单髁置换术联合关节镜治疗内侧间室骨关节炎合并外侧半月板损伤
发布时间：2019-06-11 20:40
【摘要】：背景:在临床工作中,我们遇到了一些通过术前MRI或术中关节镜检查发现的膝关节内侧间室骨关节炎同时伴有外侧半月板撕裂的病例。这些病例是否适合采用单髁置换术(unicompartmental knee arthroplasty,UKA)进行治疗,外侧半月板是否需要同时处理,处理后是否会影响单髁置换术的临床效果?目的目的:观察UKA结合关节镜下外侧半月板成形术治疗膝关节内侧间室骨关节炎伴有外侧半月板损伤的短期疗效。方法方法:2014年1月至2016年1月516例接受UKA患者中,12例(12膝)被证实(其中7例通过术前MRI、5例通过术中关节镜)为内侧间室骨关节炎伴有膝关节外侧半月板损伤,采用常规关节镜探查及外侧半月板成形术联合UKA治疗。回顾性分析这12例患者术前体征、影像学资料、手术情况,采用美国膝关节协会评分(KSS评分)对术前、术后膝关节功能进行评估。结果结果:关节镜检查清理时间平均为12.2 min(10~15 min)。所有患者均获得了完整的随访,平均随访时间为12个月(6~18个月),无感染、脂肪栓塞或下肢深静脉血栓形成,无假体磨损,松动,脱位和进展性骨关节炎等并发症发生。末次随访患者膝关节疼痛消失或明显减轻,外侧间室半月板损伤症状完全消失。术后KSS膝评分为(93±5)分,与术前(53±8)分比较有统计学差异(t=21.78,P0.05);术后KSS功能评分为(94±6)分,与术前(55±8)分比较有统计学差异(t=24.11,P0.05)。结论结论:对于术前已经明确诊断为内侧间室OA同时伴有外侧半月板损伤的病例,关节镜下外侧半月板成形联合UKA术不会增加手术并发症及手术风险,短期临床疗效良好。
[Abstract]:Background: in clinical work, we have encountered some cases of medial interventricular osteoarthritis of knee joint with lateral meniscus tear found by preoperative MRI or intraoperative arthroscopy. Are these cases suitable for single condyle replacement (unicompartmental knee arthroplasty,UKA), whether the lateral meniscus needs to be treated at the same time, and whether the clinical effect of unilateral condylar replacement will be affected after treatment? Objective: to observe the short-term effect of UKA combined with lateral meniscus arthroplasty in the treatment of medial interventricular osteoarthritis of knee joint with lateral meniscus injury. Methods: from January 2014 to January 2016, 12 cases (12 knees) of 516 patients with UKA were confirmed to be medial interventricular osteoarthritis with lateral meniscus injury through intraoperative arthroscopy (7 cases through intraoperative arthroscopy). Routine arthroscopic exploration and lateral meniscus angioplasty combined with UKA were used to treat the medial interventricular osteoarthritis with lateral meniscus injury. The preoperative signs, imaging data and surgical conditions of these 12 patients were analyzed retrospectively. the knee joint function before and after operation was evaluated by American knee joint association score (KSS score). Results: the average cleaning time of arthroscopy was 12.2min (10 鈮，
本文编号：2497441
[Abstract]:Background: in clinical work, we have encountered some cases of medial interventricular osteoarthritis of knee joint with lateral meniscus tear found by preoperative MRI or intraoperative arthroscopy. Are these cases suitable for single condyle replacement (unicompartmental knee arthroplasty,UKA), whether the lateral meniscus needs to be treated at the same time, and whether the clinical effect of unilateral condylar replacement will be affected after treatment? Objective: to observe the short-term effect of UKA combined with lateral meniscus arthroplasty in the treatment of medial interventricular osteoarthritis of knee joint with lateral meniscus injury. Methods: from January 2014 to January 2016, 12 cases (12 knees) of 516 patients with UKA were confirmed to be medial interventricular osteoarthritis with lateral meniscus injury through intraoperative arthroscopy (7 cases through intraoperative arthroscopy). Routine arthroscopic exploration and lateral meniscus angioplasty combined with UKA were used to treat the medial interventricular osteoarthritis with lateral meniscus injury. The preoperative signs, imaging data and surgical conditions of these 12 patients were analyzed retrospectively. the knee joint function before and after operation was evaluated by American knee joint association score (KSS score). Results: the average cleaning time of arthroscopy was 12.2min (10 鈮，
本文编号：2497441
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