[1]王浩汀,尚运涛,曹光,等.胫骨高位截骨联合关节镜与单髁置换治疗单间室膝关节骨性关节炎的临床疗效比较[J].中华老年骨科与康复电子杂志,2024,(04):229-236.[doi:10.3877/cma.j.issn.2096-0263.2024.04.006]
　Wang Haoting,Shang Yuntao,Cao Guang,et al.Evaluation of arthroscopy combined with high tibial osteotomy and unicompartmental knee arthroplasty for single compartmental knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2024,(04):229-236.[doi:10.3877/cma.j.issn.2096-0263.2024.04.006]
点击复制

胫骨高位截骨联合关节镜与单髁置换治疗单间室膝关节骨性关节炎的临床疗效比较()
分享到：

中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2024年04期
页码:
229-236
栏目:
膝关节
出版日期:
2024-08-05

文章信息/Info

Title:
Evaluation of arthroscopy combined with high tibial osteotomy and unicompartmental knee arthroplasty for single compartmental knee osteoarthritis
作者:
王浩汀; 尚运涛; 曹光; 张延祠; 李军勇
050051 石家庄市第二医院骨科
Author(s):
Wang Haoting;  Shang Yuntao;  Cao Guang;  Zhang Yanci;  Li Junyong.
Department of Orthopaedic Surgery, Second Hospital of Shijiazhuang, Shijiazhuang 050051, China
关键词:
膝关节;  骨性关节炎;  保膝治疗
Keywords:
Knee osteoarthritis;  Unicompartmental knee arthroplasty;  High tibial osteotomy
DOI:
10.3877/cma.j.issn.2096-0263.2024.04.006
文献标志码:
A
摘要:
目的 探讨胫骨高位截骨联合关节镜手术与单髁置换术（UKA）治疗内侧间室膝关节骨性关节炎的临床疗效。方法 回顾分析了2020年6月至2021年12月石家庄市第二医院收治的膝关节内侧间室骨性关节炎患者54例，男19例，女35例，根据手术方式不同划分为两组，即胫骨高位截骨联合关节镜组（截骨组）与单髁置换（UKA组）。截骨组患者29例，UKA组患者25例。收集患者的一般病例资料，手术指标，于术前和术后1、3 、6 、12个月随访并临床评价疼痛视觉模拟评分（VAS）、美国特种医院膝关节评分（HSS）、膝关节活动度（ROM）、股胫角（FTA）、术后并发症等资料，并进行重复测量资料的方差等统计学分析。结果 截骨组29例患者获得随访，随访时间（1.2±0.3）年。男10例，女19例，平均年龄（59.4±4.2）岁。UKA组25例患者获得随访，随访时间（1.1±0.3）年。男9例，女16例，平均年龄（58.9±5.1）岁。两组患者手术指标、膝关节VAS评分、HSS评分、ROM间无差异。重复测量资料的方差分析显示，截骨组患者术后FTA优于UKA组患者，且差异有统计学意义，术后一年截骨组患者平均股胫角优于UKA组（175.45±1.27 vs 168.64±0.76，P＜0.01）。结论 胫骨高位截骨联合关节镜手术与单髁置换术均是治疗内侧间室膝关节骨性关节炎的有效方式，但前者可以获得更好的下肢力线。
Abstract:
Objective The purpose of this study was to compare the arthroscopy combined with high tibial osteotomy and unicompartmental knee arthroplasty for single compartmental knee osteoarthritis. Methods Fifty-four patients with knee osteoarthritis treated with high tibial osteotomy and unicompartmental knee arthroplasty were reviewed in our hospital between June 2020 and December 2021. Demographics, surgical data, postoperative complications, and functional outcomes were assessed, and followed up and clinical evaluation at 1, 3, 6, and 12 months before and after surgery. Results 29 patients in the osteotomy group were followed up for a period of (1.2±0.3) years. There were 10 males and 19 females with an average age of (59.4±4.2) years. 25 patients in the UKA group were followed up for a period of (1.1±0.3) years. There were 9 males and 16 females with an average age of (58.9±5.1) years. The average femorotibial angle in the osteotomy group was significantly better than that in UKA group (175.45±1.27 vs 168.64±0.76°, P<0.01). Demographics, surgical data, and other prognostic parameters were comparative between the two groups. Conclusions Both arthroscopies combined with high tibial osteotomy and unicompartmental knee arthroplasty were effective methods for single compartmental knee osteoarthritis, and patients with arthroscopy combined with high tibial osteotomy observed better limb alignment than that in patients with unicompartmental knee arthroplasty.

