| 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 |
| 投稿时间：2024-11-06 |
| DOI：10.3969/j.issn.1672-5972.2025.02.001 |
| 中文关键词: 外侧单髁置换术 手术入路 外侧间室骨关节炎 |
| 英文关键词:Lateral unicompartmental knee arthroplasty Surgical approach Lateral compartment osteoarthritis |
| 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）；统筹推进世界一流大学和一流学科建设专项资金资助（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） |
| 作者 | 单位 | 邮编 | | 张鹏* | 安徽医科大学附属省立医院关节外科,安徽 合肥,230001
中国科学技术大学附属第一医院(安徽省立医院),先导医学与前沿技术研究所,骨科,安徽 合肥,230001 | 230001 | | 张陶 | 中国科学技术大学附属第一医院(安徽省立医院),先导医学与前沿技术研究所,骨科,安徽 合肥,230001 | 230001 | | 李乾明 | 中国科学技术大学附属第一医院(安徽省立医院),先导医学与前沿技术研究所,骨科,安徽 合肥,230001 | 230001 | | 朱晨* | 安徽医科大学附属省立医院关节外科,安徽 合肥,230001
中国科学技术大学附属第一医院(安徽省立医院),先导医学与前沿技术研究所,骨科,安徽 合肥,230001 | 230001 |
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| 中文摘要: |
| 目的 比较内侧与外侧入路行外侧膝关节单髁置换术治疗膝关节外侧单间室骨关节炎中的早期临床疗效。方法 回顾性分析2021年1月至2023年5月在安徽医科大学附属省立医院接受单髁置换术的50例患者（内侧入路25例，外侧入路25例）资料。比较两组患者的手术时间、住院时间、术后切口长度、假体力线、下肢力线矫正及术后功能评分（VAS、HSS、KOOS评分）。结果 所有患者随访6个月，患者均顺利手术，无严重并发症发生。内侧入路组住院时间较外侧入路组更短（P＜0.05），术后HSS、KOOS评分更高，VAS评分更低（P＜0.05），显示疼痛缓解及功能恢复优于外侧入路组。其余指标差异无统计学意义。结论 内侧入路较外侧入路更有利于术后疼痛缓解和膝关节功能恢复，具有临床优势。 |
| 英文摘要: |
| 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. |
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