关节镜探查联合单髁置换术对膝关节骨性关节炎患者膝关节功能的影响

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中图分类号：R684 文献标志码：A DOI：10.11958/20251325

Effects of arthroscopic exploration combined with unicompartmental replacement surgery on knee joint function in patients with knee osteoarthritis

HERenhao，ZHANG Pin，YIN Shiyuan，ZHANGJie△ DepartmentofOrthopedics，SuqianFirstPeople's Hospital，Suqian2238oo，China △Corresponding Author E -mail： 676489322@qq.com

Abstract：ObjectiveTo investigatethe efect of arthroscopic exploration combined with unicompartmental replacementsurgeryonknee jointfunction inpatients withkneeosteoarthritis.MethodsTotall82 patientswith knee osteoarthritis inourhospital from August2O21 toFebruary 2O24were includedandstochasticalydivided intothecontrol groupand theobserved group，with41 patients ineach group.Usingasingle-blinddesign，both groupsreceivedroutine treatmentfirst，whilethecontrol groupreceivedunicompartmentalreplacementsurgery.Theobservation groupwas treated with arthroscopic explorationcombined with unicompartmental replacement.Kneejointscoring criteria （HSS），Pitsburgh Sleep Quality Index （PSQI）， Visual Analog Scale （VAS） scores，qualityof life，serum superoxide dismutase （SOD）， malondialdehyde（MDA）and kneejointrange of motion were compared between two groups.ResultsAfter treatment，HSS score，social function，physical function，overallhealth score，SODand knee flexionangle increased inbothgroups（ P< 0.05），and the observed group was even higher （t=3.821，4.027，3.706，3.957，7.481 and 3.733， P<0.05 ）. PSQI score， VAS score，MDAandtibiofemoralangledecreasedinboth groups，andthebserved groupwasevenlower （t=4.6ol，.375，9.084 and 3.625， P<0.05 ）. ConclusionArthroscopic exploration combined with unicompartmental replacement surgery can effectively improve knee jointfunction and enhance thequality oflifeof patients with knee osteoarthritis.

KeyWords：osteoarthritis，kneearthrosopy;qualityof ife; knee jointfunction;unicompartmentalreplacemenurgery

膝关节骨性关节炎（kneeosteoarthritis，KOA）是由于膝关节软骨变性、骨质增生引起的一种疾病，初期症状较轻，后期可出现关节疼痛、肿胀、变形等症状，多发于中老年群体，影响患者生活质量[1-2]。（剩余9483字）