Outcome of extracorporeal shock wave therapy combined with unicompartmental knee arthroplasty in treating medial compartment knee osteoarthritis

LUO Qiang; ZHANG Hao; LI De-zhi; ZHANG Ke-ping

doi:10.11659/jjssx.09E025037

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Outcome of extracorporeal shock wave therapy combined with unicompartmental knee arthroplasty in treating medial compartment knee osteoarthritis

Orthopedics Column | 更新时间：2026-04-20

- Outcome of extracorporeal shock wave therapy combined with unicompartmental knee arthroplasty in treating medial compartment knee osteoarthritis
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 4, Pages: 285-289(2026)
- 作者机构：
  
  内江市中医医院骨外科，四川内江 641000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.09E025037
  CLC： R684.3
- Received：09 September 2025，
  
  Published：25 April 2026
- 稿件说明：
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罗强,张豪,李德志等.体外冲击波疗法联合单髁置换术治疗膝关节内侧间室骨性关节炎的效果[J].局解手术学杂志,2026,35(04):285-289.

LUO Qiang,ZHANG Hao,LI De-zhi,et al.Outcome of extracorporeal shock wave therapy combined with unicompartmental knee arthroplasty in treating medial compartment knee osteoarthritis[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):285-289.
罗强,张豪,李德志等.体外冲击波疗法联合单髁置换术治疗膝关节内侧间室骨性关节炎的效果[J].局解手术学杂志,2026,35(04):285-289. DOI： 10.11659/jjssx.09E025037.

LUO Qiang,ZHANG Hao,LI De-zhi,et al.Outcome of extracorporeal shock wave therapy combined with unicompartmental knee arthroplasty in treating medial compartment knee osteoarthritis[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(04):285-289. DOI： 10.11659/jjssx.09E025037.

摘要

目的

观察体外冲击波疗法（ESWT）联合单髁置换术（UKA）治疗膝关节内侧间室骨性关节炎患者的效果。

方法

收集2022年5月至2024年5月于本院就诊的68例膝关节内侧间室骨性关节炎患者资料，根据治疗方法不同分为对照组（接受UKA治疗）和观察组（接受UKA联合ESWT治疗），每组34例。比较2组患者美国膝关节协会评分（KSS）、膝关节活动度（ROM）、血清炎症及疼痛因子水平[白细胞介素（IL）-1β、IL-6、肿瘤坏死因子-α（TNF-α）以及前列腺素E2（PGE2）]、WHO生活质量测定量表简表（WHOQOL-BREF）评分。记录2组患者术后3个月内并发症发生情况。

结果

2组患者术后KSS评分逐渐升高，膝关节ROM逐渐增大，差异均有统计学意义（

0.05）；术后1个月、3个月，观察组患者膝关节评分、功能评分高于对照组，膝关节ROM大于对照组，差异均有统计学意义（

0.05）。2组患者术后血清炎症及疼痛因子水平逐渐降低（

0.05）；术后1个月、3个月，观察组患者IL-1β、IL-6、TNF-α、PGE2水平均显著低于对照组（

0.05）。2组患者术后3个月WHOQOL-BREF各维度评分均高于术前（

0.05），且观察组患者术后3个月WHOQOL-BREF各维度评分显著高于对照组（

0.05）。观察组患者术后3个月并发症发生率显著低于对照组（

0.05）。

结论

UKA联合ESWT能够显著促进膝关节内侧间室骨性关节炎患者的膝关节功能恢复，减轻疼痛，降低血清炎症因子水平，减少术后并发症发生，从而显著提升生活质量。

Abstract

Objective

To assess the outcome of extracorporeal shock wave therapy （ESWT） combined with unicompartmental knee arthroplasty （UKA） in the treatment of patients with medial compartment knee osteoarthritis.

Methods

The clinical data of 68 patients with medial compartment knee osteoarthritis who were treated at our hospital from May 2022 to May 2024 were collected.The patients were divided into the control group （received UKA alone） and the observation group （received UKA combined with ESWT） according to the different treatments， with 34 cases in each group. The two groups were compared in terms of the American Knee Society Score （KSS）， knee range of motion （ROM）， serum levels of inflammatory and pain-related factors ［interleukin （IL）-1β， IL-6， tumor necrosis factor-alpha （TNF-α）， and prostaglandin E2 （PGE2）］，and the World Health Organization Quality of Life-Brief Version （WHOQOL-BREF） scores.The occurrence of complications within 3 months after surgery was recorded in both groups.

Results

The postoperative KSS scores and knee ROM in both groups gradually increased over time， with statistically significant differences （

0.05）. At 1 month and 3 months after surgery， the knee scores and function scores in the observation group were higher than those in the control group， and the knee ROM was greater than that in the control group， with statistically significant differences （

0.05）. The levels of serum inflammatory and pain-related factors in both groups gradually decreased after surgery （

0.05）. At 1 month and 3 months after surgery， the levels of IL-1β， IL-6， TNF-α， and PGE2 in the observation group were significantly lower than those in the control group （

0.05）. At 3 months after surgery， all domain scores of the WHOQOL-BREF in both groups were significantly higher than those before surgery （

0.05）， and all domain scores of the WHOQOL-BREF in the observation group were significantly higher than those in the control group （

0.05）. The incidence of complications 3 months after surgery in the observation group was significantly lower than that in the control group （

0.05）.

Conclusion

The combination of UKA and ESWT can significantly promote the recovery of knee function in patients with medial compartment knee osteoarthritis， alleviate pain，reduce levels of serum inflammatory factors，and decrease the incidence of postoperative complications，thereby significantly improving quality of life.

关键词

Keywords

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