老年糖尿病合并膝关节骨性关节炎行单髁置换术后胫骨后倾角变化对患者关节活动功能的影响

doi:10.3969/j.issn.1671-7171.2024.02.025

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摘要【目的】探讨老年糖尿病合并膝关节骨性关节炎行单髁置换术(UKA)后胫骨后倾角(posterior tibial slope,PTS)变化对患者关节活动功能的影响。【方法】回顾性分析2020年6月至2022年6月在本院接受UKA的96例老年糖尿病合并膝关节骨性关节炎患者的临床资料,计算手术前后PTS的变化值(△PTS),根据△PTS分为PTS减小组(△PTS <-2.5°, n=36)和PTS微减组(-2.5°≤△PTS <0°, n=42)及PTS增大组(△PTS ≥0°, n=18)。所有患者术后均至少随访12个月,比较各组患者术后膝关节活动度(range of motion,ROM)、膝关节主动活动时所能达到的最大屈曲角度(max flexion degree,MFD)、膝关节协会临床评分(Knee Society Clinical Score,KSS-C)、膝关节协会功能评分(Knee Society Functional Score,KSS-F),并记录术后并发症的发生情况;采用Pearson相关性分析△PTS与术后ROM、MFD、KSS-C、KSS-F的相关性。【结果】PTS减小组患者术后ROM、MFD、KSS-C、KSS-F均高于PTS微减组及PTS增大组(P<0.05)。△PTS与ROM、MFD、KSS-C、KSS-F呈负相关(P<0.05)。各组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。【结论】对于老年糖尿病合并膝关节骨性关节炎患者,UKA术后PTS适当减小可显著改善患者膝关节功能,提高患者生活质量。

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	胡书华
	赵阳
	李杰

关键词 ：糖尿病, 骨关节炎,膝/外科学, 胫骨/生理学, 老年人

Abstract：【Objective】To investigate the effect of the change of tibial posterior slope (PTS) after unilateral condylar arthroplasty (UKA) in elderly patients with diabetes combined with knee osteoarthritis on joint activity. 【Methods】The clinical data of 96 elderly patients with diabetes combined with knee osteoarthritis who received UKA in our hospital from June 2020 to June 2022 were retrospectively analyzed, and the change value of PTS (△PTS) before and after surgery was calculated. According to △PTS, they were divided into PTS reduction group (△PTS<-2.5°, n=36), PTS slight reduction group (-2.5°≤△PTS<0 °, n=42), and PTS increased group (△PTS≥0°, n=18). All patients were followed up for at least 12 months after surgery, and the postoperative range of motion (ROM), maximum flexion angle (MFD), Knee Society Clinical Score (KSS-C), Knee Society Functional Score (KSS-F), and incidence of postoperative complications were compared among each group of patients; Pearson correlation analysis was used to examine the correlation between △PTS and postoperative ROM, MFD, KSS-C, and KSS-F. 【Results】The postoperative ROM, MFD, KSS-C, and KSS-F of patients in the PTS reduction group were higher than those in the PTS slight reduction group and PTS enlargement group (P<0.05),PTS was negatively correlated with ROM, MFD, KSS-C, and KSS-F (P<0.05). There was no statistically significant difference in the incidence of postoperative complications among patients in each group (P>0.05). 【Conclusion】For the elderly patients with diabetes and knee osteoarthritis, the proper reduction of PTS after UKA can significantly improve the knee joint function and improve the quality of life of patients.

Key words： Diabetes Mellitus Osteoarthritis, Knee/SU Tibia/PH Aged

收稿日期: 2024-01-18

中图分类号:

R587.1

引用本文:

胡书华, 赵阳, 李杰. 老年糖尿病合并膝关节骨性关节炎行单髁置换术后胫骨后倾角变化对患者关节活动功能的影响[J]. 医学临床研究, 2024, 41(2): 247-250.
HU Shuhua, ZHAO Yang, LI Jie. The Influence of the Changes of Tibial Posterior Inclination on the Joint Function of Elderly Patients with Diabetes Complicated with Knee Osteoarthritis after Unilateral Condylar Replacement. JOURNAL OF CLINICAL RESEARCH, 2024, 41(2): 247-250.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2024.02.025 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2024/V41/I2/247

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