膝关节单间室骨性关节炎的单髁置换术与全膝关节置换术临床疗效比较

Comparison of Clinical Curative Effect of Unicompartmental Knee Arthroplasty and Total Knee Arthroplasty in Treatment of Knee Osteoarthritis

摘要: 目的：对比单髁置换术(UKA)与全膝置换术(TKA)治疗膝关节单间室骨性关节炎的临床疗效。方法 选取2016年7月~2017年7月我院膝关节骨关节炎患者，其中UKA组40例，TKA组40例，对其进行回顾性分析，对比两组的手术时间、切口大小、术中出血量、术后引流量、术后住院时间、术后第7 d和30 d关节活动度(ROM)及术后第7 d和30 d膝关节 HSS评分。结果：UKA组手术时间较短、切口较小、术中及术后出血量较少、术后出院时间较短、术后关节ROM较大、HSS评分较高，均优于TKA组，差别具有统计学意义(p < 0.05)。结论：UKA手术方式治疗膝关节单间室骨性关节炎具有手术创伤小、术后恢复快、术后康复好等效果，明显优于TKA手术方式，具有良好的临床应用前景。

Abstract: Objective: To compare the clinical efficacy of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) in the treatment of unicompartment knee osteoarthritis. Methods: July, 2016-July, 2017, 40 cases of UKA treatment patients and 40 cases of TKA treatment patients with osteoarthritis were retrospectively analyzed. The operation time, incision size, intraoperative blood loss, postoperative drainage blood, postoperative hospital stay, postoperative 7 d and 30 d joint mobility (ROM) and postoperative 7 d and 30 d knee HSS scores were utilized for analysis in our research. Results: Compared with the TKA groups, there are shorter operative time, less incision, less intraoperative and postoperative bleeding, shorter postoperative discharge time, greater postoperative ROM and HSS score higher in the UKA groups, which were superior to TKA groups, and the difference was statistically significant (p < 0.05). Conclusions: UKA operation has the ad-vantages of small surgical trauma, rapid postoperative recovery and good postoperative rehabili-tation in the treatment of unicompartment knee osteoarthritis, which is superior to TKA operation and has a good clinical prospect.