双柱活动型单髁假体治疗膝关节内侧骨关节炎的早期疗效分析

doi:10.6040/j.issn.1671-7554.0.2021.0142

摘要/Abstract

摘要： 目的探讨双柱活动型单髁假体治疗膝关节内侧骨关节炎的早期疗效。方法采用前瞻性单臂临床试验的方法,收集2018年12月至2019年6月于我院使用双柱活动型单髁假体行膝关节内侧单髁置换术治疗的膝关节内侧骨关节炎患者30例临床资料,于术前、术后7 d、术后6周、术后3个月、术后6个月、术后1年随访,分析其功能、血液学指标、影像学结果。结果术前美国特种外科医院功能评分(68.03±10.34)分,术后1年评分(90.52±4.57)分,术前与术后1年美国特种外科医院功能评分在总分与各分项得分差异均有统计学意义(P<0.05)。患者术中失血量135.50(127.97)mL。截至末次随访未发生垫片脱位、感染、假体松动等严重不良事件。结论使用双柱活动型单髁假体行膝关节内侧单髁置换术显著改善膝关节骨关节炎患者膝关节功能,假体性能安全可靠。

关键词: 双柱活动型单髁假体, 单髁置换术, 膝关节内侧骨关节炎, 早期疗效

Abstract: Objective To investigate the early efficacy of double-column mobile bearing unicompartmental knee prosthesis in the treatment of medial knee osteoarthritis. Methods A prospective single-arm clinical trial was conducted and the clinical data of 30 patients with medial knee osteoarthritis treated with double-column mobile bearing unicompartmental knee prosthesis in our during 2018 and June. 2019 were collected. The functions, hematological indexes and imaging results were analyzed before surgery, and at day 7, 6 weeks, 3 and 6 months and 1 year after surgery. Results The functional scores of American Hospital for Special Surgery(HSS)were(68.03±10.34)before surgery and(90.52±4.57)1 year after surgery(P<0.05). The intraoperative blood loss was 135.50(127.97)mL. As of the last follow-up, no serious adverse events were reported including bearing dislocation, infection and prosthesis loosening. Conclusion The double-column mobile bearing unicompartmental knee prosthesis can substantially improve the knee joint functions in patients with knee osteoarthritis, and the performance of prosthesis is safe and reliable.

Key words: Double-column mobile bearing unicompartmental knee prosthesis, Unicompartmental replacement, Medial osteoarthritis of knee, Early efficacy

中图分类号:

R687.4

苗壮,刘培来,卢群山,姚天笑,李松林,罗德素. 双柱活动型单髁假体治疗膝关节内侧骨关节炎的早期疗效分析[J]. 山东大学学报 (医学版), 2021, 59(5): 90-95.

MIAO Zhuang, LIU Peilai, LU Qunshan, YAO Tianxiao, LI Songlin, LUO Desu. Early efficacy of double-column mobile bearing unicompartmental knee prosthesis in treating medial knee osteoarthritis[J]. Journal of Shandong University (Health Sciences), 2021, 59(5): 90-95.

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