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

doi:10.3969/j.issn.1006-6233.2023.11.017

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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.

Key words： Medial compartmental knee osteoarthritis Arthroscopy High tibial osteotomy Unicompartmental knee arthroplasty

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2023.11.017 OR http://www.hbyxzzs.cn/EN/Y2023/V29/I11/1847

[1] 秦泗通,王晖,于权.胫骨高位截骨术与OxfordⅢ单髁置换术治疗膝关节内侧间室骨关节炎的疗效比较[J].中国骨与关节损伤杂志,2022,37(2):204-206.
[2] 黄梦全,李裕标,廖春来,等.开放楔形胫骨高位截骨与单髁置换治疗膝关节内侧间室骨关节炎疗效的Meta分析[J].中国骨伤,2019,32(5):428-433.
[3] 冷燕奎,林俊宏,曹智强,等.单髁置换术与腓骨上段截骨联合关节镜清理术治疗膝关节内侧间室骨性关节炎的对比研究[J].浙江医学,2019,41(20):2204-2207.
[4] 张猛,敖阳,郑红艳.胫骨高位截骨术联合关节镜下膝关节清理术治疗老年膝关节内侧单间室骨性关节炎患者的临床效果[J].广西医学,2021,43(19):2288-2292.
[5] 陈为民,王卫军,施鸿飞.单髁置换术与胫骨高位截骨术治疗膝关节内侧间室骨关节炎的疗效比较[J].安徽医药,2021,25(9):1753-1756.
[6] 孔劲松,阮建伟,宫小康,等.两种手术方式治疗膝关节内侧单间室骨性关节炎疗效对比分析[J].中国地方病防治杂志,2016,31(1):79-80.
[7] 宋立生.标准假体全膝关节置换术联合复合松解对严重骨性关节炎患者关节间隙、HSS评分的影响及疗效评价[J].河北医药,2018,40(6):823-827.
[8] 贾琰,崔鲁霞,王军会,等.胫骨高位截骨联合关节镜下清理微骨折术与单髁置换术治疗膝关节内侧间室骨关节炎中期疗效比较[J].中国现代手术学杂志,2022,26(3):190-196.
[9] 谢国庆,金文孝,杨坤,等.胫骨高位截骨术与单髁置换术治疗膝内侧间室骨关节炎的疗效[J].临床骨科杂志,2021,24(2):211-215.
[10] 郑越生,何炜,赖业孟.全膝关节置换术与单髁置换术治疗膝单间室骨性关节炎疗效比较[J].海南医学,2019,30(9):1117-1119.
[11] 卢文海,孙少松,史思峰.全膝关节置换术与单髁置换术对膝关节前内侧骨关节炎肢体功能和并发症的早期疗效分析[J].川北医学院学报,2023,38(2):217-220.
[12] 邓汝林,胡鸣舞,张虹俊,等.UKA与关节镜联合HTO治疗膝关节内侧间室骨性关节炎的疗效比较[J].南昌大学学报(医学版),2019,59(3):74-78.
[13] 陈锐鸿,葛鸿庆,陈文治.单髁置换与胫骨高位截骨治疗膝关节内侧间室骨关节炎:1年随访比较[J].中国组织工程研究,2019,23(20):3143-3147.