前交叉韧带磁共振异常患者行单髁置换的临床疗效分析

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Abstract Objective To investigate the clinical efficacy of mobilebearing unicompartmental knee arthroplasty(UKA) in patients with magnetic resonance imaging(MRI) indicating abnormal signal of the anterior cruciate ligament.Methods Retrospective analysis was made on the patients with knee Articular bone treated with single condylar replacement from January 2019 to December 2021 in the Joint Surgery Department of Suzhou Municipal Hospital.According to the preoperative MRI ACL manifestations，61 patients were divided into a normal ACL group with 31 patients and an abnormal ACL group with 30 patients.The normal ACLMRI group，including 9 males and 21 females.The age ranged from 67 to 85 years，with an average of (72.03±1.57)years.There are 15 left knees and 15 right knees in the normal group.The ACL-MRI abnormal group included 11 males and 20 females.The age ranged from 65 to 80 years，with an average of (71.87±1.37)years.There were 14 left knees and 17 right knees in the abnormal group.The two groups were evaluated for preoperative and final follow-up knee joint status using the HSS，VAS and knee joint range of motion (ROM).We observed whether there were postoperative complications such as looseness，infection，displacement and wear of the knee joint prosthesis in two groups after surgery.Results All 61 patients were followed up for 22 months to 24 months with an average follow-up time of (23.86±0.57)months.Both groups showed significant improvement compared with preoperative status，including knee joint HSS and knee joint range of motion.There was no statistically significant difference in VAS(P＞0.05).There were no postoperative complications such as infection or loosening of prosthesis，pad displacement，deep vein thrombosis in both groups.Conclusion Short-term clinical efficacy of UKA in patients with abnormal preoperative ACL magnetic resonance imaging but intact function is satisfactory.However，further follow-up research is needed for long-term results.

Key words： anterior cruciate ligament unicompartmental knee arthroplasty magnetic resonance imaging

Corresponding Authors: Zhang Xiangxin

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	Liu Yubo
	Guo Dongsheng
	Yu Xiao
	Xu Renjie
	Li Suoyuan
	Chen Guangxiang
	Zhang Xiangxin

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Liu Yubo,Guo Dongsheng,Yu Xiao, et al. Follow-Up Analysis of Unicompartmental Knee Arthroplasty in Patients with Abnormal Anterior Cruciate Ligament On MRI[J]. sygkzz, 2023, 29(10): 877-.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2023/V29/I10/877

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