Clinical Efficacy of Arthroscopy Combined with High Tibial Osteotomy and Unicompartmental Knee Arthroplasty in the Treatment of Medial Compartmental Knee Osteoarthritis
ZHANG Zhi, ZHANG Nanzhi, JI Zhe, et al
The First Affiliated Hospital of Xi'an Jiaotong University, Shaanxi Xi'an 710061, China
摘要目的: 分析关节镜联合胫骨高位截骨术(HTO)与单髁置换术(UKA)治疗膝关节内侧间室骨关节炎的临床疗效。方法: 回顾性分析西安交通大学第一附属医院2018年1月至2022年1月收治的121例膝关节内侧间室骨关节炎患者的临床资料,根据患者治疗方式的不同将其分为HTO组(n=54)和UKA组(n=67)。HTO组接受关节镜联合HTO治疗,UKA组接受UKA治疗。比较两组临床疗效和围术期基本情况,统计治疗后两组术后并发症发生率,随访记录术后6个月、术后1年两组患者膝关节功能情况。结果: UKA组临床疗效及总有效率(91.04% vs 77.78%)明显高于HTO组(P<0.05)。UKA组术后下床时间、住院时间[(4.83±1.04)d vs (5.32±1.21)d、(10.76±1.55)d vs (11.34±1.18)d]均低于HTO组(P<0.05)。治疗后,UKA组术后并发症发生率(7.46% vs 20.37%)低于HTO组(P<0.05)。术后6个月、术后1年,UKA组膝关节HSS评分[(80.27±5.86)分 vs (76.42±7.89)分、(79.23±6.95)分 vs (75.23±8.77)分]均高于同期HTO组(P<0.05)。结论: UKA治疗膝关节内侧间室骨关节炎具有显著疗效,UKA术后并发症更少,术后恢复情况更好。
Abstract：Objective: To analyze the clinical efficacy of arthroscopy combined with high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) in the treatment of medial compartmental knee osteoarthritis. Methods: Clinical data from 121 patients with medial compartmental knee osteoarthritis admitted to the First Affiliated Hospital of Xi'an Jiaotong University between January 2018 and January 2022 were retrospectively analyzed.Patients were divided into two groups:the HTO group (n=54) treated with arthroscopy combined with HTO,and the UKA group (n=67) treated with UKA.Clinical efficacy and perioperative factors were compared between the two groups.The incidence of postoperative complications was recorded,and knee function was assessed at 6 months and 1 year after surgery. Results: The UKA group showed significantly better clinical efficacy and a higher total effective rate (91.04% vs77.78%) compared to the HTO group (P<0.05).Patients in the UKA group had shorter postoperative ambulation times and hospital stays [(4.83±1.04) days vs (5.32±1.21) days,(10.76±1.55) days vs (11.34±1.18) days] than those in the HTO group (P<0.05).The UKA group also had a lower incidence of postoperative complications (7.46% vs 20.37%) compared to the HTO group (P<0.05).At 6 months and 1 year post-surgery,the UKA group had higher knee HSS scores [(80.27±5.86) points vs (76.42±7.89) points,(79.23±6.95) points vs (75.23±8.77) points] than the HTO group (P<0.05). Conclusion: Unicompartmental knee arthroplasty (UKA) demonstrates significant efficacy in the treatment of medial compartmental knee osteoarthritis.UKA is associated with fewer postoperative complications and better postoperative recovery.
张智, 张楠之, 吉喆, 李萌, 马兴, 邱裕生. 关节镜联合胫骨高位截骨术与单髁置换术治疗膝关节内侧间室骨关节炎的临床疗效分析[J]. 河北医学, 2023, 29(11): 1847-1852.
ZHANG Zhi, ZHANG Nanzhi, JI Zhe, et al. Clinical Efficacy of Arthroscopy Combined with High Tibial Osteotomy and Unicompartmental Knee Arthroplasty in the Treatment of Medial Compartmental Knee Osteoarthritis. HeBei Med, 2023, 29(11): 1847-1852.
2023, Vol. 29 
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