生物骨科材料与临床研究2024，Vol.21Issue(2)：38-42,5.DOI:10.3969/j.issn.1672-5972.2024.02.008
镜下前交叉韧带重建联合固定平台单髁置换术的早中期临床疗效观察
Short-term clinical efficacy of anterior cruciate ligament reconstruction combined with unicompartmental knee arthroplasty
摘要
Abstract
Objective To investigate the early clinical outcomes of unicompartmental knee arthroplasty(UKA)combined with anterior cruciate ligament reconstruction surgery(ACLR)in patients with unicompartmental knee osteoarthritis(UKOA)combined with ACL-deficient(ACLD)knee.Methods Twelve patients with UKOA combined with ACLD treated with concurrent UKA combined with ACLR from January 2018 to June 2022 were selected at Guilin Hospital of Traditional Chinese Medicine,Guangxi University of Traditional Chinese Medicine for retrospective study.The VAS,IKDC,and Lysholm scores were assessed preoperatively and at the final follow-up,and the incidence of complications and revision was followed up.Results All patients were followed up for 6-55 months,with a mean follow-up of(24.58±10.48)months.The average hospitalization time of all patients was(13.67±6.20)d,the average bleeding volume was(43.33±39.44)mL,and the average incision length was(9.25±0.43)cm.The VAS at the last follow-up was significantly lower than the preoperative(P<0.05);the mean Lysholm score was(67.17±22.96)points,the mean IKDC score was(59.87±8.77)points,which were significantly higher than the preoperative mean(51.33±14.99)and(48.95±13.68)points,respectively(P<0.05).Conclusion Early clinical data showed that the clinical efficacy of simultaneous ACLR combined with UKA for knee osteoarthritic unicompartmental lesion(UKOA)surgery is remarkable,which can effectively improve the patients'knee instability and medial compartmental pain,improve the patients'proprioception,and the patients'complication rate is low,which is worth to be promoted in the clinical application,but the indications for the surgery should be strictly grasped.关键词
单髁置换手术/前交叉韧带重建术/单间室膝骨关节炎/关节镜Key words
Unicompartmental knee arthroplasty/Anterior cruciate ligament reconstruction/Unicompartmental knee osteoarthritis/Arthroscopy分类
医药卫生引用本文复制引用
曾伟清,肖子鹏,唐刚健,柴晟,钟健,陈炜坚,吕青,车小乔..镜下前交叉韧带重建联合固定平台单髁置换术的早中期临床疗效观察[J].生物骨科材料与临床研究,2024,21(2):38-42,5.基金项目
广西中医药大学校级基金项目(2022MS067) （2022MS067）
广西中医药管理局基金项目(GXZYZ20210130) （GXZYZ20210130）
桂林市人才小高地项目:桂林市医养结合一体化建设 （）
