Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis

LU Jia-liang; WEI Sha; MU Tian-long; HE Jian-fei; WANG Jian-yun; LI Jun-qi; WANG Qiang-mao

您当前的位置：

首页 >

文章列表页 >

Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis

更新时间：2023-05-22

- Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis
- null Issue 1, (2019)
- 作者机构：
  
  1. 深圳市龙岗区中医院香港中文大学（深圳）医务室,广东,深圳,518000
  2. 武警边防部队总医院外二科,广东,深圳,518000
  3. 北京中医药大学东方医院病理科,北京,100078
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published：2019，
扫描看全文
LU Jia-liang, WEI Sha, MU Tian-long, et al. Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis. [J]. null (1).(2019)
DOI：

LU Jia-liang, WEI Sha, MU Tian-long, et al. Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis. [J]. null (1).(2019) DOI：

摘要

目的比较单髁关节置换术和全膝关节置换术治疗老年内侧间室骨性关节炎的早期临床效果。方法选取2014年9月至2018年3月在武警边防部队总医院进行治疗的老年内侧间室骨性关节炎患者35例，其中16例患者采用单髁关节置换术进行治疗（观察组），19例患者采用全膝关节置换术进行治疗（对照组）。结果观察组患者手术时间、术中出血量、围术期输血率、术后引流量及住院时间均显著少于对照组，差异有统计学意义（P＜0.05）；治疗前2组患者的功能评分和临床评分相比，差异无统计学意义（P＞0.05）；治疗后2组患者的KSS评分均得到一定程度的提高，但观察组患者改善程度明显优于对照组患者，差异有统计学意义（P＜0.05）；在2组患者术后1年的随访中均无需要进行翻修和感染的情况，观察组患者不存在血栓形成的现象，对照组患者的血栓形成率为26.32%，观察组患者出现血栓的可能性明显低于对照组，差异有统计学意义（P＜0.05）。结论两种手术方法均具有较好的早期临床疗效，但单髁关节置换术与全膝关节置换术相比，其手术时间短、住院时间少，对患者造成的痛苦也较小，降低了术后不良反应的发生率，对于患者术后的恢复具有促进作用，具有更为显著的早期临床疗效。

Abstract

Objective To compare the early clinical efficacy of unicompartmental knee arthroplasty(UKA) and total knee arthroplasty(TKA) for elderly patients with medial compartmental knee osteoarthritis.Methods A total of 35 elderly patients with medial compartmental knee osteoarthritis were selected from September 2014 to March 2018 in our hospital

of whom 16 cases treated by UKA were observation group and 19 cases treated by TKA were control group. Results The operation time

intraoperative blood loss

the rate of perioperative blood transfusion

postoperative drainage volume and hospitalization stays of observation group were less than those of control group

the difference were significant(P<0.05).Before the treatment

there was no significant differences in the KSS score between two groups(P＞0.05).After the treatment

KSS scores of two groups had been improved to some extent

and the observation group was better than the control group

the difference was significant(P<0.05).No revision or infection happened in 1 year postoperative follow-up of either group.The observation group(0) were less than the control group(26.32%) in thrombosis rate

the difference was significantly(P<0.05).Conclusion Both UKA and TKA have certain early clinical efficacy

but UKA had advantages such as shorter operation time

shorter hospitalization，less pain

lower incidence of adverse reaction

which can promote the postoperative function recovery

the early clinical efficacy is more significant.

关键词

单髁关节置换术全膝关节置换术老年内侧间室骨性关节炎早期疗效手术

Keywords

unicompartmental knee arthroplastytotal knee arthroplastyelderlymedial compartmental knee osteoarthritisearly clinical efficacysurgery

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Risk factors and prediction model for periprosthetic femoral fracture after total knee arthroplasty in the elderly

Analysis of hypothermia factors for elderly patients with malnutrition during proximal femoral nail antirotation internal fixation under general anesthesia

Effects of thoracic paravertebral nerve block combined with preserved spontaneous respiratory anesthesia on intraoperative cerebral oxygenation and postoperative delirium in elderly patients undergoing thoracoscopic surgery

Influencing factors and prediction model of postoperative gastrointestinal dysfunction in elderly patients with colorectal cancer

Related Author

SONG Yao

LEI Ke

QIU Rong

ZHAO Ting-ting

HU Xue-yu

ZHU Meng

YAN Zhi-yong

FAN Qian-nan

Related Institution

Third Department of Orthopedics， the First AffiliatedHospital of Air Medical University

Affiliated Hospital of Air Medical University

Department of Anesthesia Pharmacology，Xuzhou Medical University

Suqian First People's Hospital Affiliated to Nanjing Medical University

Department of Anesthesiology， the 900th Hospital of Joint Logistics Support Force

⁰