生物骨科材料与临床研究2025，Vol.22Issue(2)：24-29,6.DOI:10.3969/j.issn.1672-5972.2025.02.005
内侧入路与外侧入路行外侧膝关节单髁置换术早期疗效对比
Comparison of early effect of lateral knee unicompartmental knee arthroplasty by medial approach versus lateral approach
摘要
Abstract
Objective To compare the early clinical outcomes of lateral unicompartmental knee arthroplasty(UKA)performed via medial versus lateral surgical approaches in the treatment of lateral compartment knee osteoarthritis.Methods A retrospective analysis was conducted on 50 patients who underwent lateral UKA at the Affiliated Provincial Hospital of Anhui Medical University between January 2021 and May 2023(25 cases via the medial approach and 25 via the lateral approach).This study compared operative time,length of hospital stay,postoperative incision length,prosthesis alignment,lower limb alignment correction,and functional outcomes,including the visual analogue scale(VAS),Hospital for Special Surgery(HSS)knee score,and Knee Injury and Osteoarthritis Outcome Score(KOOS).Results All patients were followed up for six months,and all surgeries were successfully completed without severe complications.The medial approach group had a significantly shorter hospital stay(P<0.05).At three and six months postoperatively,both groups showed significant pain relief and improved knee function.Besides,the medial approach group demonstrated significantly higher HSS and KOOS scores and lower VAS scores compared to the lateral approach group(P<0.05),indicating superior pain relief and functional recovery.There were no significant differences were observed in other parameters.Conclusion The medial approach offers advantages over the lateral approach in terms of postoperative pain relief and functional recovery,making it a preferable option for lateral UKA.关键词
外侧单髁置换术/手术入路/外侧间室骨关节炎Key words
Lateral unicompartmental knee arthroplasty/Surgical approach/Lateral compartment osteoarthritis分类
临床医学引用本文复制引用
张鹏,张陶,李乾明,朱晨..内侧入路与外侧入路行外侧膝关节单髁置换术早期疗效对比[J].生物骨科材料与临床研究,2025,22(2):24-29,6.基金项目
安徽省重点研究与开发计划,临床医学研究转化专项(202304295107020020) （202304295107020020）
统筹推进世界一流大学和一流学科建设专项资金资助(YD9110002053) （YD9110002053）
大健康研究院先导医学与前沿技术研究所专项资金资助(2023IHM01070,2023IHM01074) （2023IHM01070,2023IHM01074）
