单髁置换术与胫骨近端截骨术治疗前内侧膝骨性关节炎疗效分析

摘要

Objective To investigate the effect of unicompartmental kenn arthroplasty and proximal tibial osteotomy for the treatment of anterior medial knee osteoarthritis .Methods 124 patients with anterior medial knee osteoarthritis w ere randomly divided into U KA g roup and H T O group , 62 cases in each g roup .T he patient＇s ROM and FT A w ere measured before and after treatment ,and the recovery of knee function w as evaluated by Lysholm score and T egner score .T he knee joint sw elling deg ree w as compared between the tw o groups ,and the degree of pain was evaluated by the pain visual analog scale .Results Af‐ter treatment ,the RO M and FT A of the tw o groups w ere significantly less than those before treatment ( P＜0 .01) ,the Lysholm scores w ere significantly increased ( P＜0 .01) ,and the T egner scores w ere sig‐nificantly decreased ( P＜0.01).After treatment ,the knee joint sw elling degree w as significantly reduced ( P＜0 .01) ,and the pain visual analog scale score w as significantly decreased ( P＜0 .01 ).T here w as no significant difference between the tw o groups ( P＞0 .05).Conclusion unicompartmental kenn arthroplas‐ty and proximal tibial osteotomy are effective in the treatment of anterior medial knee osteoarthritis .T he surgical plan should be selected in accordance w ith the actual situation of the patient .%目的 探讨单髁置换术与胫骨近端截骨术治疗前内侧膝骨性关节炎的临床效果.方法将124例前内侧膝骨性关节炎患者按照随机数字表法分为单髁置换术组和胫骨近端截骨术组,各62例.治疗前后测定患者膝关节活动度及胫股角,应用Lysholm 评分和 Tegner评分评定患者膝关节功能恢复情况,比较两组患者膝关节肿胀度,采用疼痛视觉模拟评分法评定患者的疼痛程度.结果 治疗后两组膝关节活动度及胫股角均显著小于治疗前(P＜0 .01) ,Lysholm评分均显著升高(P＜0 .01) ,Tegner评分均显著降低(P＜0 .01) ,治疗后两组膝关节肿胀度显著减小(P＜0 .01) ,疼痛视觉模拟评分法评分显著降低(P＜0 .01) ,两组间比较差异均无统计学意义(P＞0 .05) .结论 单髁置换术与胫骨近端截骨术均可有效治疗前内侧膝骨性关节炎,应结合患者实际情况选择手术方案.