Effect of Minimally Invasive Unicompartmental Knee Arthroplasty on Postoperative Recovery of Knee Joint Function and Balance Function in Patients with Knee Joint Unicompartmental Osteoarthritis
Objective To explore the influence of minimally invasive unicompartmental knee arthroplasty,total knee arthroplasty on postoperative recovery of knee joint function and balance function in patients with knee joint unicompartmental osteoarthritis.Methods A total of 70 patients with knee joint unicompartmental osteoarthritis treated in the First Affiliated Hospital of Xinxiang Medical University from September 2020 to June 2023 were selected as the research subjects,their clinical data were retrospectively analyzed,the patients were divided into the total knee arthroplasty group(29 cases,received total knee arthroplasty surgery)and the unicompartmental knee arthroplasty group(41 cases,received unicompartmental knee arthroplasty surgery)according to the treatment method.The surgical related indicators,knee joint function and balance function before and after surgery and imaging indicators at 3 months after surgery were compared between two groups,and the postoperative complications of the two groups were recored.Results Compared with the total knee arthroplasty group,the unicompartmental knee arthroplasty group had shorter surgical and hospitalization times,reduced intraoperative bleeding,the differences were statistically significant(P<0.05),there was no statistically difference in postoperative drainage volume between the two groups(P>0.05).Compared with preoperative,the hospital for special surgery(HSS)scores of both groups gradually increased at 3 and 6 months after surgery,and the HSS scores at 3 and 6 months after surgery of the unicompartmental knee arthroplasty group were higher than those of the total knee arthroplasty group group(P<0.05).Compared with preoperative,the Berg balance scale(BBS)scores of both groups gradually increased at 3 and 6 months after surgery,and the BBS scores at 3 and 6 months after surgery of the unicompartmental knee arthroplasty group were higher than those of the total knee arthroplasty group(P<0.05).There was no statistically significant difference in the imaging parameters 3 months after surgery between the two groups of prostheses(P>0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).Conclusion Both total knee arthroplasty and unicompartmental knee arthroplasty can effectively improve postoperative knee joint function in patients with knee joint unicompartmental osteoarthritis,which is safe and effective.However,unicompartmental knee arthroplasty surgery has certain advantages in shortening surgical and hospitalization time,and restoring body balance function.