Comparison of the early efficacy of unicompartmental and total knee arthroplasty in patients with medial compartmental osteoarthritis of the knee: a propensity score matching study
10.3760/cma.j.cn112139-20200322-00244
- VernacularTitle:基于倾向性评分匹配的单髁与全膝置换术治疗膝内侧骨关节炎早期效果比较
- Author:
Zheng PEI
1
;
Zhentao DING
;
Zhao LI
;
Zhenpeng GUAN
Author Information
1. 北京大学人民医院骨关节科 100044（现在北京大学首钢医院骨科 100144）
- Keywords:
Osteoarthritis, knee;
Arthroplasty, replacement, knee;
Unicompartmental knee arthroplasty;
Total knee arthroplasty
- From:
Chinese Journal of Surgery
2020;58(6):452-456
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the short-term efficacy of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty(TKA) in the treatment of medial compartmental knee osteoarthritis.Methods:A retrospective analysis was performed on 197 patients with medial compartment osteoarthritis of the knee treated by the same group of doctors from January 2015 to December 2018.There were 86 males and 111 females, aged (67.7±10.5) years (range: 46 to 92 years), among which 101 cases received UKA and 96 cases received TKA.The UKA and TKA patients were matched by the propensity score matching method, and a total of 41 pairs of patients were successfully matched.The difference of short-term outcomes between the two groups were compared by t test, χ 2 test or Fisher exact probability methods. Results:Compared with TKA group, the postoperative reduction of hemogloblin in the UKA group was lower ((15.3±6.4) g/L vs. (20.1±7.5) g/L, t=-3.117, P<0.01), opioid dosage was lower ((160.5±29.3) mg vs. (186.1±46.8) mg, t=-2.969, P<0.01), and the length of hospital stay was shorter ((7.0±2.0)d vs. (10.0±2.5)d, t=-6.000, P<0.01). Forgotten joint score of UKA group was higher ( (65.1±7.6) vs. (58.3±13.9) , t=2.732, P<0.01), the incidence of knee clunk or crepitus was lower ( P=0.03) . There was no significant difference in the time of surgical tourniquet, range of motion, American knee society clinical score and incidence of deep vein thrombosis in lower extremities between the two groups.No complications such as surgical site infection, prosthesis loosening and dislocation occurred in the two groups. Conclusion:The early effect of UKA is similar to that of TKA, and it is better than TKA in the aspects of knee clunk or crepitus, forgotten joint score, blood loss, opioid dosage and postoperative hospital stay.
