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

doi:10.11958/20251325

Abstract

Abstract:

Objective To investigate the effect of arthroscopic exploration combined with unicompartmental replacement surgery on knee joint function in patients with knee osteoarthritis. Methods Totally 82 patients with knee osteoarthritis in our hospital from August 2021 to February 2024 were included and stochastically divided into the control group and the observed group, with 41 patients in each group. Using a single-blind design, both groups received routine treatment first, while the control group received unicompartmental replacement surgery. The observation group was treated with arthroscopic exploration combined with unicompartmental replacement. Knee joint scoring criteria (HSS), Pittsburgh Sleep Quality Index (PSQI), Visual Analog Scale (VAS) scores, quality of life, serum superoxide dismutase (SOD), malondialdehyde (MDA) and knee joint range of motion were compared between two groups. Results After treatment, HSS score, social function, physical function, overall health score, SOD and knee flexion angle increased in both groups (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, MDA and tibiofemoral angle decreased in both groups, and the observed group was even lower (t=4.601, 8.375, 9.084 and 3.625, P<0.05). Conclusion Arthroscopic exploration combined with unicompartmental replacement surgery can effectively improve knee joint function and enhance the quality of life of patients with knee osteoarthritis.

Key words: osteoarthritis, knee, arthroscopy, quality of life, knee joint function, unicompartmental replacement surgery

CLC Number:

R684

Figures/Tables 6

References 19

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组别	性别			年龄/岁
		男	女
对照组		19（46.34）	22（53.66）		68.12±6.93
观察组		17（41.46）	24（58.54）		67.34±6.84
χ²或t		0.198			0.513
组别	体质量指数/（kg/m²）			手术部位
组别	体质量指数/（kg/m²）			左侧		右侧
对照组	23.87±2.42			18（43.90）		23（56.10）
观察组	24.05±2.53			16（39.02）		25（60.98）
χ²或t	0.311			0.201

组别	性别			年龄/岁
		男	女
对照组		19（46.34）	22（53.66）		68.12±6.93
观察组		17（41.46）	24（58.54）		67.34±6.84
χ²或t		0.198			0.513
组别	体质量指数/（kg/m²）			手术部位
组别	体质量指数/（kg/m²）			左侧		右侧
对照组	23.87±2.42			18（43.90）		23（56.10）
观察组	24.05±2.53			16（39.02）		25（60.98）
χ²或t	0.311			0.201

组别	HSS评分			PSQI评分			疼痛VAS评分
组别	治疗前	治疗后	t	治疗前	治疗后	t	治疗前	治疗后	t
对照组	53.78±9.23	81.27±9.67	13.370^＊＊	14.51±3.14	7.68±1.35	12.926^＊＊	5.88±1.12	2.29±0.64	16.238^＊＊
观察组	52.29±8.57	89.68±10.26	16.193^＊＊	15.27±3.54	6.37±1.24	15.322^＊＊	6.37±1.41	1.27±0.45	20.281^＊＊
t	0.757	3.821^＊＊		1.024	4.601^＊＊		1.733	8.375^＊＊

组别	HSS评分			PSQI评分			疼痛VAS评分
组别	治疗前	治疗后	t	治疗前	治疗后	t	治疗前	治疗后	t
对照组	53.78±9.23	81.27±9.67	13.370^＊＊	14.51±3.14	7.68±1.35	12.926^＊＊	5.88±1.12	2.29±0.64	16.238^＊＊
观察组	52.29±8.57	89.68±10.26	16.193^＊＊	15.27±3.54	6.37±1.24	15.322^＊＊	6.37±1.41	1.27±0.45	20.281^＊＊
t	0.757	3.821^＊＊		1.024	4.601^＊＊		1.733	8.375^＊＊

组别	社会功能			躯体功能			总体健康
组别	治疗前	治疗后	t	治疗前	治疗后	t	治疗前	治疗后	t
对照组	66.98±8.57	71.54±8.67	2.289^＊	73.54±10.24	78.51±8.68	2.339^＊	69.88±8.87	81.02±9.57	5.510^＊＊
观察组	65.37±7.65	79.68±9.62	7.178^＊＊	72.68±9.62	86.78±11.35	6.000^＊＊	68.59±8.52	89.68±10.24	12.069^＊＊
t	0.897	4.027^＊＊		0.389	3.706^＊＊		0.673	3.957^＊＊