单髁置换治疗膝前内侧骨关节炎的疗效观察

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Abstract Objective To evaluate the clinical efficacy of UKA in the treatment of anteromedial osteoarthritis(AMAO).Methods Clinical data of 45 patients (47 knees) who underwent OxfordⅢunicompartmental knee arthroplasty from June 2014 to June 2017 in our dept were retrospectively analyzed.The intraoperative blood loss，operation time，postoperative drainage volume and complications were recorded.The knee joint range of motion(ROM)，Oxford knee score(OKS)，hospital for special surgery score (HSS) and Western Ontario and MacMaster score(WOMAC) were recorded before operation and after operation to analysis the clinical efficacy of Oxford Ⅲ UKA.Results Patients with good recovery after surgery and no complications such as infection and deep venous thrombosis happened. The average intraoperative blood loss was (95.8±17.5)mL，the average operation time was (83.8±12.1)min，the average postoperative drainage volume was (154.3±32.5)mL.The average follow-up time were 25.6 months(6～58 months)，and there were no sign of prosthesis loosening，polyethylene liner dislocation and progressing the lateral compartment osteoarthritis，only one case with unexplained pain happened during follow-up.Compared with preoperative ones，the last follow-up ROM，OKS，HSS，WOMAC scores were obviously improved (P＜ 0.05).Conclusion UKA is an effective procedure for AMAO with less trauma，rapid recovery and proprioception exist.The short-term clinical efficacy is satisfied，but long-term efficacy remains to be seen.

Key words： unicompartmental knee arthroplasty anteromedial osteoarthritis proprioception patellofemoral joint

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	Yue Yongchuan 1
	Liu Juncai 1
	Zhang Xiaoxia 2
	et al

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Yue Yongchuan 1,Liu Juncai 1,Zhang Xiaoxia 2, et al. Clinical Efficacy of Unicompartmental Knee Arthroplasty for Anteromedial Osteoarthritis[J]. sygkzz, 2018, 24(6): 495-499.

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http://www.sygkzz.com/EN/ OR http://www.sygkzz.com/EN/Y2018/V24/I6/495

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