中国骨伤2018，Vol.31Issue(3)：257-262,6.DOI:10.3969/j.issn.1003-0034.2018.03.013
全膝关节置换术治疗合并帕金森病骨关节炎患者的中期随访和临床疗效分析
Mid-term follow-up and clinical efficacy of total knee arthroplasty for osteoarthritis patients with Parkinson's disease
摘要
Abstract
Objective:To investigate clinical efficacy and experience of total knee arthroplasty in treating knee osteoarthritis patients with Parkinson's disease.Methods:From January 2011 to January 2014,19 knee osteoarthritis patients with Parkinson's disease treated with total knee arthroplasty were collected.Among them,including 9 males and 10 females aged from 61 to 83 years old with an average of 71.3 years old.Radiology results were checked before and after operation.VAS score and KSS score were applied to evaluate clinical effects.Patients were classified according to HoehnYahr grade,3 cases in grade 1,4 cases in grade 1.5,2 cases in grade 2,4 cases in grade 2.5,2 cases in grade 3 and 1 case in grade 4.Results:Nineteen patients were followed up from 3 to 7 years with an average of 4.3 years.The pain of patients was significantly reduced or disappeared.All incisions were healed at stage Ⅰ.At the latest follow-up,3 patients had knee pain,and mild pain in 1 patient,moderate in 1 patient without severe pain.VAS score was reduced from preoperative 8.4± 1.3 to the latest follow-up 3.1± 1.2,the difference was statistically significant (P＜0.05).KSS score improved from 43.6±7.3 before operation to 91.8± 10.6 after operation.The condition of Parkinson's were controlled by medicine.No loosening and subsidence of prosthesis by X-ray examination.Conclusion:Total knee arthroplasty is a safe and effective method for the treatment of Parkinson's disease and has satisfactory mid-term clinical effect.关键词
关节成形术,置换,膝/帕金森病/骨关节炎Key words
Arthroplasty,replacement, knee/Parkinson disease/Osteoarthritis引用本文复制引用
孙启才,茹选良,宋柏杉,端木群立,夏燕飞,乔松,严世贵,王祥华..全膝关节置换术治疗合并帕金森病骨关节炎患者的中期随访和临床疗效分析[J].中国骨伤,2018,31(3):257-262,6.基金项目
浙江省医药卫生一般研究计划项目(编号:2014KYB010,2012KYB007) （编号:2014KYB010,2012KYB007）
浙江省中医药科技计划项目(编号:2017ZB003)General Research Project of Zhejiang Medical and Health (No.2014KYB010,2012KYB007) （编号:2017ZB003）
