关键词: ACL Function KOOS OA UKA

Mesh : Humans Arthroplasty, Replacement, Knee / methods Female Male Retrospective Studies Osteoarthritis, Knee / surgery physiopathology complications Middle Aged Aged Treatment Outcome Quality of Life Prognosis Anterior Cruciate Ligament Injuries / surgery complications

来  源:   DOI:10.1186/s12893-024-02482-4   PDF(Pubmed)

Abstract:
BACKGROUND: To investigate the outcome and prognosis after Unicondylar knee arthroplasty (UKA) in patients with medial compartment arthritis of the knee combined with anterior cruciate ligament(ACL) dysfunction.
METHODS: A total of 122 patients diagnosed with knee osteoarthritis and treated with medial mobile platform unicondylar replacement at our center from January 2019 to December 2021 were retrospectively included in the study, and were divided into two groups according to ACL function, namely the normal ACL function group (ACLF) and the poor ACL function (N-ACLF) group. The postoperative results and prognosis of the two groups were evaluated and compared.
RESULTS: This study included 122 patients who underwent UKA surgery. There were no statistical differences in preoperative and postoperative posterior tibial tilt angle, knee mobility, KOOS, and prognosis between the two groups (P > 0.05).
CONCLUSIONS: For medial compartment arthritis of the knee combined with ACL malfunction, surgery resulted in pain relief, improved quality of life and a good prognosis for such patients. It is hoped that clinicians will perform UKA in patients with ACL dysfunction after a comprehensive evaluation to improve their quality of life.
摘要:
背景:探讨膝关节内侧间室关节炎合并前交叉韧带(ACL)功能障碍患者行膝关节单髁置换术(UKA)后的疗效及预后。
方法:回顾性研究了2019年1月至2021年12月在我们中心诊断为膝骨关节炎并接受内侧活动平台单髁置换治疗的122例患者。根据ACL功能分为两组,即正常ACL功能组(ACLF)和差ACL功能组(N-ACLF)。评价并比较两组患者的术后效果及预后。
结果:本研究包括122例接受UKA手术的患者。术前和术后胫骨后倾角无统计学差异,膝盖活动能力,KOOS,两组预后情况比较(P>0.05)。
结论:对于膝关节内侧房室关节炎合并ACL功能障碍,手术缓解了疼痛,改善这些患者的生活质量和良好的预后。希望临床医生对ACL功能障碍患者进行UKA综合评估后,提高其生活质量。
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