Clinical Comparison Study on the Treatment of Medial Compartment Osteoarthritis of the Knee by UKA Versus Proximalfibular Osteotomy
10.11969/j.issn.1673-548X.2018.03.011
- VernacularTitle:两种方法治疗膝关节内侧间室骨性关节炎的临床疗效比较
- Author:
Yiwen WANG
1
;
Chenglin YANG
;
Shuo GENG
Author Information
1. 150001,哈尔滨医科大学附属第一医院骨一科
- Keywords:
Knee joint;
Osteoarthritis;
Fibular;
Osteotomy;
Replacement
- From:
Journal of Medical Research
2018;47(3):37-40
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical results of two surgery for medial compartment osteoarthritis of theknee.Methods We choosed 49 patients with medial compartment osteoarthritis knee joint who were accessed to the hospital in the corresponding standards from January 2013 to January 2016.All the patients were divided into two groups according to the different surgery:unicompartmental knee athroplasty U group(21 patients)and proximal fibular osteotomy F group(28 patients).We recorded and compared the two groups with the operative incisionlength,bloodloss,operationtime,hospitalization time,totalcost during hospitalization,HSS and VAS.Results After oper ating 3 months,the HSS knee score of the two groups increased significantly and the VAS decreased significantly(P ＜ 0.05).While compared between the two groups in the same period,there were no significant differences in HSS and VAS(P ＞ 0.05).The operative incision length,the amount of blood loss,operation time,hospitalization time,total cost during hospitalization in F group were significantly better than those in U group,and the difference was statistically significant (P ＜ 0.05).Conclusion Proximal fibula osteotomy has the similar effect with the UKA and has the advantages of less trauma,less blood loss,low cost,shorter duration of operation and shorter hospitalization time etc.It has a good prospect.
