摘要
目的对比单髁关节置换术(UKA)与全膝关节置换术(TKA)在膝骨关节炎患者中的应用效果.方法选择2019年6月—2022年3月本院收治的110例膝骨关节炎患者为研究对象,按照随机数表法分为TKA组与UKA组,每组55例.TKA组采用TKA治疗,UKA组采用UKA治疗.观察并对比两组膝关节功能、膝关节活动度(ROM)、围术期指标、步态参数以及并发症发生情况.结果术后3个月,两组膝关节美国纽约特种外科医院(HSS)评分均较同组术前升高,膝关节ROM均较同组术前增大,且UKA组膝关节HSS评分高于TKA组,膝关节ROM大于TKA组,组间差异有统计学意义(P<0.05).UKA组患者手术时间、术后下地行走时间以及住院时间均短于TKA组,切口长度短于TKA组,术中出血量少于TKA组,组间差异有统计学意义(P<0.05).术后3个月,两组步频均较同组术前增高,步长均较同组术前增加,步速均较同组术前加快,且UKA组步频高于TKA组,步长长于TKA组,步速快于TKA组,组间差异有统计学意义(P<0.05).结论与TKA相比,UKA治疗膝骨关节炎患者更有助于改善患者的膝关节功能、膝关节ROM以及步态参数,缩短康复进程,近期疗效良好.
Objective To compare the application effects of unicompartmental knee arthroplasty(UKA)and total knee arthroplasty(TKA)in patients with knee osteoarthritis.Methods 110 patients with knee osteoarthritis admitted to the hospital from June 2019 to March 2022 were selected as the research objects and divided into a TKA group and a UKA group according to random number table method,with 55 cases in each group.The TKA group was treated with TKA,the UKA group was treated with UKA.The function of the knee joint,range of motion(ROM)of the knee joint,perioperative indicators,gait parameters,and complications were observed and compared between the two groups.Results 3 months after surgery,the scores of hospital for special surgery(HSS)of knee joint in both groups were higher than those in the same group before surgery,and the ROM of knee joint were greater than those in the same group before surgery,the score of HSS of knee joint of the UKA group was higher than that of the TKA group,and the ROM of knee joint was greater than that of the TKA group,and the differences between the groups were statistically significant(P<0.05).The operative time,postoperative walking time and hospital stay in the UKA group were all shorter than those in the TKA group,and the incision length was shorter than that in the TKA group,and the intraoperative blood loss was less than that in the TKA group,and the differences between the groups were statistically significant(P<0.05).3 months after surgery,the step frequencies of both groups were higher than those of the same group before surgery,the step lengths were increased compared with those of the same group before surgery,the step speeds were faster than those of the same group before surgery,and the step frequency of the UKA group was higher than that of the TKA group,the step length was longer than that of the TKA group,the step speed was faster than that of the TKA group,and the differences between the groups were statistically significant(P<0.05).Conclusion Compared with TKA,UKA in the treatment of knee osteoarthritis patients is more helpful to improve the knee joint function,knee joint ROM and gait parameters of patients,shorten the rehabilitation process,and the recent curative effect is good.
作者
张江礼
刘金辉
潘西庆
刘光源
范虓
ZHANG Jiangli;LIU Jinhui;PAN Xiqing;LIU Guangyuan;FAN Xiao(The First Department of Joint,Shijiazhuang Third Hospital,Shijiazhuang Hebei,050000,China)
出处
《反射疗法与康复医学》
2022年第21期96-100,共5页
Reflexology And Rehabilitation Medicine
基金
石家庄市科学技术研究与发展指导计划(181460613).
关键词
膝骨关节炎
全膝关节置换术
单髁关节置换术
膝关节功能
步态参数
Knee osteoarthritis
Total knee arthroplasty
Unicompartmental knee arthroplasty
Knee joint function
Gait parameters
作者简介
张江礼(1980-),男,河北石家庄人,硕士研究生,副主任医师,研究方向:骨关节疾病诊疗.
