摘要
目的探讨失稳膝关节患者首次实施人工关节置换的手术技术和手术适应证。方法回顾性分析该院2013年5月—2014年5月收治的37例(41膝)失稳膝关节患者的临床资料,均接受人工关节置换治疗。术后随访12个月,了解患者的手术相关情况和膝关节功能变化情况以及不良反应发生情况。结果经末次随访和比较,患者的膝关节活动范围达到(115.25±12.02)°,显著大于治疗前的(85.12±10.25)°(P<0.05)。手术前和末次随访分别对入组患者进行膝关节功能HSS评分,可得经人工关节置换治疗之后,至末次随访患者的膝关节功能各项指标得分以及总分均显著高于治疗前,经比较差异均有统计学意义(均P<0.05)。经随访,入组患者中,均未出现术后感染和人工假体松动以及骨折等不良事件。结论临床对失稳膝关节患者首次实施人工关节置换治疗可以获得良好的效果,显著改善患者的膝关节功能,但要注意严格掌握相应的适应证,并注意软组织平衡技术和假体选择等。
Objective To investigate the surgical techniques and indications of artificial joint replacement in patients with knee joint replacement.Methods A retrospective analysis was performed on clinical data of37 patients（41 knees）with knee instability in author’s hospital from May 2013 to May 2014,and were given artificial joint replacement therapy.The patients were followed up for 12 months,and the changes of knee joint function and the changes of knee joint function were understood.Results At the end of the follow-up,the range of knee joint activity was reached（115.25±12.02）,and was significantly higher than that of the treatment（85.12±10.25）,（P〈0.05）.Before and after surgery,the knee joint function HSS score was performed in patients with knee joint function.The score and total score of knee joint function were significantly higher than those before treatment,the difference was statistically significant（P 〈0.05）.After follow-up,there were no postoperative infection and artificial prosthesis loosening and fracture and other adverse events.Conclusions The first implementation of artificial joint replacement therapy can achieve good results,significantly improve the patient’s knee function,but to pay attention to strictly control the appropriate indications,and pay attention to the soft tissue balancing technology and prosthesis selection,etc.
出处
《中国煤炭工业医学杂志》
2015年第12期2049-2052,共4页
Chinese Journal of Coal Industry Medicine
基金
浙江省重大科技计划项目(编号:2013C03049-1)
关键词
膝关节
失稳
人工关节置换术
手术适应证
Knee joint
Instability
Artificial joint replacement
Surgical operative indication
