临床骨科杂志2024，Vol.27Issue(6)：789-792,4.DOI:10.3969/j.issn.1008-0287.2024.06.009
两种髌骨处理方式在全膝关节置换术中的疗效比较
Comparison of the efficacy of two patellar treatment methods in total knee arthroplasty
摘要
Abstract
Objective To compare the efficacy of patellar replacement and patellar plasty combined with denervation in total knee arthroplasty(TKA).Methods A total of 60 patients with knee osteoarthritis treated with TKA were di-vided into observation group(intraoperative patellar replacement was performed)and control group(intraoperative patellar plasty combined with denervation was performed)according to different patellar treatment methods,with 30 cases in each group.The range of motion of knee flexion and complications were recorded,and the efficacy was evalu-ated by KSS clinical score and artificial forgotten joint score(FJS).Results All patients were followed up for 12 months.At 12 months postoperation,the KSS clinical score and knee flexion activity of the two groups were improved,compared with those before operation(P＜0.05),and there were no differences between two groups(P＞0.05).At postoperative 12 months,FJS of the observation group was higher than the control group(P＜0.05),and the inci-dence rate of knee anterior region pain in the observation group was lower than that in the control group(P＜0.05).Conclusions In the treatment of knee osteoarthritis with TKA using PS prosthesis,both patellar replacement and pa-tellar plasty combined with denervation can achieve good clinical efficacy,but patellar replacement has the advantages of higher FJS and lower incidence rate of knee anterior region pain.关键词
全膝关节置换/髌骨置换/关节遗忘评分Key words
total knee arthroplasty/patellar replacement/forgotten joint score分类
医药卫生引用本文复制引用
程子梁,朱晓旭,吴伟山,王象鹏,吕文学,尹纪光..两种髌骨处理方式在全膝关节置换术中的疗效比较[J].临床骨科杂志,2024,27(6):789-792,4.基金项目
山东省自然科学基金(编号:ZR2022QH208) （编号:ZR2022QH208）
山东省中医药管理局中医药科技发展计划项目(编号:2019-0141) （编号:2019-0141）
山东省卫健委医药卫生计划项目(编号:202104070423) （编号:202104070423）