相似文献/References:

[1]李博　李计东　刘丽君　曲磊　刘丽霞　贾媛媛　王海红　刘军.腓骨近端截骨术与口服药物治疗膝关节骨关节炎的对比研究[J].中华老年骨科与康复电子杂志,2016,(01):32.[doi:10.3877/cma.j.issn.2096-0263.2016.01.007]
　Li Bo,Li Jidong,Liu Lijun,et al.Therapeutic effect analysis of proximal fibular osteotomy for the treatment of patients withknee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(04):32.[doi:10.3877/cma.j.issn.2096-0263.2016.01.007]
[2]杨朝君 孙智文 田洪涛.腓骨近端截骨术与人工全膝关节置换术治疗内翻型膝关节骨关节炎的短期疗效比较[J].中华老年骨科与康复电子杂志,2016,(01):38.[doi:10.3877/cma.j.issn.2096-0263.2016.01.008]
　Yang Zhaojun,Sun Zhiwen,Tian Hongtao.Comparison on the short term treatment of varus knee osteoarthritis by proximal fibular osteotomy versus total knee arthroplasty[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(04):38.[doi:10.3877/cma.j.issn.2096-0263.2016.01.008]
[3]吴碧 王跃 郝鹏.腓骨近端截骨术治疗膝关节骨关节炎的研究进展[J].中华老年骨科与康复电子杂志,2016,(01):54.[doi:10.3877/cma.j.issn.2096-0263.2016.01.011]
[4]于风天,魏杰,王晓东.腓骨近端截骨术与胫骨高位截骨术治疗内翻型膝关节骨关节炎的疗效比较[J].中华老年骨科与康复电子杂志,2016,(02):97.[doi:10.3877/cma.j.issn.2096-0263.2016.02.007]
　Yu Fengtian,Wei Jie,Wang Xiaodong..Comparative analysis of curative effect of proximal fibular osteotomy for the treatment of varus knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(04):97.[doi:10.3877/cma.j.issn.2096-0263.2016.02.007]
[5]白玉,王爱国,骆晓飞.腓骨近端截骨术治疗内侧间室性膝关节骨关节炎的疗效分析与机制探讨[J].中华老年骨科与康复电子杂志,2016,(03):161.[doi:10.3877/cma.j.issn.2096-0263.2016.03.007]
　Bai Yu,Wang Aiguo,Luo Xiaofei.The effect and mechanism of proximal fibular osteotomy in treating medial compartment osteoarthritis of the knee[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(04):161.[doi:10.3877/cma.j.issn.2096-0263.2016.03.007]
[6]谢学然,朱培丽,乔源鑫,等.腓骨近端截骨联合关节镜下清理治疗中老年膝关节骨关节炎的临床疗效[J].中华老年骨科与康复电子杂志,2016,(04):217.[doi:10.3877/cma.j.issn.2096-0263.2016.04.005]
　Xie Xueran,Zhu Peili,Qiao Yuanxin,et al.Effect of proximal fibular osteotomy combined with arthroscopy debridement in senile knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2016,(04):217.[doi:10.3877/cma.j.issn.2096-0263.2016.04.005]
[7]闫国富,薛晨晖,刘巍.腓骨近端截骨术治疗不同外翻应力角膝关节骨关节炎患者的疗效比较[J].中华老年骨科与康复电子杂志,2017,(01):38.[doi:10.3877/cma.j.issn.2096-0263.2017.01.008]
　Yan Guofu,Xue Chenhui,Liu Wei.Comparison of the VgSA and the efficacy of knee osteoarthritis treated by proximal fibular osteotomy[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(04):38.[doi:10.3877/cma.j.issn.2096-0263.2017.01.008]
[8]王文革,李仕臣,赵艳东,等.腓骨近端截骨术和胫骨高位截骨术治疗早期膝关节骨关节炎的短期疗效比较[J].中华老年骨科与康复电子杂志,2017,(02):91.[doi:10.3877/cma.j.issn.2096-0263.2017.02.005]
　Wang Wenge,Li Shichen,Zhao Yandong,et al.Early stage comparison of proximal fibula osteotomy and high tibial osteotomy to treat early knee joint osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(04):91.[doi:10.3877/cma.j.issn.2096-0263.2017.02.005]
[9]姚国军,尹淑梅,赵庆海,等.腓骨近端截骨与关节镜清理治疗膝关节骨关节炎的对比研究[J].中华老年骨科与康复电子杂志,2017,(02):103.[doi:10.3877/cma.j.issn.2096-0263.2017.02.007]
　Yao Guojun,Yin Shumei,Zhao qinghai,et al.Comparative study of proximal fibula osteotomy and arthroscopic debridement in the treatment of knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(04):103.[doi:10.3877/cma.j.issn.2096-0263.2017.02.007]
[10]霍丽丽,颉朝阳,崔小雷.腓骨近端截骨联合膝关节镜下关节清理术治疗膝关节骨性关节炎的疗效分析[J].中华老年骨科与康复电子杂志,2017,(05):306.[doi:10.3877/cma.j.issn.2096-0263.2017.05.011]
　Huo Lili,Xie Chaoyang,Cui Xiaolei.Proximal tibia and fibula osteotomy combined with arthroscopic joint debridement in treatment of knee osteoarthritis[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2017,(04):306.[doi:10.3877/cma.j.issn.2096-0263.2017.05.011]

备注/Memo

备注/Memo:
基金项目：2020年度河北省医学科学研究重点课题计划（20200142）
更新日期/Last Update: 2024-10-12