影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (3): 655-658.DOI: 10.7517/issn.1674-0475.211212

• 综述与论文 • 上一篇    下一篇

膝关节置换术对膝单间室骨性关节炎患者关节功能恢复的影响

林小平, 苗德成, 李亚伟   

  1. 南京中医药大学附属连云港医院骨伤科, 江苏 连云港 222000
  • 收稿日期:2021-12-20 出版日期:2022-05-15 发布日期:2022-05-27

Influence of Knee Arthroplasty on Joint Function Recovery in Patients with Knee Unicompartmental Osteoarthritis

LIN Xiaoping, MIAO Decheng, LI Yawei   

  1. Department of Orthopedics Lianyungang Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, Lianyungang 222000, Jiangsu, P. R. China
  • Received:2021-12-20 Online:2022-05-15 Published:2022-05-27

摘要: 本研究探讨膝关节置换术在膝单间室骨性关节炎治疗中的应用价值。选取膝单间室骨性关节炎患者103例,根据手术方式分为对照组(n=53)和观察组(n=50),对照组给予单髁置换术,观察组给予膝关节置换术,观察两组手术时间、术中出血量等。观察组手术时间、住院时间明显长于对照组,术中出血量明显多于对照组(P<0.05);观察组和对照组股骨前髁偏距变化值、股骨假体屈曲角、胫骨后倾角和胫骨角比较差异无统计学意义(P>0.05),观察组术后24 h血清白细胞介素-6(IL-6)和C反应蛋白(CRP)明显高于对照组(P<0.05);术后6个月,两组患者膝关节活动度(ROM)和纽约特种外科医院膝关节(HSS)评分比较,差异无统计学意义(P>0.05);观察组和对照组并发症发生率比较,差异无统计学意义(P>0.05)。膝关节置换术在膝单间室骨性关节炎治疗中有较好的效果,但其存在创伤大、出血量多等缺点。

关键词: 膝关节置换术, 膝单间室骨性关节炎, 临床效果

Abstract: This study explored the application value of knee arthroplasty in the treatment of unicompartmental knee osteoarthritis. 103 patients with knee single compartment osteoarthritis were divided into control group (n=53) and observation group (n=50) according the operation mode, the control group was treated with single condylar replacement, and the observation group was treated with knee joint replacement, the operation time and intraoperative bleeding volume of the two groups and so on were observed. The operation time and hospitalization time in the observation group were significantly longer than that in the control group, and the intraoperative bleeding amount was significantly more than that in the control group (P<0.05). There were no significant differences between the observation group and the control group in terms of the change value of femoral anterior condyle deviation, femoral prosthesis flexion angle, tibial retroinclination angle and tibial angle (P>0.05). The serum levels of interleukin-6 (IL-6) and C-reactive protein (CRP) in the observation group at 24 hours after operation were significantly higher than those in the control group (P<0.05). There was no significant difference in knee mobility (ROM) and New York Special Surgery Hospital knee joint (HSS) between the observation group and control group (P>0.05). There was no significant difference in the incidence of complications between the observation group and the control group (P>0.05). Knee arthroplasty has a good effect on the treatment of knee unicompartmental osteoarthritis, but it has many disadvantages, such as large trauma, large amount of bleeding and so on.

Key words: knee arthroplasty, knee unicompartmental osteoarthritis, clinical effect