| 韩乐奇,祁师亮,杨开祥.算术髋膝踝角变化值对外侧固定平台单髁置换术早期临床疗效的影响.骨科,2024,15(6): 513-518. |
| 算术髋膝踝角变化值对外侧固定平台单髁置换术早期临床疗效的影响 |
| Effect of Arithmetic Hip-knee-ankle Angle Change Values on Early Clinical Efficacy in Unicompartment Knee Arthroplasty with Lateral Fixation Platform |
| 投稿时间：2024-05-27 |
| DOI：10.3969/j.issn.1674-8573.2024.06.006 |
| 中文关键词: 骨关节炎，膝 关节成形术，置换，膝 固定平台 单髁置换术 算术髋膝踝角 |
| 英文关键词: Osteoarthritis, knee Arthroplasty, replacement, knee Fixed bearing Unicompartmental knee arthroplasty Arithmetic HKA |
| 基金项目:湖北省卫生健康委员会青年人才项目（WJ2021Q002）；湖北省自然科学基金面上项目（2021CFB529）；武汉市科技局知识创新专项基础研究项目（2022020801010557） |
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| 中文摘要: |
| 目的 探讨算术髋膝踝角（arithmetic hip-knee-ankle angle，aHKA）变化值对外侧固定平台单髁置换术（unicompartment knee arthroplasty，UKA）治疗膝关节外侧间室关节炎的早期临床疗效的影响。方法 回顾性分析2018年11月~2022年2月武汉市第四医院收治的50例外侧UKA病人的资料。定义手术前后aHKA角的变化值为△aHKA，采用线性回归分析△aHKA角与术后牛津大学膝关节评分（OKS）、美国膝关节协会评分（KSS）之间的关系；将病人分为匹配组（△aHKA≤2°，28例）与非匹配组（△aHKA＞2°，22例），分析组间各力线参数及膝评分的差异。结果 随访（25.56±0.83）个月。△aHKA与KSS评分术后上升值存在显著负相关（β＝-0.795，P＜0.05）。末次随访时，匹配组OKS评分为（20.71±3.91）分，低于非匹配组的（23.82±2.22）分，差异有统计学意义（P＜0.05）；匹配组的KSS评分为（82.89±2.94）分，高于非匹配组（81.00±1.88）分，差异有统计学意义（P＜0.05）。结论 外侧UKA术后△aHKA小的病人，早期疗效更好。 |
| 英文摘要: |
| Objective To investigate the effect of arithmetic hip-knee-ankle angle (aHKA) change values on early clinical efficacy in unicompartment knee arthroplasty (UKA) with lateral fixation platform for the treatment of lateral compartment knee arthritis. Methods Data from 50 patients with lateral UKA admitted to Wuhan No. 4 Hospital from November 2018 to February 2022 were retrospectively analyzed. The change value of aHKA angle before and after surgery was defined as △aHKA, and linear regression was used to analyze the relationship between the △aHKA angle and the postoperative Oxford Knee Score (OKS) or American Knee Society Score (KSS). The patients were divided into a matched group (△aHKA≤2°, 28 cases) and a non-matched group (△aHKA>2°, 22 cases), and the differences in force line parameters and knee function score between the groups were analyzed. Results At the follow-up of (25.56±0.83) months, there was a significant negative correlation between the postoperative uptake value of KSS and △aHKA (β=-0.795, P＜0.05). At the last follow-up, the OKS score of the matched group was 20.71±3.91, which was lower than that of the non-matched group (23.82±2.22), and the difference was statistically significant (P＜0.05). The KSS score of the matched group was 82.89±2.94, which was significantly higher than that of the non-matched group (81.00±1.88) (P＜0.05). Conclusion Patients with smaller △aHKA after lateral UKA had better early outcomes. |
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