关节镜下清理结合单髁置换术治疗严重膝内侧间室骨性关节炎疗效研究.docVIP

关节镜下清理结合单髁置换术治疗严重膝内侧间室骨性关节炎疗效研究 　　[摘要] 目的 研究关节镜下关节清理术结合单髁置换术（UKA）治疗严重膝关节内侧间室骨性关节炎的临床疗效。方法 回顾性分析2011年1月～2014年12月行手术治疗的25例单侧以膝关节内侧间室病损为主的骨性关节炎患者。术前进行体格检查、MR检查及X线片评估；术中采用关节镜进行检查和清理，后行膝关节内侧间室单髁置换术；术后进行膝关节功能评估。 结果 所有患者均获平均15个月随访，影像学检查显示假体位置良好，无松动，无感染。术后膝关节疼痛缓解明显，疼痛评分平均（14.40±3.91）分，术后关节活动度及膝关节功能较术前改善。术后3个月HSS总评分平均（83.28±8.55）分，与术前比?^差异有统计学意义（P0.01）。 结论 关节镜下可有效评估膝关节退变情况，提高了单髁置换术的疗效，是治疗严重膝关节单间室骨性关节炎的有效方法。 　　[关键词] 关节成形；置换；膝；骨关节炎；关节镜 　　[中图分类号] R687.4 [文献标识码] B [文章编号] 1673-9701（2016）35-0055-04 　　Study on the curative effect of arthroscopic debridement combined with unicondylar arthroplasty in the treatment of severe knee medial compartment osteoarthritis 　　CHU Yupeng CHEN Xuewu WU Zhuqi HU Ting JIANG Chendi SHI Junwu 　　Department of Orthopedics， Wenzhou Central Hospital in Zhejiang Province， Wenzhou 325000， China 　　[Abstract] Objective To study the clinical efficacy of arthroscopic joint debridement combined with unicondylar arthroplasty（UKA） in the treatment of severe knee medial compartment osteoarthritis. Methods A total of 25 patients with osteoarthritis mainly due to knee medial compartment lesions who were given the surgery from January 2011 to December 2014 were retrospectively studied. The physical examination， MR examination and X-ray evaluation were carried out before the surgery； arthroscopy was used to do examination and debridement during the surgery， followed by UKA for knee medial compartment osteoarthritis； postoperative knee joint function assessment was carried out. Results All patients were followed up for an average of 15 months. Imaging examination showed good prosthesis position without loosening or infection. Postoperative knee pain relief was significant， the average pain score was（14.40±3.91）， and flexion and knee joint function were improved compared with those before surgery. The HSS total score was（83.28±8.55） at three months after the operation， which was statistically significant compared with that before the surgery（P0.01）. Conclusion Ar