摘要
目的探讨单髁置换术与全膝关节置换术对膝关节内侧间室骨性关节炎的治疗效果.方法选取我院2021年1月—2023年5月接诊的80例膝关节内侧间室骨性关节炎患者为研究对象,按随机数字表法将其分为观察组和对照组,各40例.对照组采用全膝关节置换术治疗,观察组采用单髁置换术治疗,对比两组住院时间、手术时间、术中出血量、手术前后疼痛、膝关节功能水平及术后并发症发生率.结果观察组住院时间、手术时间均短于对照组,术中出血量少于对照组,组间差异有统计学意义(P<0.05);术后1、3、6个月,观察组疼痛视觉模拟评分均低于对照组,组间差异有统计学意义(P<0.05);术后1、3、6个月,观察组美国特种外科医院膝关节评分均高于对照组,组间差异有统计学意义(P<0.05);观察组术后并发症发生率低于对照组,差异有统计学意义(P<0.05).结论与全膝关节置换术相比,膝关节单髁置换术治疗膝关节内侧间室骨性关节炎的术中出血量更少,手术时间更短,可促进患者术后早日康复,同时可减轻患者术后疼痛程度,提升膝关节功能,且术后并发症发生率低.
Objective To investigate the efficacy of single condyle replacement and total knee arthroplasty in the treatment of medial compartment osteoarthritis of the knee.Methods 80 patients with medial ventricular osteoarthritis of knee joint admitted to our hospital from January 2021 to May 2023 were selected as the study objects,and were divided into an observation group and a control group according to random number table method,with 40 cases in each group.The control group was treated with total knee replacement,and the observation group was treated with monocondylar replacement.The length of hospital stay,operation time,intraoperative blood loss,pain before and after operation,knee function level and postoperative complication rate were compared between the two groups.Results The hospital stay and operation time of observation group were shorter than that of control group,and the amount of intraoperative blood loss was less than that of control group,the difference was statistically significant(P<0.05).The Visual Analogue Scale of pain score of observation group was lower than that of control group at 1,3 and 6 months after operation,and the difference was statistically significant(P<0.05).At 1,3 and 6 months after operation,the Hospital form Special Surgery knee score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Compared with total knee arthroplasty,unicondylar knee arthroplasty for medial ventricular osteoarthritis of the knee has less intraoperative blood loss and shorter operative time,which can promote early postoperative recovery of patients,reduce postoperative pain,improve knee joint function,and lower the incidence of postoperative complications.
作者
王冰
王全明
赵锡江
WANG Bing;WANG Quanming;ZHAO Xijiang(Department of Orthopedics,Affiliated Hospital of Jiangnan University,Wuxi Jiangsu,214000,China)
出处
《反射疗法与康复医学》
2024年第5期89-92,共4页
Reflexology And Rehabilitation Medicine
关键词
膝关节
内侧间室骨性关节炎
单髁置换术
全膝关节置换术
膝关节功能
并发症
Knee joint
Medial ventricular osteoarthritis
Single condyle replacement
Total knee replacement
Knee joint function
Complication
作者简介
王冰(1982-),男,江苏无锡人,硕士研究生,副主任医师,研究方向:膝关节炎治疗。
