局解手术学杂志2019，Vol.28Issue(1)：16-20,5.DOI:10.11659/jjssx.09E18046
UKA和TKA治疗老年内侧间室骨性关节炎早期疗效观察
Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis
摘要
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.ResultsThe 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).ConclusionBoth 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Key words
unicompartmental knee arthroplasty/total knee arthroplasty/elderly/medial compartmental knee osteoarthritis/early clinical efficacy/surgery分类
医药卫生引用本文复制引用
鲁嘉良,魏莎,牟天龙,何健飞,王建云,李俊岐,王强茂..UKA和TKA治疗老年内侧间室骨性关节炎早期疗效观察[J].局解手术学杂志,2019,28(1):16-20,5.基金项目
北京中医药大学青年教师项目(2018-JYB-JS106) （2018-JYB-JS106）
