武警医学Issue(9):924-927,4.
人工全膝关节置换术治疗严重畸形膝关节临床研究
Total knee arthroplasty for treatment of severely deformed knee
陆金荣 1谢国庆 1申世源 1李晓东 1魏海清 1金文孝 1吴成1
作者信息
- 1. 314000,武警浙江总队嘉兴医院关节外科
- 折叠
摘要
Abstract
Objective To investigate the methods and clinical results of total knee arthroplasty ( TKA) in patients with severe knee deformity.Methods From February 1999 to December 2012,916 patients (1031 knees) underwent TKA in this hospital ,inclu-ding 80 patients with severe knee deformity ,of which,56 patients (70 knees) were followed up,among them,19 patients (23 knees) with varus knee deformity,21 patients (27 knees),patients with severe flexion deformity were 16 patients (20 knees) knee flexion de-formity.The mean follow-up period was 60 months(ranging from 6 months to 10 years).To evaluate the outcomes of TKA at the time of pre-operation and follow-up respectively,range of motion(ROM),the HSS score and the KSS score were used.Results The average ROM improved from 80°(0°-120°) preoperatively to 115°(0°-130°) postoperatively.The HSS score and the KSS score were signifi-cantly improved compared with pre-operation(P<0.05).KSS improved from 33 points (10-68 points) preoperatively to 81 points (70-100 points),HSS improved from 43 points (27-68 points) preoperatively to 86 points (72-100 points).Varus knee deformity,val-gus knee defoimity and flexion deformity were corrected .Conclusions TKA improves the function of knee effectively and the quality of patients'life.The effect of TKA is satisfactory .关键词
关节置换术/膝内翻/膝外翻/屈曲挛缩Key words
arthroplasty/varus knee/valgus knee/flexion contracture分类
医药卫生引用本文复制引用
陆金荣,谢国庆,申世源,李晓东,魏海清,金文孝,吴成..人工全膝关节置换术治疗严重畸形膝关节临床研究[J].武警医学,2014,(9):924-927,4.