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| 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 |
| HU Shuhua, ZHAO Yang, LI Jie |
| Inpatient Management Office,Nanyang Central Hospital,Henan Nanyang 473000 |
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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.
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Received: 18 January 2024
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[1] 冒文静,丁彬鸿,吴素青. 神经肌肉训练对老年膝骨关节炎患者关节稳定性及下肢运动功能的影响[J].海军医学杂志,2023,44(1):74-78.
[2] 顾旭,郑欣,史思峰,等. 膝关节单髁置换后早期步态的稳定性[J].中国组织工程研究,2024,28(12):1875-1879.
[3] 张雪梅,王忠丽,王超,等. 尿酸对老年膝骨关节炎病人软骨GLUT9、URAT1表达的影响[J].实用老年医学,2023,37(3):287-290.
[4] 何恒,何康乐,翟家明. 江镇何氏骨伤流派治疗早中期膝骨关节炎的用药规律研究[J].海军医学杂志,2023,44(10):1027-1032.
[5] 潘建科,杨美平,韩燕鸿,等. 膝关节股骨内侧髁自发性骨坏死的阶梯治疗策略[J].中国组织工程研究,2024,28(12):1907-1913.
[6] 高维松,陈荣,吴国志,等. 塞来昔布对离体人膝骨关节炎细胞凋亡及EGFR/MAPK信号通路的影响[J].中国现代医学杂志,2022,32(14):48-52.
[7] 严斌,刘刚,张林,等. 自体PRP注射联合依托考昔治疗膝关节骨性关节炎效果及对细胞因子的影响[J].河北医科大学学报,2023,44(1):57-61.
[8] 中国研究型医院学会关节外科学专业委员会膝关节部分置 换研究学组 . 膝关节单髁置换术围手术期管理专家共识[J].中华骨与关节外科杂志, 2020, 13(4): 265-271.
[9] 马路遥,郭万首,张启栋.胫骨假体后倾对Oxford单髁关节置换术后短期临床结果的影响[J].中华外科杂志,2017,55 (6):430-434.
[10] 马广文,黄斐,吴云峰,等.胫骨后倾截骨对活动平台单髁关节置换术疗效的影响[J].中华骨与关节外科杂志,2017,10 (4):302-304.
[11] SEKIGNEHI K,NAKAMURA S,KURIYAMA S,et al.Effect of tibial component alignment on knee kinematics and ligament tension in medial unicompartmental knee arthroplasty[J].Bone Joint Res,2019,8(3):126-135.
[12] 牛敏,杨西超,米娜瓦尔·卡尔曼,等. 双醋瑞因联合玻璃酸钠治疗膝骨关节炎的疗效分析[J].中国现代医学杂志,2021,31(4):21-25.
[13] 范志勇,杨冰,张华,等. 滑膜炎颗粒及其联合双醋瑞因治疗膝骨关节炎疗效及对细胞因子的影响[J].现代中西医结合杂志,2023,32(11):1565-1568.
[14] 李子怡,宋为群,杜巨豹,等. 运动表象训练对膝关节单髁置换术后膝关节功能的效果[J].中国康复理论与实践,2023,29(7):745-749.
[15] 杜刚,李政甜. 机器人辅助下单髁置换术的研究现状及进展[J].中华实验外科杂志,2022,39(1):190-193.
[16] 焦旭峰,安帅,曹光磊,等. 三维打印导板在单髁置换术中的研究进展[J].中华外科杂志,2021,59(6):550-554.
[17] 李子怡,宋为群,杜巨豹,等. 骨科康复一体化模式下膝关节单髁置换术后1年内膝关节功能康复转归的临床研究[J].中国康复医学杂志,2023,38(4):459-465.
[18] 刘洋,高英杰,毛兴佳,等. 微创单髁置换术后股骨假体的对线角度及修正措施[J].中华实验外科杂志,2022,39(7):1405-1409.
[19] 吴浩,潘利平,刘恒,等. 胫骨假体的不同后倾角度对内侧间室单髁置换术后膝关节功能的影响[J].北京大学学报(医学版),2021,53(5):877-882. |
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2024, Vol. 41 
