目的 探讨第3代Oxford单髁置换术治疗膝关节内侧间室骨关节炎术后患者人工关节遗忘的影响因素。方法 回顾分析2022年2月至2023年3月西安交通大学医学院附属红会医院收治的182例膝关节内侧间室骨关节炎患者资料。术后关节遗忘评分(forgotten joint scores，FJS)-12＜50分的142例患者为未遗忘组，其中男36例，女106 例;年龄 55～70 岁，平均(58。91±12。09)岁;身体质量指数(body mass index，BMI)平均(24。01±2。76)kg/m2。术后FJS-12≥50分的40例患者为遗忘组，其中男7例，女33例;年龄48～54岁，平均(51。87±12。31)岁;BMI平均(21。13±2。87)kg/m2。采用Logistic回归分析第3代Oxford单髁置换术治疗膝关节内侧间室骨关节炎术后患者人工关节遗忘的影响因素。结果 遗忘组者年龄、BMI均低于未遗忘组(P＜0。05);两组性别、病程、吸烟、冠心病、糖尿病、高脂血症等比较，差异无统计学意义(P＞0。05)。术前，遗忘组美国特种外科医院(the hospital for special surgery，HSS)评分、膝关节活动度高于未遗忘组，疼痛视觉模拟评分(visual analogue scale，VAS)低于未遗忘组(P＜0。05);术后12个月两组间HSS评分、VAS、膝关节活动度差异无统计学意义(P＞0。05)。单因素Logisitic回归分析，影响因素为年龄、BMI、术前HSS评分、术前VAS、术前膝关节活动度(P＜0。05);多因素Logisitic回归分析，影响因素为年龄、BMI、术前VAS(P＜0。05)。结论 患者年龄、BMI、术前疼痛程度是第3代Oxford单髁置换术治疗膝关节内侧间室骨关节炎术后人工关节遗忘的影响因素。
Analysis of the Factors Affecting Artificial Joint Forgetting in Patients After Monocondylar Replacement
Objective The purpose of this study was to investigate the influencing factors of artificial joint forgetting in patients with medial compartment osteoarthritis of the knee after the treatment of the third-generation Oxford unicompartmental arthroplasty.Methods A retrospective analysis was conducted on 182 patients with medial compartment osteoarthritis of the knee admitted to the Red Cross Hospital of Xi'an Jiaotong University School of Medicine between February 2022 and March 2023.Based on the forgotten joint score(FJS)-12,patients were divided into two groups:The unforgotten group[142 patients,FJS-12＜50,including 36 males and 106 females,aged 55～70 years,mean age(58.91±12.09)years,mean body mass index(BMI)(24.01±2.76)kg/m2]and the forgetting group[40 patients,FJS-12≥50,including 7 males and 33 females,aged 48～54 years,mean age(51.87±12.31)years,mean BMI(21.13±2.87)kg/m2].Logistic regression analysis was employed to identify the factors influencing artificial joint forgetting in these patients.Results The forgetting group had lower age and BMI compared to the unforgotten group(P＜0.05).No significant differences were observed between the two groups in terms of gender,disease duration,smoking history,coronary heart disease,diabetes mellitus,or hyperlipidemia(P＞0.05).At 12 months postoperatively,there were no significant differences in the hospital for special surgery(HSS)score,visual analog scale(VAS)pain score,or knee range of motion between the groups(P＞0.05).Univariate logistic regression analysis revealed that age,BMI,preoperative HSS score,preoperative VAS,and preoperative knee range of motion were significant factors(P＜0.05).Multivariate logistic regression analysis further confirmed that age,BMI,and preoperative VAS were independently associated with artificial joint forgetting(P＜0.05).Conclusion Patient age,BMI,and preoperative pain severity were the influencing factors of prosthetic joint forgetting after the treatment of medial compartment osteoarthritis of the knee with the third generation of Oxford unicompartmental arthroplasty.
万方数据
维普
