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单髁与全膝关节置换术治疗膝内侧骨关节炎术后步态对比研究 预览 被引量:4

Comparative study of postoperative gait analysis on unicompartmental and total knee arthroplasties in treatment of medial compartmental knee osteoarthritis
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摘要 目的探讨单髁膝关节表面置换术(UKA)与全膝关节置换术(TKA)术后患者及正常膝关节在斜坡行走时的三维步态运动学差异,为指导膝关节置换术后功能康复治疗提供科学依据。方法选取2014年6月至2016年5月就诊于广州医科大学附属第一医院骨科行膝关节置换术患者23例(24膝),按手术方式不同分为UKA组12例(12膝)和TKA组11例(12膝)。纳入标准:膝关节内侧骨关节炎,前交叉韧带完整,非术侧下肢无严重疾病。排除标准:慢性肺部疾病、缺血性心脏病、神经系统疾病、身体质量指数(BMI)大于28。健康对照组12例(12膝),男女各6例,平均(25±3)岁。UKA组男性4例,女性8例,平均(65±8)岁;TKA组男性5例,女性6例,平均(64±8)岁。术后疗效主观评分采用牛津膝关节评分系统(OKS)。利用红外光导航膝关节三维动态评估系统(Opti_knee)采集参试者在倾斜度为7°的斜坡上下坡行走时胫骨相对于股骨活动的6个自由度数据,比较三组术后步态参数的变化差异。OKS评分结果的比较采用独立样本t检验,年龄、BMI、术后6个自由度最大值及活动范围的比较采用单因素方差分析和LSD-t检验。结果 UKA组平均OKS评分比TKA组低,组间差异具有统计学意义(P〈0.05)。UKA组外翻、外旋、屈曲角度最大值及内外翻、屈伸角度活动范围比健康对照组小,差异均有统计学意义(P〈0.05)。TKA组外翻、外旋、屈曲角度最大值及内外翻、内外旋、屈伸角度活动范围比健康对照组小,差异均有统计学意义(P〈0.05)。UKA组外翻角最大值和内外翻角度活动范围比TKA组大,差异均有统计学意义(P〈0.05)。TKA组上位移、内位移最大值及上下位移、内外位移活动范围比健康对照组小,但前位移、后位移最大值及前后位移活动范围比健康对照组大,差异均有统计学意义(P〈0.05)。UKA组前位移、后位移 Objective To investigate the differences between the patients of unicompartmental knee arthroplasty(UKA) and total knee arthroplasty(TKA) in three-dimensional(3D) kinematics of knee joint in slope walking.Methods Twenty-three patients(24 knees) undergone keen arthroplasty in the Department of orthopedics of the First Affiliated Hospital of Guangzhou Medical University from June 2014 to May 2016 were divided into the UKA group of 12 cases(12 knees) and the TKA group of 11 cases(12knees).Inclusion criteria:medial compartmental knee osteoarthritis with intact anterior cruciate ligament and without severe disease in the contralateral lower limb.Exclusion criteria:chronic pulmonary disease,ischemic heart disease,neurological diseases or body mass index(BMI) 〉28.Twelve healthy volunteers(12 knees) were recruited from the hospital as normal control group including six males and six females with the average age of(25 ± 3) years.The UKA group included four males and eight females with the average age of(65 ± 8) years; The TKA group included five males and six females with the average age of(64 ± 8) years.Six degrees of freedom of the tibia relative to the femur during walking down the slope of7° slant were collected from the three groups and analyzed by the 3D dynamic evaluation system using the infrared optical navigation(Opti-knee).The UKA group and the TKA group were scored by the Oxford knee scoring system(OKS).One-way ANOVA was applied in age,BMI and the maximal ranges of six degrees of freedom; t test was applied in OKS scores comparison.Results The average OKS score of UKA group was lower than TKA group,and the difference was statistically significant(P 〈0.05).Both the UKA group and the TKA group presented smaller data in the maxima of valgus angle,external rotation angle,the flexion angle,and the ranges of varus-valgus,angles and flexion-extension angle than the control group,the differences were statistically significant(P 〈0.05).In the UKA
作者 翟永喜 叶劲 陈艺 白波 卢伟杰 姚咏嫦 Zhai Yongxi1, Ye Jing2,Chen Yi3, Bai Bo1(1 Department of Orthopaedic Surgery, Graduate School of Guangdong Medical University, Guangdong Zhanjiang 524000, China; 2Department of Orthopaedic Surgery, the People's Hospital of Yunfu, Guangdong Yunfu 527300, China; 3Department of Orthopedic Surgery, the First Affiliated Hospital of Guangzhou Medical University, Key Laboratory of Orthopedic Technology and Implant Materials of Guangdong Province, Guangzhou 510120, China)
出处 《中华关节外科杂志(电子版)》 CAS 2017年第1期9-16,共8页 Chinese Journal of Joint Surgery(Electronic Version)
基金 国家自然科学基金(81371978) 广州市属高校科研项目重点项目(1201610097)
关键词 关节成形术 置换 步态 生物力学 Arthroplasty replacement knee Gait Biomechanical phenomena
作者简介 通信作者:陈艺,Email:gyyygwk@126.com
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  • 1骨关节炎诊治指南(2007年版)[J].中华骨科杂志,2007,27(10):793-796. 被引量:1159
  • 2McKeever DC. The choice of prosthetic materials and evaluation of results. Clin Orthop, 1955, 6:17-21. 被引量:1
  • 3Jain RK, Neville LT, Kaee PA, et al. Two year follow-up of the preservation unicompartmental knee implant. HSSJ, 2011: 7:125 - 129. 被引量:1
  • 4Naal FD, Fischer M, Preuss A, et al, Return to sports and recreational activity 'after unicompartmental knee arthroplasty. Am J Sports Med, 2007: 35:1688 -1695. 被引量:1
  • 5Baker PN, Jameson SS, Deehan D J, et al. Mid-term equivalent survival of medial and lateral unicondylar knee replacement. J Bone Joint Surg Br, 2012 : 94B : 1641 - 1648. 被引量:1
  • 6Lisowski LA, van den Bekerom MP, Pilot P, et al. Oxford phase 3 unicompartmental knee arthroplasty: medium-term results of aminimally invasive surgical procedure. Knee Surg Sports Traumatol Arthrosc, 2011 : 19 : 277 - 284. 被引量:1
  • 7Pietschmann MF, Wohlleb L, Weber P, et al. Sports activities 'after medial unicompamnental knee arthroplasty Oxford Ill- what can we expecl?. International Orthopaedics, 2013 : 37 : 31 -37. 被引量:1
  • 8Argenson JA, Parratte S, Bertani A, et al. Long-term results with a lateral unicondylar replacement. Clin Orthop Relat Res, 2008, 466 : 2686 - 2693. 被引量:1
  • 9Baker PN, Jameson SS, Deehan D J, et al. Mid-term equivalent survival of medial and lateral unicondylar knee replacement. J Bone Joint Surg Br, 2012, 94B: 1641 -1648. 被引量:1
  • 10Seeger JB, Jaeger S, Bitsch RG, et al. The effect of bone lavage on femoral cement penetration and interface temperature during oxford unicompartmental knee arthroplasty with cement. J Bone Joint Surg, 2013, 95A: 48-53. 被引量:1

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