膝内侧室骨关节炎Oxford第三代混合型单髁置换的近期效果
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1.福建省泉州市正骨医院;2.福建中医药大学附属泉州正骨医院;3.厦门大学附属福州市第二医院

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Short-term Outcomes Of Mixed Phase 3 Oxford Unicompartmental Knee Arthroplasty For Medial Unicompartmental Knee Osteoarthritis
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1.Quanzhou Orthopedic-Traumatological Hospital of Fujian;2.Quanzhou orthopedic-traumatological hospital of fujian traditionnal Chinese medicine university;3.The Second Hospital of Fuzhou, Teaching Hospital of Xiamen University

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    摘要:

    目的:探讨Oxford 第三代混合型单髁置换(unicompartmental knee arthroplasty,UKA)治疗膝内侧室骨关节炎的近期疗效。方法:回顾2017年5月至2020年5月行单侧Oxford 第三代混合型UKA158例,行临床评估及影像评估。结果:所有患者手术时间(42.42±6.26)min,术中出血量(33.40±9.67)mL,住院(5.34±1.26)天。随访时间12~48月,末次随访AKSS临床评分、功能评分、OKS评分、HKA、TCVA均优于术前(P<0.05),TCPSA与术前无明显差异(P﹥0.05)。末次随访FCVA(3.04±1.86)°、FCPSA(5.11±2.29)°。随访均未出现衬垫脱位、外侧室进展。结论:Oxford 第三代混合型UKA治疗膝内侧室骨关节炎,具有手术时间短、失血量少、住院时间短、术后快速康复优点,可获得良好的功能,近期疗效满意。

    Abstract:

    Objective:To evaluate short-term outcomes of mixed phase 3 Oxford unicompartmental knee arthroplasty for medial unicompartmental knee osteoarthritis.Methods:Between May 2017 and May 2020,158 knees underwent UKR with mixed phase 3 Oxford,and the clinical outcomes and radiographs were assessed.Results:Operation time was (42.42±6.26)minutes,bleeding volume was (33.40±9.67) mL,hospital stay was (5.34±1.26) days.There were no complications such as poor wound healing,infection,deep venous thrombosis.All patients were followed up for 18 to 42 months All patients were followed up for 12 to 48 months.AKSS functional,AKSS objectiveat,OKS,HKA,TCVA significantly improved at the latest follow-up compared with those before operation,while TCPSA did not.FCVA was (3.04±1.86)°,FCPSA was (5.11±2.29)°,and no signs of bearing dislocation,progression of OA to the lateral compartment were observed at the latest follow-up.Conclusion:Mixed phase 3 Oxford UKA in medial unicompartmental knee osteoarthritis provided satisfactory short-term clinical outcome,having short operation time,little blood loss,short hospital stay,rapid postoperative recovery,helping achieve satisfactory function.

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  • 收稿日期:2021-05-24
  • 最后修改日期:2021-10-20
  • 录用日期:2021-12-10
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