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Glycosaminoglycan Content of the Lateral Compartment Cartilage in Knees Conforming to the Indications for Oxford Medial Unicompartmental Knee Arthroplasty

摘要Background:The quality of the lateral compartment cartilage is important to preoperative evaluation and prognostic prediction of unicompartmental knee arthroplasty (UKA).Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC) enables noninvasive assessment of glycosaminoglycan (GAG) content in cartilage.This study aimed to determine the GAG content of the lateral compartment cartilage in knees scheduled to undergo Oxford medial UKA.Methods:From December 2016 to May 2017,twenty patients (20 osteoarthritic knees) conforming to the indications for Oxford medial UKA were included as the osteoarthritis (OA) group,and 20 healthy volunteers (20 knees) paired by sex,knee side,age (±3 years),and body mass index (BMI) (±3 kg/m2) were included as the control group.The GAG contents of the weight-bearing femoral cartilage (wbFC),the posterior non-weight-bearing femoral cartilage (pFC),the lateral femoral cartilage (FC),and tibial cartilage (TC) were detected using dGEMRIC.The dGEMRIC indices (T1Gd) were calculated in the middle three consecutive slices of the lateral compartment.Paired t-tests were used to compare the T1Gd in each region of interest between the OA group and control group.Results:The average age and BMI in the two groups were similar.In the OA group,T1Gd of FC and TC was 386.7 ± 50.7 ms and 429.6 ± 59.9 ms,respectively.In the control group,T1Gd of FC and TC was 397.5 ± 52.3 ms and 448.6 ± 62.5 ms,respectively.The respective T1Gd ofwbFC and pFC was 380.0 ± 47.8 ms and 391.0 ± 66.3 ms in the OA group and 400.3 ± 51.5 ms and 393.6 ± 57.9 ms in the control group.Although the T 1Gd of wbFC and TC tended to be lower in the OA group than the control group,there was no significant difference between groups in the T1Gd in any of the analyzed cartilage regions (P value of wbFC,pFC,FC,and TC was 0.236,0.857,0.465,and 0.324,respectively).Conclusions:The GAG content of the lateral compartment cartilage in knees conforming to indications for Oxford medial UKA is similar with those of age-and BMI-matched participants without OA.

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作者单位 Department of Bone and Joint Surgery, Peking University China-Japan Friendship School of Clinical Medicine, Beijing 100029, China [1] Department of Bone and Joint, Beijing University of Chinese Medicine, Beijing 100029, China [2] Department of Bone and Joint Surgery, Peking University China-Japan Friendship School of Clinical Medicine, Beijing 100029, China;Department of Bone and Joint Surgery, China-Japan Friendship Hospital, Beijing 100029, China [3] Department of Radiology, China-Japan Friendship Hospital, Beijing 100029, China [4] Department of Bone and Joint Surgery, China-Japan Friendship Hospital, Beijing 100029, China [5]
栏目名称 Original Articles
DOI 10.4103/0366-6999.222321
发布时间 2018-03-09
基金项目
a grant from the Special Fund for Capital Health Development Research
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中华医学杂志(英文版)

中华医学杂志(英文版)

2018年131卷2期

194-199页

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