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膝关节单髁置换术治疗轻度内翻畸形的内侧间室膝骨关节炎

曾卓辉 廖瑛扬 杜宇康 曾权 钟欢 周春奎 谢秋婵

临床骨科杂志2025,Vol.28Issue(2):202-205,4.
临床骨科杂志2025,Vol.28Issue(2):202-205,4.DOI:10.3969/j.issn.1008-0287.2025.02.016

膝关节单髁置换术治疗轻度内翻畸形的内侧间室膝骨关节炎

Unicondylar knee arthroplasty for treatment of the medial compartment knee osteoarthritis with mild varus deformity

曾卓辉 1廖瑛扬 1杜宇康 1曾权 1钟欢 1周春奎 1谢秋婵1

作者信息

  • 1. 中山大学附属第三医院粤东医院骨外科,广东梅州 514000
  • 折叠

摘要

Abstract

Objective To investigate the efficacy of unicondylar knee arthroplasty(UKA)in the treatment of medial compartment knee osteoarthritis(KOA)with mild varus deformity.Methods The 19 patients who suffered from me-dial compartment KOA(21 knees)with mild varus deformity were treated with UKA.Time to start standing after sur-gery,hospital stay time,incidence of complications,varus angle,pain VAS,knee flexion range of motion,and HSS knee joint function score were recorded.Results All patients were followed up for 3~38(18.57±12.76)months.The time to start standing after surgery was 1~3(1.91±0.70)d,and the hospitalization time was 6~15(12.05±3.19)d.There were no serious complications such as knee joint infection,joint prosthesis loosening,or displacement of the activity platform pad after surgery.One patient experienced knee joint pain with limited flexion and extension due to hyperactivity at 1 month after surgery,after symptomatic treatment,the pain was relieved and the knee joint activity was good.At the last follow-up,the varus angle,pain VAS,knee flexion range of motion,and HSS score were all better than before surgery(P<0.05).Conclusions UKA treatment for medial compartment KOA with mild varus deformity can not only preserve normal knee joint movement and proprioception after surgery,but also effectively reduce pain and improve knee joint function.

关键词

膝骨关节炎/内翻畸形/膝关节单髁置换术

Key words

knee osteoarthritis/varus deformity/unicondylar knee arthroplasty

分类

医药卫生

引用本文复制引用

曾卓辉,廖瑛扬,杜宇康,曾权,钟欢,周春奎,谢秋婵..膝关节单髁置换术治疗轻度内翻畸形的内侧间室膝骨关节炎[J].临床骨科杂志,2025,28(2):202-205,4.

基金项目

广东省梅州市科技局科技计划项目(编号:2019B075) (编号:2019B075)

临床骨科杂志

1008-0287

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