尚林

【摘要】 目的：探究膝關节单髁置换术治疗对膝关节内侧单间室骨性关节炎患者功能及并发症的影响。方法：选取2019年2月-2020年2月本院收治的136例内侧单间室骨性关节炎患者，依据治疗方案将其分为对照组和研究组，各68例。对照组给予全膝关节置换术，研究组给予单髁置换术。比较两组AKS、VAS及Lysholm评分，术后膝关节屈曲角度及胫骨角矫正情况，住院费用和手术时间等。结果：研究组手术时间与止血带时间均短于对照组，输血例数少于对照组，住院费用低于对照组，差异均有统计学意义（P<0.05）。术后，研究组AKS、Lysholm评分均高于对照组，VAS评分低于对照组，膝关节屈曲角度大于对照组，胫骨角矫形情况优于对照组，并发症发生率低于对照组，差异均有统计学意义（P<0.05）。结论：采用单髁置换术治疗膝关节内侧单间室骨性关节炎，不仅能够改善患者机体疼痛与膝关节功能情况，还可缩短手术时间，降低住院费用与并发症发生率，值得临床推广及应用。

【关键词】 膝关节 单髁置换术 内侧单间室骨性关节炎

Study on the Effect of Unicompartmental Knee arthroplasty on the Function and Complication of Patients with Medial Compartment Osteoarthritis/SHANG Lin. //Medical Innovation of China， 2021， 18（01）： 0-022

[Abstract] Objective： To explore the effect of unicompartmental knee arthroplasty on the function and complications of patients with medial compartment osteoarthritis. Method： A total of 136 patients with medial compartment osteoarthritis admitted to our hospital from February 2019 to February 2020 were selected， they were divided into the control group and the study group according to the treatment plan， 68 cases in each group. The control group received total knee arthroplasty and the study group received unicompartmental knee arthroplasty. Compared with AKS， VAS and Lysholm scores， postoperative knee flexion angle and tibial angular orthopedic conditions， hospital cost and operation time， etc. Result： The operation time and tourniquet time in the study group were shorter than those in the control group， the number of blood transfusion cases was less than that in the control group， the hospitalization cost was lower than that in the control group， with statistically significant differences （P<0.05）. After surgery， AKS and Lysholm scores in the study group were all higher than those in the control group， VAS score was lower than the control group， knee flexion Angle was greater than that in the control group， tibial angular orthopedic condition was better than that in the control group， complication incidence was lower than that in the control group， with statistically significant differences （P<0.05）. Conclusion： Unicompartmental knee arthroplasty for medial compartment osteoarthritis of the knee can not only improve the body pain and knee function of patients， but also shorten the operation time， reduce the cost of hospitalization and the incidence of complications， which is worthy of clinical promotion and application.

[Key words] Knee joint Unicompartmental knee arthroplasty Medial compartment osteoarthritis

First-authors address： Liaoyang Central Hospital， Liaoyang 111000， China

doi：10.3969/j.issn.1674-4985.2021.01.005

膝关节骨性关节炎是属于常见退行性骨关节疾病，发病人群多以中老年女性为主。该疾病的发病症状主要就是膝关节疼痛、肿胀、活动受到限制，而其中有约90%患者病变位置在髌骨（或内侧）间室[1]。临床对于该疾病的治疗主要就是给予激素以及解热镇痛药，对症状轻微的患者具有一定的疗效。但通常疾病复发率比较的高，而对于病情较重的患者，故采用手术治疗才是最为理想的方案。该疾病的发病原因较为复杂，目前临床多认为与关节退行性改变有关，其主要发病表现就是骨密度下降、肌肉萎缩以及关节腔韧带的松弛，而膝关节发生长期超负荷的负重才是诱发疾病的重要因素[2]。近几年，全膝关节置换术在临床已经应用比较广泛，技术日渐较为成熟，但依然存在很大的弊端。随着假体设计理念的不断改进，临床使用膝关节单髁置换术逐渐广泛，有研究表明采用该治疗方法术后假体生存率较高，创伤性低[3-4]。……