单髁置换术治疗膝单间室骨性关节炎的近期疗效

作者:阮渊;王生介;刘伟峰;蒋小军;厉晓龙 刊名:临床骨科杂志 上传者:王莹

【摘要】目的探讨单髁置换术治疗膝关节单间室骨性关节炎的近期疗效。方法回顾性分析26例经单髁置换术治疗的膝关节单间室骨性关节炎患者(28膝)的资料。采用HSS评分对患者术后膝关节疼痛与关节活动度进行评估,测量术后膝关节力线,分析手术的适应症证及术后疗效。结果患者均获得随访,时间3~32个月。28膝术后关节负重内侧间室疼痛明显减轻或消失,膝屈曲度为122°~135°(128.39°±4.69°),术后力线内翻角度为1.2°~4.0°(2.51°±0.10°)。术后HSS评分:优24膝,良2膝,可2膝。结论单髁置换术治疗膝关节骨性关节炎具有创伤小、恢复快、症状改善明显、延缓全膝置换时间等特点,近期疗效较好。

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I盘床骨科杂志 Journal ofClinical Orthopaedics 2016 Apr;19(2) ·181· doi:10.3969/j.issn.1008~287.2016.02.017 单髁置换术治疗膝单问室骨性关节炎的近期疗效 阮 渊 ,王生介 ,刘伟峰 ,蒋小军,厉晓龙 摘要:目的 探讨单髁置换术治疗膝关节单间室骨性关节炎的近期疗效。方法 回顾性分析26例经单髁置 换术治疗的膝关节单间室骨性关节炎患者 (28膝)的资料。采用 HSS评分对患者术后膝关节疼痛与关节活 动度进行评估 ,测量术后膝关节力线,分析手术的适应症证及术后疗效。结果 患者均获得随访 ,时问 3~ 32个月。28膝术后关节负重内侧间室疼痛明显减轻或消失 ,膝屈曲度为 122。~135。(128.39。-4-4.69。),术 后力线内翻角度为 1.2。一4.0。(2.51。±0.10。)。术后 HSS评分:优24膝,良2膝,可2膝。结论 单髁置换 术治疗膝关节骨l生关节炎具有创伤小、恢复快、症状改善明显、延缓全膝置换时间等特点,近期疗效较好。 关键词:单髁置换术;膝关节;骨性关节炎 中图分类号 :R 684.3;R 681.2 文献标识码 :A 文章编 号 :1008—0287(2016)02—0181—04 Short-term curative eect of unicom partmental knee arthroplasty for single chamber knee os- teoarthritis RUAN Yuan,WANG Sheng-jie,LIU Wei ng JIANG XiaoIjtm,LI Xiao-long Dept of Orthopaedics,Wujin People S Hospital Affiliated to Jiangsu University,Changzhou,Jiangsu 213002 China) Abstract:0bjective To investigate the clinical short—terra eect of unicompartmental knee arthroplasty(UKA)in the treatment of single chamber knee osteoarthritis.Methods The clinical data of 26 patients(28 knees)treated by UKA in the treatment of knee osteoarthritis were analyzed retrospectively.HSS score was used to evaluate knee pain and joint activity after surgery,postoperative knee joint force line was measured,the surgical indications and postop— erative effect of the operation was an~yzed.Results All the patients were followed up f0r 3~32 months,28 knees postoperative weight—bearing medial pain significantly reduced or disappeared, knee flexion was 12

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