Early clinical efficacy of unicompartmental knee arthroplasty and total knee arthroplasty for elderly patients with medial compartmental knee osteoarthritis
- VernacularTitle:UKA和TKA治疗老年内侧间室骨性关节炎早期疗效观察
- Author:
Jia-Liang LU
1
;
Sha WEI
;
Tian-Long MU
;
Jian-Fei HE
;
Jian-Yun WANG
;
Jun-Qi LI
;
Qiang-Mao WANG
Author Information
1. 深圳市龙岗区中医院香港中文大学(深圳)医务室
- Keywords:
unicompartmental knee arthroplasty;
total knee arthroplasty;
elderly;
medial compartmental knee osteoarthritis;
early clinical efficacy;
surgery
- From:Journal of Regional Anatomy and Operative Surgery
2019;28(1):16-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the early clinical efficacy of unicompartmental knee arthroplasty (UKA) and total knee arthroplasty (TKA) for elderly patients with medial compartmental knee osteoarthritis.Methods A total of 35 elderly patients with medial compartmental knee osteoarthritis were selected from September 2014 to March 2018 in our hospital, of whom 16 cases treated by UKA were observation group and 19 cases treated by TKA were control group.ResultsThe operation time, intraoperative blood loss, the rate of perioperative blood transfusion, postoperative drainage volume and hospitalization stays of observation group were less than those of control group, the difference were significant (P＜0.05).Before the treatment, there was no significant differences in the KSS score between two groups (P＞0.05).After the treatment, KSS scores of two groups had been improved to some extent, and the observation group was better than the control group, the difference was significant (P＜0.05).No revision or infection happened in 1 year post-operative follow-up of either group.The observation group (0) were less than the control group (26.32％) in thrombosis rate, the difference was significantly (P＜0.05).ConclusionBoth UKA and TKA have certain early clinical efficacy, but UKA had advantages such as shorter operation time, shorter hospitalization, less pain, lower incidence of adverse reaction, which can promote the postoperative function recovery, the early clinical efficacy is more significant.
