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之前的关节镜检查并没有降低单隔板膝关节关节整形术患者的生存率或功能结果.

Anneke Prankerd-Gough1, Mei Lin Tay2,3, Scott M Bolam3,4

  • 1Department of Orthopaedic Surgery, North Shore Hospital, Private Bag 93-503, Auckland, 0620, New Zealand. anneke.gough@gmail.com.

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概括

之前的关节镜检查不会影响单隔板膝关节关节整形术 (UKA) 的结果. 这项研究发现UKA患者的生存率或功能结果没有显著差异,这些患者以前进行过膝关节关节镜检查,而不是那些没有.

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科学领域:

  • 整形外科手术 整形外科手术
  • 膝盖关节整形手术 膝盖关节整形手术
  • 骨关节炎管理 骨关节炎管理

背景情况:

  • 关节镜手术,特别是关节镜脑膜切除术,与非手术治疗相比,在骨关节炎 (OA) 患者的长期结果较差.
  • 之前的关节镜检查会对全膝关节整形术 (TKA) 后的结果产生负面影响,但对其对单隔板膝关节整形术 (UKA) 影响的数据有限.

研究的目的:

  • 调查先前的关节镜检查是否会影响接受UKA的患者的生存率或功能结果.
  • 为了比较患有膝关节关节镜史和没有膝关节关节镜史的患者之间的UKA结果.

主要方法:

  • 在四家三级医院进行了初级中枢或侧面UKA的2,272名患者的回顾性审查.
  • 从临床笔记和X射线图中系统地收集患者人口统计数据,并发症 (BMI,ASA状态) 和手术数据.
  • 使用日志等级测试分析生存曲线,并使用适当的统计测试比较功能结果 (牛津膝盖得分) 和分类数据.

主要成果:

  • 在先前进行关节镜检查的患者和没有进行关节镜检查的患者之间,UKA生存率没有显著差异 (15年生存率:78%与86%,p=0.50).
  • 在UKA后的6个月,5年和10年,两组都使用牛津膝盖评分测量了可比的功能结果.
  • 两组之间没有观察到生存率或功能评分的统计学上显著差异.

结论:

  • 之前的膝关节关节镜检查不会对单隔板膝关节关节整形术的存活率产生不利影响.
  • 在UKA之后的功能结果不会受到之前的关节镜手术史的影响.
  • 这项研究表明,先前的关节镜检查并不是UKA在长期成功方面的禁忌.