单髁置换联合自体骨软骨移植治疗双间室骨关节炎的中短期疗效研究

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Abstract Objective To observe the short and medium term clinical efficacy of medial unicompartmental knee arthroplasty (UKA) combined with autologous osteochondral transplantation in the treatment of two-compartment osteoarthritis of knee joint.Methods A retrospective analysis has been performed on 22 patients from June 2018 to September 2019 in Orthopaedics Department of Wangjing Hospital of China Academy of Chinese Medical Sciences.6 male cases and 16 female cases were included.The age ranged from 53 to 64，with an average of 58.The patients with two-compartment osteoarthritis of the knee were treated with UKA combined with autologous osteochondral transplantation.Imaging data before and after surgery were collected，and visual analogue VAS scores，American knee society score(KSS) scores and complications were recorded before and 3，6 and 12 months after surgery.Results All patients have been followed up for 18 ~ 26 months.(1)Compared with the operation，intraarticular angulation，varus deformity Angle and knee posterior inclination Angle were significantly decreased after operation，and the differences were statistically significant (P＜0.05).(2)Knee pain and functional activity were significantly improved after surgery，and the final score was significantly increased，with statistical significance (P＜0.05).(3)In postoperative follow-up，only 1 patient had joint instability and recovered well after treatment.Conclusion UKA combined with autologous osteochondral transplantation has the best clinical efficacy in early and middle stage for patients with severe medial knee osteoarthritis complicated with mild patellofemoral joint.

Key words： knee osteoarthritis unicompartmental knee arthroplasty autologous osteochondral transplantation

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	Articles by authors
	Tang Jixiang
	Jing Lin
	Zhang Hongmei
	Ai Qi
	Yan Qi
	Pan Li
	Liu Siye
	Li Yan

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Tang Jixiang,Jing Lin,Zhang Hongmei, et al. Study on the Short and Medium Term Efficacy of Single Condyle Replacement Combined with Autologous Osteochondral Graft in the Treatment of Bicompartment Osteoarthritis[J]. sygkzz, 2022, 28(10): 898-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2022/V28/I10/898

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