泸州医学院学报Issue(4)：397-400,4.DOI:10.3969/j.issn.1000-2669.2015.04.020
胫骨平台骨折术后继发创伤性膝关节炎行全膝关节置换术的疗效分析
Effect of total knee arthroplasty on secondary traumatic arthritis after the treatment of tibia plateau fracture
摘要
Abstract
ObjectiveTo explore the outcomes of total knee arthroplasty(TKA) in treating secondary traumatic arthritis after the operation of tibia plateau fracture. Methods: TKA were performed in 21 patients(21 knees) who had secondary traumatic arthritis after tibia plateau fracture operation between Jan 2005 and Feb 2014. Patients were followed-up,and the effect of TKA was evaluated through HSS rating scale and X-ray. Results All patients were followed-up, for an average of 4.7 years (range from 1.2 to 10.3 years). No complications such as loose prosthesis, deep infection and wound disunion occurred. Three of them showed poor joint motion and accepted maneuver relaxation under lumbar anesthesia, then took passive exercises by CPM until the mean range of knee was improved to 95o. The mean HSS score from 46.6±3.78 points before TKA increased to 83.82±4.91 points postoperatively. The difference of the HSS scores between preoperative and postoperative had statistical significance (P<0.05). ConclusionSatisfactory outcomes can be obtained in patients with secondary traumatic arthritis after the treatment of tibia plateau fracture through TKA.关键词
膝关节置换术/胫骨平台骨折/创伤性关节炎/HSSKey words
Total knee arthroplasty/Tibia plateau fracture/Traumatic arthritis/HSS分类
医药卫生引用本文复制引用
张才东,张忠杰,鲁晓波,夏波,张彤正,谭美云..胫骨平台骨折术后继发创伤性膝关节炎行全膝关节置换术的疗效分析[J].泸州医学院学报,2015,(4):397-400,4.基金项目
四川省教育厅科研项目 （）
