| 固定平台单髁置换术治疗膝关节内侧骨关节炎曾智敏<sup>1</sup> 陶崑<sup>1</sup> 凌晶<sup>1</sup> 黄哲宇<sup>1</sup><sup> </sup>狄正林<sup>1</sup> |
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投稿时间：2018-08-20 修订日期：2019-05-04
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| 期刊信息：《中国骨伤》年，第卷，第期，第-页 |
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| 中文摘要:目的：探讨采用固定平台假体膝关节单髁置换术治疗膝关节内侧单间室骨性关节炎的早期临床疗效。方法：自2015年1月至2017年12月，采用固定平台单髁置换术治疗62例膝关节内侧间室骨性关节炎患者，男19例，女43例；年龄47～83（65.3±8.2）岁；病程5个月～72月，平均（19.4±14.3）个月。观察术后并发症情况，术前及术后3个月、1年、3年采用HSS膝关节评分标准评价其临床疗效。结果：术后62例患者切口愈合良好，无患者需要术后输血，术后住院时间为2～10d（平均3.5±1.6d）。所有患者均获得随访，时间4～40（19.9±10.2）个月。术后未发生脱位、感染、松动或假体周围骨折等并发症，1例患者术后1个月并发胫后静脉血栓。末次随访时（截至发稿前）患者HSS评分平均为90.1±7.4分，较术前Hairrs评分69.9±7.2明显改善，其中优51例，良9例；VAS疼痛评分末次随访1.1±0.9分，较术前平均3.8±0.9有改善。结论：固定平台单髁关节置换术治疗膝关节内侧单间室骨性关节炎，术后住院时间短，并发症低，可以获得较好的早期临床疗效。 |
| 【关键词】膝关节骨性关节炎 单髁置换术 固定平台 |
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| Fixed-bearing UKA for medial compartmental knee osteoarthritisZeng Zhimin<sup>1</sup><sup> </sup> Tao kun<sup>1</sup><sup> </sup>Ling jing<sup>1</sup><sup> </sup> Huang Zheyu<sup>1</sup> Di Zhenglin<sup>1</sup> |
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| ABSTRACT Objective: To evaluate the short-term clinical results of fixed-bearing unicompartmental knee arthroplasty (UKA) for the patients with medial compartmental knee osteoarthritis. Methods: From Jan 2015 to Dec 2017, 62 cases of medial compartmental knee osteoarthritis were treated in out department by fixed-bearing UKA. Among them, 19 patients were male, and 43 patients were female, aged from 47 to 83 years old ,with an average of 65.3±8.2 years old. The course of disease range from 5 months to 72 months ,with an average of 19.4±14.3months. All patients were followed up, evaluations were performed according to the Hospital for Special Surgery (HSS) knee score. Results: Post-operative incision of 62 patients healed well，no patient need blood transfusion. The time spent in hostipal after surgery ranged from 2 to 10days(mean,3.5±1.6d). All patients were followed up from 4 to 40 months（mean，19.9 ±10.2months）. 1 patient was suffered from posterior tibial vein thrombosis postoperatively, and no patient suffered from deep infection , dislocation, loosing or periprosthetic fracture. The mean HSS score and VAS score were 90.1±7.4 and 1.1±0.9 respectively at the final follow-up, whith had a significance statistical difference compared with HSS score and VAS score before operation(69.9±7.2 and 3.8±0.9, respectively). 51 cases obtained excellent results and 9 cases obtained good results. Conclusion：Fixed-bearing UKA is an effective method for medial compartmental knee osteoarthritis with fewer complication and fast recovery．The short-term outcome of fixed-bearing UKA is encouraging. |
| KEY WORDS Knee osteoarthritis UKA Fixed-bearing |
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