摘要
目的:探讨旋转平台与后稳定固定平台假体在人工膝关节置换术(TKA)后的临床治疗效果。方法:选择2008年8月到2014年8月在我院接收人工膝关节置换术的218例患者,随机分为对照组和实验组,分别采用后稳定固定平台假体和旋转平台假体行TKA。观察并记录两组患者治疗前和治疗后6个月世界膝关节学会(KSS)评分、美国膝关节学会(HSS)评分和膝关节的屈曲度(ROM),以及治疗后6个月并发症的发生情况。结果:治疗后,两组患者KSS评分、HSS评分及ROM评分均明显高于治疗前,差异有统计学意义(P<0.05);两组患者KSS评分、HSS评分及ROM评分相比,差异无统计学意义(P>0.05)。实验组患者并发症发生率(9.17%)和对照组患者并发症发生率(10.09%)相比,无统计学意义(P>0.05)。结论:旋转平台与后稳定固定平台假体在TKA中均能有效改善膝关节的功能,两者疗效相近,均值得在临床推广应用。
Objective： To investigate the clinical efficacy of prosthesis of rotating platform and posterior fixed bearing on patients undergoing total knee arthroplasty. Methods： A total of 218 patients, who underwent total knee arthroplasty in General Hospital of Jizhong Energy Fengfeng Group from August 2008 to August 2014, were selected and randomly divided into control group （n=109, treated with posterior fixed bearing for TKA） and experiment group （n=109, treated with rotating platform for TKA）. Both groups were followed up for 6 months after undergoing the operation, and the KSS ratings, HSS ratings, ROM ratings and the complications after operation were recorded and compared before and 6 months after operation. Results： KSS ratings, HSS ratings and ROM ratings of both groups after operation were significantly higher than those before operation （P〈0.05）. There were no significant differences in the KSS ratings, HSS ratings and ROM ratings between the two groups （P〉0.05）. There was no significant difference between the complication （9.17%） of the experimental group and that10.09%）ofthe control group （P〉0.05）. Conclusion： Both prosthesis of rotating platform and posterior fixed beating have similar curative effects in patients undergoing total knee arthroplasty, which can improve the functions of knee joints effectively and are worthy of clinical application.
出处
《现代生物医学进展》
CAS
2016年第4期748-750,共3页
Progress in Modern Biomedicine
