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个体化全膝关节置换术治疗膝外翻畸形术后随访分析

廖红兴 刘展亮 李晓彬 邹学农

医学信息Issue(12):315-316,2.
医学信息Issue(12):315-316,2.

个体化全膝关节置换术治疗膝外翻畸形术后随访分析

The Mid-term Follow-up of Individual Total Knee Arthroplasty for Valgus Knees

廖红兴 1刘展亮 2李晓彬 2邹学农1

作者信息

  • 1. 广东省广州市中山大学附属第一医院骨科,广东 广州 510080
  • 2. 广东省梅州市人民医院骨一科,广东 梅州 514000
  • 折叠

摘要

Abstract

Objective To investigate and analyze the mid-term follow-up results of total knee arthroplasty (TKA) for valgus knees, that using individual pre-operative imaging analysis and intra-operative soft tissue balance technique.Methods A consecutive series of 17 cases in 14 patients with valgus knees were treated with TKA.There were 9 females and 2 males, and the mean age of the patient at the time of surgery was 65.3 years (range from 55~78 years). Before the operation, the detailed pre-operative imaging analysis was needed, and intra-operative soft tissue balance technique was used. Each patient was evaluated by Harris hip score , physical examination and radiographic results.Results The mean fol ow-up was 33 months (range, 12~60 months),The mean HHS was 44.20±19.51 preoperatively and 44.20±19.51 at the last visit ( <0.05).The mean amount of pre-operative tibial and femur angle(FTA) Was(71.5±16.7)゜, post-operative FTA was(113.6±17.8)゜.range of motion was improved from(71.5±16.7)゜ to(113.6±17.8)゜.The average HSS scores increased from preoperative 38.20±12.32 to postoperative 85.83±9.34. Pre-operative and post-operative changes were significantly dif erent ( <0.01). Lateral knee pain was detected in 1 knee postoperatively, which was healed after 3 months' symptomatic treatment. Conclusion Mid-term results shows, TKA that using individual pre-operative imaging analysis and intra-operative soft tissue balance technique, is an ef ective procedure for valgus knee.

关键词

膝外翻/关节成形术/置换/个体化

Key words

Valgus knee/Arthroplasty/Replacement/Individual

引用本文复制引用

廖红兴,刘展亮,李晓彬,邹学农..个体化全膝关节置换术治疗膝外翻畸形术后随访分析[J].医学信息,2014,(12):315-316,2.

基金项目

2013年梅州市医药卫生科研基金立项 ()

医学信息

1006-1959

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