CAJ | 학술논문

目的探讨全膝关节置换(total knee arthroplasty,TKA)在膝关节骨性关节炎治疗中的疗效,手术要点及注意事项.方法对35例(41膝)晚期骨性关节炎患者行初次人工全膝关节置换术,采用膝前正中纵形切口和内侧髌旁入路,术后进行随访,对比术前术后膝关节功能评分(the Hospital for Special Surgery Knee Score,HSS)及膝关节活动度( range of motion,ROM)以观察疗效.结果全部病例均得到平均24个月的随访,均未出现感染、下肢静脉血栓等并发症.HSS评分由术前平均(69±7)分提高到术后平均(91±4.6)分.膝关节活动范围由术前平均95°提高到术后平均115°.结论全膝关节置换是治疗晚期膝关节骨关节炎的最佳治疗手段.选择恰当的病例,良好的假体设计,精确的手术技术,术后积极的康复锻炼是影响术后结果的主要因素.
목적 탐토전슬관절치환(total knee arthroplasty,TKA)재슬관절골성관절염치료중적료효,수술요점급주의사항.방법 대35례(41슬)만기골성관절염환자행초차인공전슬관절치환술,채용슬전정중종형절구화내측빈방입로,술후진행수방,대비술전술후슬관절공능평분(the Hospital for Special Surgery Knee Score,HSS)급슬관절활동도( range of motion,ROM)이관찰료효.결과 전부병례균득도평균24개월적수방,균미출현감염、하지정맥혈전등병발증.HSS평분유술전평균(69±7)분제고도술후평균(91±4.6)분.슬관절활동범위유술전평균95°제고도술후평균115°.결론 전슬관절치환시치료만기슬관절골관절염적최가치료수단.선택흡당적병례,량호적가체설계,정학적수술기술,술후적겁적강복단련시영향술후결과적주요인소.
Objective To explore the efficacy,operation points and points for attention of total knee replacement in the treatment of osteoarthritis of the knee. Methods We reviewed the results of 35 cases (41 knees)with initial total knee arthroplasty at our hospital,including 26 females(32 knees)and 9 males(9 knees)with age range from 50 to 78 years(mean,64.9-year-old),from January 2004 to January 2006.All knees were varus deformity mean,(12.8±3°).Results A 11 cases were followed up with a mean period of 24 months without infections and deep vein thrombosis.According to the HSS knee scoring system,the scores were from 69±7 preoperation to 91±4.6 postoperation.The knee ROM increased from 95°to 115°too. Conclusions Total knee arthroplasty is the best treatment for advanced knee osteoarthritis.Selecting appropriate cases,a good Prosthesis design,precise surgical technique,postoperative rehabilitation exercise can result in the best functional results.