| 镜下前交叉韧带重建联合固定平台单髁置换术的早中期临床疗效观察 |
| Short-term clinical efficacy of anterior cruciate ligament reconstruction combined with unicompartmental knee arthroplasty |
| 投稿时间：2023-08-21 |
| DOI：10.3969/j.issn.1672-5972.2024.02.008 |
| 中文关键词: 单髁置换手术 前交叉韧带重建术 单间室膝骨关节炎 关节镜 |
| 英文关键词:Unicompartmental knee arthroplasty Anterior cruciate ligament reconstruction Unicompartmental knee osteoarthritis Arthroscopy |
| 基金项目:广西中医药大学校级基金项目（2022MS067）；广西中医药管理局基金项目（GXZYZ20210130）；桂林市人才小高地项目：桂林市医养结合一体化建设 |
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| 中文摘要: |
| 目的 探讨单髁置换手术（unicompartmental knee arthroplasty, UKA）联合前交叉韧带重建手术（anterior cruciate ligament reconstruction, ACLR）对单间室膝骨关节炎（unicompartmental knee osteoarthritis, UKOA）合并前交叉韧带缺失（anterior cruciate ligament deficient, ACLD）患者的早期临床疗效结果。方法 选取2018年1月至2022年6月广西中医药大学附属桂林市中医医院采用同期UKA联合ACLR治疗的UKOA合并ACLD的12例患者进行回顾性研究。评估术前和末次随访的VAS、IKDC、Lysholm评分，并随访观察并发症及翻修的发生情况。结果 所有患者随访6 ～ 55个月，平均随访（24.58±10.48）个月。所有患者的平均住院时间为（13.67±6.20）d，平均出血量为（43.33±39.44）mL，平均切口长度为（9.25±0.43）cm。末次随访时的VAS评分较术前明显降低（P＜0.05）；Lysholm评分平均为（67.17±22.96）分、IKDC评分平均为（59.87±8.77）分，分别较术前平均（51.33±14.99）分、（48.95±13.68）分明显提高（P＜0.05）。结论 早中期的临床数据显示，同时进行ACLR联合UKA对UKOA合并ACLD手术治疗的临床疗效显著，可有效改善患者的膝关节不稳定和内侧间室疼痛，提高患者本体感觉，患者并发症发生率较低，值得临床推广应用，但应严格把握手术的适应证。 |
| 英文摘要: |
| Objective To investigate the early clinical outcomes of unicompartmental knee arthroplasty (UKA) combined with anterior cruciate ligament reconstruction surgery (ACLR) in patients with unicompartmental knee osteoarthritis (UKOA) combined with ACL-deficient (ACLD) knee.Methods Twelve patients with UKOA combined with ACLD treated with concurrent UKA combined with ACLR from January 2018 to June 2022 were selected at Guilin Hospital of Traditional Chinese Medicine, Guangxi University of Traditional Chinese Medicine for retrospective study. The VAS, IKDC, and Lysholm scores were assessed preoperatively and at the final follow-up, and the incidence of complications and revision was followed up.Results All patients were followed up for 6-55 months, with a mean follow-up of (24.58±10.48) months. The average hospitalization time of all patients was (13.67±6.20) d, the average bleeding volume was (43.33±39.44) mL, and the average incision length was (9.25±0.43) cm. The VAS at the last follow-up was significantly lower than the preoperative (P<0.05); the mean Lysholm score was (67.17±22.96) points, the mean IKDC score was (59.87±8.77) points, which were significantly higher than the preoperative mean (51.33±14.99) and (48.95±13.68) points, respectively (P<0.05).Conclusion Early clinical data showed that the clinical efficacy of simultaneous ACLR combined with UKA for knee osteoarthritic unicompartmental lesion (UKOA) surgery is remarkable, which can effectively improve the patients' knee instability and medial compartmental pain, improve the patients' proprioception, and the patients' complication rate is low, which is worth to be promoted in the clinical application, but the indications for the surgery should be strictly grasped. |
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