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双髁置换术与全膝置换术治疗内外双间室膝骨关节炎的早期疗效对比
Efficacy analysis of short-term effects of total and bicompartmental knee arthroplasties in treating internal and external bicompartmental knee osteoarthritis
投稿时间:2023-09-28  
DOI:10.3969/j.issn.1672-5972.2024.02.009
中文关键词:  内外双间室膝骨关节炎  双髁置换术  全膝关节置换术
英文关键词:Internal and external bicompartmental knee osteoarthritis  Bicompartmental knee arthroplasty  Total knee arthroplasty
基金项目:安徽省重点研究与开发计划基金(2023s07020008);安徽省自然科学基金(2008085MH247)
作者单位邮编
刘洋 蚌埠医科大学研究生院安徽 蚌埠233000
中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 
230001
李文伟 中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 230001
杨志超 中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 230001
魏明 中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 230001
赵靖 中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 230001
朱晨 中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 230001
黄威* 蚌埠医科大学研究生院安徽 蚌埠233000
中国科学技术大学附属第一医院(安徽省立医院)关节外科安徽 合肥230001 
230001
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中文摘要:
      目的 对比观察双髁置换术(bicompartmental knee arthroplasty, BKA)与全膝关节置换术(total knee arthroplasty, TKA)治疗内外双间室膝骨关节炎(knee osteoarthritis, KOA)的早期临床疗效。方法 回顾性研究2023年2月至2023年5月在中国科学技术大学附属第一医院关节外科10例行BKA和10例行TKA的内外双间室KOA患者。比较BKA组和TKA组在术中出血量、手术时间、住院时间及术后膝关节疼痛视觉模拟评分(visual analogue scale, VAS)、美国膝关节协会评分(American knee society score, KSS)及膝关节活动度(range of motion, ROM)的差异。结果 所有患者随访时间3 ~ 6个月,平均(4.2±1.2)个月。两组患者手术均顺利完成,术中均无严重并发症。BKA组的术中出血量及住院时间均低于TKA组,但手术时间高于TKA组,差异有统计学意义(P<0.05)。随访期间,两组患者均未发生手术部位感染、深静脉血栓及假体松动等。与术前相比,末次随访时两组患者膝关节ROM、VAS和KSS评分均较术前改善。此外,BKA组膝关节ROM、VAS和KSS评分均优于TKA组(P<0.05)。结论 对于内外双间室KOA的患者,TKA和BKA均是有效的手术方式,但在术后早期BKA对于膝关节疼痛减轻及功能锻炼效果更佳。
英文摘要:
      Objective To compare the short-term effects of bicompartmental knee arthroplasty (BKA) and total knee arthroplasty (TKA) in the treatment of internal and external bicompartmental knee osteoarthritis (KOA).Methods A retrospective study was conducted from February 2023 to May 2023 in patients with internal and external bicompartmental KOA at the First Affiliated Hospital of USTC. The intraoperative bleeding, operation time, hospital stay, and postoperative knee pain VAS, KSS, and ROM were compared between the two groups.Results All patients were followed up for 3 to 6 months, mean (4.2±1.2) months. Surgery was successfully completed in both groups, and there were no serious intraoperative complications. The intraoperative bleeding and hospital stay in the BKA group were better than that in the TKA group (P<0.05). However, the operation time in the TKA group was better than that in the BKA group (P<0.05). During the follow-up period, no surgical site infection, deep vein thrombosis and loosening of prosthesis occurred in both groups. Compared with the preoperative period, the knee ROM, VAS and HSS scores were improved in both groups at the last follow-up. At the last follow-up, the knee ROM, VAS and HSS scores of the BKA group were better than those of the TKA group (P<0.05).Conclusion Both TKA and BKA are viable treatment options for patients with internal and external bicompartmental osteoarthritis of knee, but early efficacy BKA is more effective in pain relief and recovery of knee function.
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