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中华关节外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (01) : 47 -51. doi: 10.3877/cma.j.issn.1674-134X.2019.01.010

所属专题: 骨科学 文献

临床论著

新版膝关节评分系统在评价单髁关节置换术的应用分析
李沂阳1, 孔宁1, 刘冠志1, 李哲1, 王坤正1, 杨佩1,()   
  1. 1. 710004 西安交通大学第二附属医院关节外科
  • 收稿日期:2018-12-11 出版日期:2019-02-01
  • 通信作者: 杨佩
  • 基金资助:
    国家自然科学基金(81672173); 陕西省重点研发计划(2017SF-212)

Application analysis of new knee society knee scoring system in evaluation of unicompartment knee arthroplasty

Yiyang Li1, Ning Kong1, Guanzhi Liu1, Zhe Li1, Kunzheng Wang1, Pei Yang1,()   

  1. 1. Department of the First Orthopaedics, the Second Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710004, China
  • Received:2018-12-11 Published:2019-02-01
  • Corresponding author: Pei Yang
  • About author:
    Corresponding author: Yang Pei, Email:
引用本文:

李沂阳, 孔宁, 刘冠志, 李哲, 王坤正, 杨佩. 新版膝关节评分系统在评价单髁关节置换术的应用分析[J/OL]. 中华关节外科杂志(电子版), 2019, 13(01): 47-51.

Yiyang Li, Ning Kong, Guanzhi Liu, Zhe Li, Kunzheng Wang, Pei Yang. Application analysis of new knee society knee scoring system in evaluation of unicompartment knee arthroplasty[J/OL]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(01): 47-51.

目的

使用单髁关节置换的患者样本验证新版膝关节评分系统(New-KSS)评分系统的效应性以及内部一致性。

方法

采用2012年由美国膝关节协会设计推出的New-KSS评价单髁关节置换治疗膝前内侧单间室骨关节炎患者疗效,在行初次单髁关节置换的住院患者中对参与本研究的患者按照符合膝内侧单间室骨关节炎的纳入标准进行筛选,并排除双侧、多间室、炎症性关节炎及近期感染的患者,并且要求患者在术前、术后3个月及术后12个月完成New-KSS评分量表以及膝关节损伤和骨关节炎评分(KOOS)量表。利用克隆巴赫信度系数(Cronbachs alpha)分析新版膝关节评分系统New-KSS的信度,同时通过Spearman相关系数分析其效度。验证New-KSS评分在评价单髁关节置换疗效的效应性以及内部一致性。

结果

65名符合入组标准的患者参加了研究,根据New-KSS各亚维度的Cronbachs α在0.70~0.91变化,反映其具有较高的内在信度。术前、术后次评分各维度效应值Cohend系数范围在1.83~4.43,提示其具有较好的效应性。New-KSS与KOOS量表相应维度之间的结构效度理想,说明New-KSS与KOOS在评价同一对象时具有较好的一致性。

结论

通过分析相关数据发现,New-KSS在评价单髁关节置换疗效具有较好的效应性和内部一致性;且New-KSS量表具有较好的跨时间差异适应性。

Objective

To verify the responsiveness, and internal consistency of the New Knee Society knee scoring system(New-KSS) in the patients treated with unicompartment knee arthroplasty.

Methods

New-KSS proposed by the American Knee Association in 2012 was used to evaluate the efficacy of unicompartment knee arthroplasty in treating knee anteromedial osteoarthritis. The inpatients who received primary unicompartment knee arthroplasty were screened for trial participants according to the knee anteromedial osteoarthritis inclusion criteria; the bilateral, multi-compartment, inflammatory or recently infected patients were excluded. The selected participants were evaluated with New-KSS and knee injury and osteoarthritis outcome score (KOOS) before the operation, three and 12 months after the surgery. Responsiveness, and internal consistency of the New-KSS scoring system in the patients treated with unicompartment knee arthroplasty were varified by analyzing the acquired data using Cronbachs alpha and Spearman correlation coefficient.

Results

A total of 65 patients were included in this research according to the enrollment criteria. Cronbachs alpha of different subscale varied from 0.70 to 0.91, reflecting that there existed high degree of internal consistency. Cohend of different subscale ranged from 1.83 to 4.43, indicating that there existed high degree of responsiveness. Corresponding subscales between New-KSS and KOOS had ideal correlation, indicating that New-KSS and KOOS showed better consistency in evaluating the same object.

Conclusion

Relating data analysis supports the responsiveness of New-KSS in the evaluation of medial unicompartment osteoarthritis of the knee treated with UKA, the internal consistency is acceptable as well; New-KSS also has favorable adaptability at different time points.

表1 New-KSS各维度内在信度
表2 术前与术后New-KSS各维度评分效应量与效应值
表3 术前New-KSS与KOOS各维度评分的Spearman相关系数
表4 术后3月New-KSS与KOOS各维度评分的Spearman相关系数
表5 术后12月New-KSS与KOOS各维度评分的Spearman相关系数
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