广西医学2025，Vol.47Issue(8)：1123-1128,6.DOI:10.11675/j.issn.0253-4304.2025.08.08
单髁关节置换术与全膝关节置换术治疗塌陷期膝关节自发性骨坏死患者的临床效果
Clinical effect of unicompartmental knee arthroplasty versus total knee arthroplasty for the treatment of patients with spontaneous osteonecrosis of the knee in collapse stage
摘要
Abstract
Objective To investigate the clinical effect of unicompartmental knee arthroplasty(UKA)versus total knee arthroplasty(TKA)for the treatment of spontaneous osteonecrosis of the knee(SONK)in collapse stage.Methods A total of 80 SONK patients in collapse stage were selected as the research subjects,and they were randomly divided into UKA group(receiving UKA treatment)or TKA group(receiving TKA treatment)by the random number table method,with 40 cases in each group.Indices related to surgery and postoperative complications of both groups were recorded.Before surgery,at discharge,and 1,3,and 6 months after surgery,pain degree of patients was evaluated by using Visual Analogue Scale(VAS);moreover,knee joint score of Hospital for Special Surgery(HSS),Oxford Knee Score(OKS),and American Knee Society(AKS)score were adopted to evaluate functions of knee joint in patients;in addition,the 12-Item Short Form Health Survey(SF-12)was employed to evaluate quality of life in patients,and flexion and straight raising range of motion of knee joint in patients were measured.Results The operation duration,incision length,perioperative bleeding volume,first time to out-of-bed activity,straight leg raising activity time,knee flexion 90° activity time,and postoperative length of hospital stay in the UKA group were shorter/less than those in the TKA group(P<0.05).At discharge,and 1,3,and 6 months after operation,the VAS score of the two groups was lower than that before operation,and HSS knee joint score,OKS,AKS score,SF-12 score were higher than those before operation(P<0.05),but there was no statistically significant difference between the two groups(P>0.05).At discharge,and 1,3,and 6 months after operation,the flexion and straight raising range of motion of knee joint in the two groups were increased as compared with before operation,and those in the UKA group were greater than those in the TKA group(P<0.05).There was no statistically significant difference in the incidence rate of postoperative complications between the two groups(P>0.05).Conclusion UKA and TKA have similar effects in pain relief and knee function recovery,but UKA can obtain a larger knee range of motion and faster postoperative recovery than TKA among SONK patients in collapse stage.关键词
膝关节自发性骨坏死/单髁关节置换术/全膝关节置换术/疼痛程度/膝关节功能/活动度/生活质量Key words
Spontaneous osteonecrosis of the knee/Unicompartmental knee arthroplasty/Total knee arthroplasty/Pain degree/Knee joint function/Range of motion/Quality of life分类
医药卫生引用本文复制引用
刘俊,余旭旭,邹武,臧学慧..单髁关节置换术与全膝关节置换术治疗塌陷期膝关节自发性骨坏死患者的临床效果[J].广西医学,2025,47(8):1123-1128,6.基金项目
广东省医学科研基金指令性课题(C2020086) （C2020086）
佛山市自筹经费类科技创新项目(2320001006404) （2320001006404）
