同期与分期人工单髁关节置换治疗双膝前内侧骨关节炎的早期疗效对比研究

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Abstract Objective To investigate the early clinical efficacy of simultaneous and staged unicommental knee arthroplasty(UKA) for anterior medial knee osteoarthritis. Methods The clinical data of 52 patients with bilateral anteromedial compartment osteoarthritis who underwent bilateral UKAs between March 2017 and March 2020 was retrospectively analyzed.Of them，24 patients were treated with simultaneous bilateral UKAs (simultaneous group A) and 28 patients with staged bilateral UKAs (staged group B).All surgeries were performed by the same surgeons.General data such as gender，age，body mass index，osteoarthritis grading，American Hospital for Special Surgery Knee Score (HSS)，visual analogue scale (VAS) an drange of motion (ROM) of knee were collected for comparison between the two groups，and the differences before operation were not statistically significant (P＞0.05).Operationtime，length of hospital stay，maximum haemoglobin decline within 1 week after surgery，and postoperative drainage volumewere recorded.The staged group was compared with the sum of the two operations.The effectiveness wasevaluated by HSS score，VAS score and ROM of knee at3 months after surgery.Results All patients were followed up for 12 to 24 months，with an average of (18.6±5.8)months.Postoperative intermuscular vein thrombosis of distal lower extremityoccurred in group A and superficial incision infection in group B were found in 1 case.All patients were discharged from hospital and recovered afterregulartreatment.No knee dislocation，prosthesis infection or prosthesis loosening occurred in the two groups during the follow-up period.There were no statistically significant differences in HSS scores，VAS scores and ROM of knee between the two groups at last follow-up after surgery (P＞0.05).The operation time and hospitalization stay of thesimultaneous group were significantly lower than those of the staged group (P＜0.05)，and there was no significant difference in the maximum decrease of hemoglobin in the first week and total drainage volume after operation between the two groups (P＞0.05). Conclusion Our results demonstrated that simultaneous and staged bilateralunicompartmental knee arthroplasty for the treatment ofbilateral anteromedial compartmentosteoarthritis has the comparable effect.Patients can benefit from a single hospitalization and anaesthesia.However，the total length of the operation time and hospitalization is shorter for patients undergoing bilateral simultaneous surgery，which effectively reduces the burden on patients.

Key words： unicompartmental knee arthroplasty simultaneous operation staged operation osteoarthritis

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［1］李沼，关振鹏.单髁置换术治疗膝关节内侧间室骨关节炎［J］.中华骨科杂志，2019，39(14)：902-908.
［2］Pandit H，Jenkins C，Gill HS，et al.Minimally invasive Oxford phase 3 unicompartmental knee replacement：results of 1000 cases［J］.J Bone Joint Surg(Br)，2011，93(2)：198-204.
［3］Tang X，Wang S，Zhan S，et al.The Prevalence of symptomatic knee osteoarthritis in China：Results from the china health and retirement longitudinal study［J］.Arthritis Rheumatol，2016，68(3)：648-653.
［4］Nwachukwu BU，McCormick FM，Schairer WW，et al Unicompartmental knee arthroplasty versus high tibial osteotomy：United States practice patterns for the surgical treatment of unicompartmental arthritis［J］.Arthroplasty，2014，29(8)：1586-1589
［5］Bloom KJ，Gupta RR，Caravella JW，et al.The effects of primary implant bearing design on the complexity of revision unicondylar knee arthroplasty［J］.J Arthroplasty，2014，29(1)：106-109.
［6］李发东，孟刚，赵永胜.单髁置换与全膝置换治疗内侧间室膝骨关节炎的早期疗效对比［J］.实用骨科杂志，2019，25(6)：557-560.
［7］张永强，汪洋，耿家金.Oxford Ⅲ单髁系统治疗膝关节内侧间室骨关节炎疗效观察［J］.临床骨科杂志，2019，22(1)：53-55.
［8］Morris MJ，Molli RG，Berend KR，et al.Mortality and perioperative complications after unicompartmental knee arthroplasty［J］.Knee，2013，20(3)：218-220.
［9］Dunn AS，Petterson SC，Plancher KD.Unicondylar knee arthroplasty：intramedullary technique［J］.Clin Sports Med，2014，33(1)：87-104.
［10］Kulshrestha V，Kumar S，Datta B，et al.Ninety-day morbidity and mortality in riskscreened and optimized patients undergoing two-team fast-track simultaneous bilateral TKA compared with unilateral TKAA prospective study［J］.J Arthroplasty，2018，33(3)：752-760.
［11］Memtsoudis SG，Besculides MC，Reid S，et al.Trends in bilateral total knee arthroplasties：153，259 discharges between 1990 and 2004［J］.Clin Orthop Relat Res，2009，467(6)：1568-1576.
［12］Severson EP，Mariani EM，Bourne MH.Bilateral total knee arthroplasty in patients 70 years and older［J］.Orthopedics，2009，32(5)：316.
［13］Kim YH，Choi YW，Kim JS.Simultaneous bilateral sequential total knee replacement is as safe as unilateral total knee replacement ［J］.J Bone Joint Surg (Br)，2009，91(1)：64-68.
［14］Berend KR，Morris MJ，Skeels MD，et al.Perioperative complications of simultaneous versus staged unicompartmental knee arthroplasty［J］.Clin Orthop Relat Res，2011，469(1)：168-173.
［15］Biazzo A，Masia F，Verde F.Bilateral unicompartmental knee arthroplasty：one stage or two stages?［J］.Musculoskelet Surg，2018，103(23)：231-236.
［16］Chan WCW，Musonda P，Cooper AS，et al.One-stage versus two-stage bilateral unicompartmental knee replacement：A comparison of immediate post-operative complications［J］.J Bone Joint Surg (Br)，2009，91(10)：1305-1309.