生物骨科材料与临床研究2025，Vol.22Issue(2)：13-17,5.DOI:10.3969/j.issn.1672-5972.2025.02.003
膝关节单髁置换术治疗膝前内侧骨关节炎伴无症状的外侧半月板损伤的短期临床疗效
Short-term clinical effect of unicompartmental knee arthroplasty for anteromedial knee osteoarthritis with asymptomatic lateral meniscus injury
毛信超 1黄礼俊 1林德鑫 1庄奇 1孙维谦 1王静 1余华晨1
作者信息
- 1. 温州医科大学附属第二医院(育英儿童医院)关节与骨病外科,浙江 温州,325000
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摘要
Abstract
Objective To compare the clinical efficacy of unicompartmental knee arthroplasty(UKA)in the treatment of anteromedial knee osteoarthritis with asymptomatic lateral meniscus injury and anterior medial anteromedial knee osteoarthritis without lateral meniscus injury,and evaluate the effect of preoperative magnetic resonance imaging(MRI)findings of lateral knee meniscus injury on the function of patients with anterior medial anteromedial knee osteoarthritis after UKA.Methods A retrospective study was conducted from January 2022 to December 2022 on 30 patients who underwent(UKA)at the Second Affiliated Hospital of Wenzhou Medical University.Among them,15 patients(15 knees)suffered from anterior medial anteromedial knee osteoarthritis with asymptomatic lateral meniscus injury(LP group)and 15 patients(15 knees)suffered from anterior medial anteromedial knee osteoarthritis without asymptomatic lateral meniscus injury(LN group).The incidence of complications during follow-up was observed,and the preoperative clinical signs,imaging data and operation conditions were compared between the two groups.We used the Hospital for Special Surgery Knee Score(HSS score)to evaluate knee function before and after surgery.The knee range of motion(ROM)and lateral knee pain were recorded at the last follow-up.Results All patients were followed up for 12-16 months,with an average of(13.9±1.8)months,and no significant complications occurred during the follow-up.The mean operation time was(61.2±8.7)min,and Oxford Ⅲ prostheses were used in all patients.There were no significant differences in knee HSS score,ROM and lateral knee pain between the two groups(P>0.05).Conclusion For patients with anteromedial knee osteoarthritis with asymptomatic lateral meniscus injury before surgery,the implementation of UKA will not aggravate the symptoms related to lateral meniscus injury,and the short-term of UKA clinical effect is good.关键词
膝关节炎/半月板损伤/膝关节单髁表面置换术/磁共振Key words
Knee osteoarthritis/Meniscus injury/Unicompartmental knee arthroplasty/MRI分类
临床医学引用本文复制引用
毛信超,黄礼俊,林德鑫,庄奇,孙维谦,王静,余华晨..膝关节单髁置换术治疗膝前内侧骨关节炎伴无症状的外侧半月板损伤的短期临床疗效[J].生物骨科材料与临床研究,2025,22(2):13-17,5.
