[1]陈煜东,魏瑄,刘宏建.单髁置换术治疗老年膝关节内侧间室骨关节炎[J].中医正骨,2018,30(06):67-69.
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单髁置换术治疗老年膝关节内侧间室骨关节炎()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年06期
页码:
67-69
栏目:
临床报道
出版日期:
2018-06-20

文章信息/Info

作者:
陈煜东1; 魏瑄1; 刘宏建2
1.河南省郑州市骨科医院,河南 郑州 450052; 2.郑州大学第一附属医院,河南 郑州 450052
关键词:
骨关节炎; 膝;  关节成形术; 置换; 膝;  老年人;  单髁置换
文献标志码:
A
摘要:
目的:观察单髁置换术(unicondylar knee arthroplasty,UKA)治疗老年膝关节内侧间室骨关节炎的临床疗效及安全性。方法:2015年1月至2017年9月,采用UKA治疗老年膝关节内侧间室骨关节炎患者34例(40膝)。男11例(12膝),女23例(28膝)。年龄75～86岁,中位数79岁。左膝病变18例,右膝病变10例,双膝病变6例。合并髌股关节退变31例,膝关节外侧间室退变23例。骨关节炎Kellgren-Lawrence影像学分级,Ⅰ级31膝、Ⅱ级7膝、Ⅲ级2膝。体质量指数18～32 kg·m-2,中位数28 kg·m-2。病程3～9年,中位数6年。术后随访观察并发症发生及膝关节疼痛缓解、活动度改变和功能改善情况。结果:所有患者均获随访,随访时间6～24个月,中位数12个月。均未出现切口感染、下肢深静脉血栓及假体脱位等并发症。膝关节疼痛视觉模拟量表评分,术前(6.8±0.9)分、术后6个月(1.9±0.7)分。膝关节活动度,术前110.5°±4.1°、术后6个月125.5°±3.1°。美国特种外科医院膝关节评分,术前(55.2±4.5)分、术后6个月(88.5±3.5)分。结论:UKA治疗老年膝关节内侧间室骨关节炎,可以有效缓解膝关节疼痛、增加膝关节活动度、改善膝关节功能,且安全性较高,值得临床推广应用。

参考文献/References:

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更新日期/Last Update: 2018-10-30