[1]付永权,戴科晶,吴西智,等.超形合度衬垫型假体与后方稳定型假体在全膝关节置换术中的疗效比较[J].医学信息,2024,37(07):110-114.[doi:10.3969/j.issn.1006-1959.2024.07.021]
　FU Yong-quan,DAI Ke-jing,WU Xi-zhi,et al.Comparison of the Efficacy of Ultra-congruent Prosthesis and Posterior-stabilized Prosthesis in Total Knee Arthroplasty[J].Journal of Medical Information,2024,37(07):110-114.[doi:10.3969/j.issn.1006-1959.2024.07.021]
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超形合度衬垫型假体与后方稳定型假体在全膝关节置换术中的疗效比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年07期
页码:
110-114
栏目:
论著
出版日期:
2024-04-01

文章信息/Info

Title:
Comparison of the Efficacy of Ultra-congruent Prosthesis and Posterior-stabilized Prosthesis in Total Knee Arthroplasty
文章编号:
1006-1959（2024）07-0110-05
作者:
付永权; 戴科晶; 吴西智; 等
（1.贵州中医药大学，贵州 贵阳 550002；2.贵阳市第四人民医院骨一科，贵州 贵阳 550007）
Author(s):
FU Yong-quan; DAI Ke-jing; WU Xi-zhi; et al.
(1.Guizhou University of Traditional Chinese Medicine,Guiyang 550002,Guizhou,China;2.The First Department of Orthopaedics,the Fourth People’s Hospital of Guiyang City,Guiyang 550007,Guizhou,China)
关键词:
终末期膝骨性关节炎; 初次膝关节置换术; UC假体; PS假体
Keywords:
End-stage knee osteoarthritis; Total knee arthroplasty; UC prosthesis; PS prosthesis
分类号:
R687.4
DOI:
10.3969/j.issn.1006-1959.2024.07.021
文献标志码:
A
摘要:
目的 比较超形合度衬垫型假体（UC）与后方稳定型假体（PS）在行初次膝关节置换术（TKA）治疗终末期膝骨性关节炎患者中的短期临床疗效。方法 回顾2020年1月-2022年1月贵阳市第四人民医院收治的初次行TKA治疗的58例终末期膝骨性关节炎患者临床资料，以使用膝关节假体不同进行分组，其中UC组29例，PS组29例。比较两组手术时间、术中出血量、术后血红蛋白（Hb）下降量、疼痛视觉模拟评分（VAS）、美国纽约特种外科医院膝关节评分（HSS）、膝关节活动度（ROM）及术后并发症发生情况。结果 UC组手术时间短于PS组，Hb下降量低于PS组（P＜0.05）；而两组术中出血量比较，差异无统计学意义（P＞0.05）；两组术后3、6、12个月HSS评分、膝关节ROM高于术前（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）；两组术后3、6、12个月VAS评分低于术前（P＜0.05），但组间比较，差异无统计学意义（P＞0.05）。两组患者术后均未发生假体松动、关节感染、关节不稳及脱位等情况，PS组在随访期间出现8例膝前疼痛，UC组出现1例膝前疼痛，组间比较，差异有统计学意义（P＜0.05）。结论 UC假体与PS假体在TKA手术中的短期疗效相近，但UC假体不需要髁间截骨制作髁间盒，可保留更多的骨量，且损伤小、Hb下降量少、手术时间短，同时较少发生膝前疼痛等并发症，值得临床使用。
Abstract:
Objective To compare the short-term clinical efficacy of ultra-congruent (UC) prosthesis and posterior-stabilized (PS) prosthesis in patients with end-stage knee osteoarthritis undergoing primary knee arthroplasty (TKA).Methods The clinical data of 58 patients with end-stage knee osteoarthritis who underwent TKA for the first time in the Fourth People’s Hospital of Guiyang City from January 2020 to January 2022 were retrospectively analyzed. The patients were divided into UC group (n=29) and PS group (n=29) according to the use of knee prosthesis. The operation time, intraoperative blood loss, postoperative hemoglobin (Hb) decrease, visual analogue scale (VAS), hospital for special surgery knee score (HSS), range of motion (ROM) and postoperative complications were compared between the two groups.Results The operation time of UC group was shorter than that of PS group, and the decrease of Hb was lower than that of PS group (P<0.05), while there was no significant difference in intraoperative blood loss between the two groups (P>0.05). The HSS score and knee joint ROM of the two groups at 3, 6 and 12 months after operation were higher than those before operation (P<0.05), while there was no significant difference between the two groups (P>0.05). The VAS scores of the two groups at 3, 6 and 12 months after operation were lower than those before operation (P<0.05), while there was no significant difference between the two groups (P>0.05). There were no prosthesis loosening, joint infection, joint instability and dislocation in the two groups. There were 8 cases of anterior knee pain in the PS group and 1 case of anterior knee pain in the UC group during the follow-up period, the difference between the two groups was statistically significant (P<0.05).Conclusion The short-term efficacy of UC prosthesis and PS prosthesis in TKA surgery is similar, but UC prosthesis does not require intercondylar osteotomy to make intercondylar box, can retain more bone mass, and has less damage, less Hb decrease, shorter operation time, and less complications such as anterior knee pain, which is worthy of clinical use.

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更新日期/Last Update: 1900-01-01