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蒋正宇, 张超, 沈计荣. 活动半月板单髁置换术治疗膝单间室骨关节的近期疗效[J]. 实用临床医药杂志, 2015, (24): 32-34,38. DOI: 10.7619/jcmp.201524010
引用本文: 蒋正宇, 张超, 沈计荣. 活动半月板单髁置换术治疗膝单间室骨关节的近期疗效[J]. 实用临床医药杂志, 2015, (24): 32-34,38. DOI: 10.7619/jcmp.201524010
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JIANG Zhengyu, ZHANG Chao, SHEN Jirong. Recent efficacy of mobile-bearing unicompartmental knee arthroplasty in the treatment of patients with isolated compartmental knee osteoarthritis[J]. Journal of Clinical Medicine in Practice, 2015, (24): 32-34,38. DOI: 10.7619/jcmp.201524010
Citation: JIANG Zhengyu, ZHANG Chao, SHEN Jirong. Recent efficacy of mobile-bearing unicompartmental knee arthroplasty in the treatment of patients with isolated compartmental knee osteoarthritis[J]. Journal of Clinical Medicine in Practice, 2015, (24): 32-34,38. DOI: 10.7619/jcmp.201524010
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活动半月板单髁置换术治疗膝单间室骨关节的近期疗效

Recent efficacy of mobile-bearing unicompartmental knee arthroplasty in the treatment of patients with isolated compartmental knee osteoarthritis

    摘要
  • 摘要: 目的 比较活动半月板单髁关节置换术(UKA)及全膝关节置换术(TKA)两种术式治疗膝关节内侧间室骨性关节炎的近期临床疗效.方法 随访接受单髁关节置换术和全膝关节置换术的患者各10例(UKA组10膝,TKA组10膝).所有患者均由同一手术者完成.20例患者均获得了完整的随访,其中UKA组平均随访时间为9.5个月,TKA组平均随访时间为11.3个月.对2组患者手术前后HSS评分、膝关节最大屈曲度、出血量及术后4d血红蛋白下降量等进行比较.结果 UKA组和TKA组均获得满意疗效,2组患者随访中均未发现感染、切口不愈合、假体松动等并发症.2组患者术前HSS评分无明显差异(P＞0.05).2组患者术后HSS评分均较术前明显改善(P＜0.05).与TKA组相比,UKA组出血量较少(P＜0.05),术后血红蛋白下降少(P＜0.05).术后UKA组HSS评分较TKA组高(P＜0.05),UKA组膝关节最大屈曲度较TKA组大(P＜0.05).UKA组患者术后膝关节HSS评分、最大屈曲度均优于TKA组,出血量和血红蛋白下降量均低于TKA组.结论 对于膝关节内侧间室骨性关节炎,UKA具有创伤小、出血少、恢复快、功能良好的优点.

     

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