摘要
目的探讨髌骨去神经化联合单髁置换术治疗膝关节内侧间室骨性关节炎合并髌股关节炎的临床效果。方法选取2017年1月至2022年6月我院收治的56例膝关节内侧间室骨性关节炎合并髌股关节炎患者,随机将其分为对照组(27例)、试验组(29例)。对照组行单髁置换术,试验组行髌骨去神经化联合单髁置换术。比较两组的治疗效果。结果两组的手术时间、术中出血量及住院时间无显著差异(P>0.05)。术前,两组的视觉模拟评分法(VAS)评分无显著差异(P>0.05);术后1、3、6、12个月,试验组的VAS评分低于对照组(P<0.05)。术前及术后6、12个月,两组的美国特种外科医院(HSS)评分无显著差异(P>0.05);术后1、3个月,试验组的HSS评分高于对照组(P<0.05)。结论髌骨去神经化联合单髁置换术治疗膝关节内侧间室骨性关节炎合并髌股关节炎的短期效果良好,可有效缓解患者膝前痛,有助于促进膝关节功能早期恢复。
Objective To investigate the clinical effect of patellar denervation combined with unicompartmental knee arthroplasty in the treatment of medial compartment knee osteoarthritis complicated with patellofemoral arthritis.Methods A total of 56 patients with medial compartment knee osteoarthritis complicated with patellofemoral arthritis admitted in our hospital from January 2017 to June 2022 were selected and randomly divided into control group(27 cases)and experimental group(29 cases).The control group underwent unicompartmental knee arthroplasty,and the experimental group underwent patellar denervation combined with unicompartmental knee arthroplasty.The therapeutic effects of the two groups were compared.Results There were no significant differences in operation time,intraoperative blood loss and hospitalization time between the two groups(P>0.05).Before operation,there was no significant difference in Visual Analogue Scale(VAS)score between the two groups(P>0.05);at 1,3,6 and 12 months after operation,the VAS score of the experimental group was lower than that of the control group(P<0.05).There was no significant difference in Hospital for Special Surgery(HSS)score between the two groups before operation and 6 and 12 months after operation(P>0.05);at 1 and 3 months after operation,the HSS score of the experimental group was higher than that of the control group(P<0.05).Conclusion Patella denervation combined with unicompartmental knee arthroplasty in the treatment of medial compartment knee osteoarthritis complicated with patellofemoral arthritis has a good short-term effect,which can effectively relieve the anterior knee pain of patients and help to promote the early recovery of knee joint function.
作者
孙术华
石少辉
吴国平
文海昭
李海啸
曹三利
SUN Shuhua;SHI Shaohui;WU Guoping;WEN Haizhao;LI Haixiao;CAO Sanli(Orthopaedic Department,Aviation General Hospital,Beijing 100012,China)
出处
《临床医学研究与实践》
2025年第25期102-105,共4页
Clinical Research and Practice
关键词
髌骨去神经化
髌股关节炎
内侧间室骨性关节炎
单髁置换术
膝前痛
patella denervation
patellofemoral arthritis
medial compartment osteoarthritis
unicompartmental knee arthroplasty
anterior knee pain
