical methods in the treatment of medial compartment knee osteoarthritis |
| 投稿时间：2017-12-27 |
| DOI：10.3969/J.issn.1672-6790.2018.04.030 |
| 中文关键词: 骨关节炎,膝 关节成形术 截骨术 治疗结果 |
| 英文关键词: Osteoarthritis,knee Arthroplasty Osteotomy Treatment outcome〖FL |
| 基金项目:青海西宁市科技局科技开发计划(2016-K-18) |
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| 中文摘要: |
| 目的 分析不同手术方式在膝关节内侧间室骨关节炎中的应用效果。方法 选取膝关节内侧间室骨关节炎患者127例,根据手术方式不同分为A组43例(行腓骨近端截骨术)、B组43例(行单髁关节置换术,UKA)和C组41例(行全膝关节置换术,TKA)。观察三组手术相关情况,术前和末次随访时胫骨角、膝关节疼痛、膝关节功能及活动度的变化及并发症情况。结果 A组手术时间、住院时间及术后恢复时间较B、C组明显缩短,术中出血量及医疗费用明显减少(P＜0.05或P＜0.01)。三组术前及末次随访时胫骨角、关节活动度、VAS、HSS及KSS评分比较均差异无统计学意义(P＞0.05),但末次随访时胫骨角、关节活动度、VAS、HSS及KSS评分均较术前明显改善(P＜0.05或P＜0.01)。除A组2例发生腓浅神经损伤症状外,其余均未见感染、髌股关节疼痛、假体位置不良等并发症发生。结论 腓骨近端截骨术治疗膝关节内侧间室骨关节炎具有创伤小、恢复快、费用低等优点,且可获得与UKA、TKA相似的近期疗效。 |
| 英文摘要: |
| Objective To analyze the application effect of different surgical in the treatment of knee osteoarthritis.Methods One hundred and twenty seven were divided into three group according to different surgical methods,43 cases of knee osteoarthritis were assigned into group A (undergoing proximal osteotomy of fibula),43 cases into group B (undergoing unicompartmental knee arthroplasty) and 41 cases into group C (undergoing total knee replacement,TKA).The surgical conditions,changes of tibial angle,knee pain,knee function and activity range of three groups were observed.Results The operation time,hospital stays and postoperative recovery time of group A were less than group B and C,the intraoperative bleeding and medical cost of group were significantly less than group B and C (P＜0.05 or P＜0.01).No significant differences were shown among three groups in the tibial angle,range of knee activity,visual analogue scale (VAS) scores,hospital for special surgery (HSS) scores and knee society scores (KSS) before surgery and last follow-up visit (P＞0.05),but the tibial angle,range of knee activity,VAS scores,HSS scores and KSS at the last follow-up were improved compared with before surgery (P＜0.05 or P＜0.01).No other complications,such as infection,patellofemoral pain and poor location of prosthesis,occurred except for two case of superficial peroneal nerve injury in group A.Conclusion The proximal osteotomy of fibula has advantages of mild trauma,rapid recovery and low cost for medial compartment knee osteoarthritis,the short-term effect is similar to UKA and TKA. |
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