[1]申晟,尚延春,孟庆阳,等.单髁膝关节置换术治疗膝关节自发性骨坏死[J].中医正骨,2020,32(03):52-55.
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单髁膝关节置换术治疗膝关节自发性骨坏死()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第32卷
期数:
2020年03期
页码:
52-55
栏目:
临床报道
出版日期:
2020-03-20

文章信息/Info

作者:
申晟; 尚延春; 孟庆阳; 刘骏逸
(河南省洛阳正骨医院/河南省骨科医院,河南 郑州 450016)
关键词:
膝关节;  骨坏死;  关节成形术; 置换; 膝
摘要:
目的:观察单髁膝关节置换术(unicompartmental knee arthroplasty,UKA)治疗膝关节自发性骨坏死(spontaneous osteonecrosis of the knee,SONK)的临床疗效及安全性。方法:2011年3月至2016年5月,采用UKA治疗SONK患者28例(30膝)。男6例,女22例。年龄55～73岁,中位数66岁。身高153～178 cm,中位数161 cm。体质量47～80 kg,中位数55 kg。根据Aglietti分期,Ⅲ期4膝、Ⅳ期16膝、Ⅴ期10膝。病程2个月至3年,中位数7个月。测量膝关节屈曲度、股胫角,采用牛津大学膝关节评分(Oxford knee score,OKS)标准评价疗效,随访观察并发症发生情况。结果:所有患者均获随访,随访时间3～8年,中位数5年。膝关节屈曲度,术前64°～114°,中位数104°; 末次随访时98°～128°,中位数115°。股胫角,术前175°～181°,中位数178°; 末次随访时172°～177°,中位数174°。OKS评分,术前28～42分,中位数38分; 末次随访时13～25分,中位数17分。所有患者均未出现切口感染、下肢深静脉血栓等并发症,随访期内未进行过二次手术治疗。结论:UKA治疗SONK,中短期效果良好、安全性较高,但是远期效果仍需进一步观察。

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备注/Memo

备注/Memo:
(收稿日期:2019-12-04 本文编辑:郭毅曼)
更新日期/Last Update: 2020-03-10