中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
8期
1159-1161
,共3页
马成才%刘冰%李小娜%廖中亚
馬成纔%劉冰%李小娜%廖中亞
마성재%류빙%리소나%료중아
关节成形术,置换,膝%骨关节炎,膝%固定平台假体%旋转平台假体
關節成形術,置換,膝%骨關節炎,膝%固定平檯假體%鏇轉平檯假體
관절성형술,치환,슬%골관절염,슬%고정평태가체%선전평태가체
Arthrop lasty,replacement,knee total knee replacementtotal knee replacement%Osteoarthritis,knee%Fixed platform prosthesis%Rotating platform prosthesis
目的 观察PFC固定平台假体与RP旋转平台假体两种人工膝关节置换系统治疗成年人膝关节骨性关节炎术的早期疗效.方法 对39例(39膝)膝关节骨性关节炎患者行全膝关节置换术(TKA).根据术中采用的假体类型不同而分为两组:固定平台组和旋转平台组.其中,固定平台组16例;旋转平台组23例,术后观察伤口愈合情况、患者行走步态和膝关节活动度.结果 3例术后发生深静脉血栓,经保守治疗,症状好转出院;2例术后伤口脂肪液化,经换药后伤口愈合,按时拆线出院.随访3～ 12个月访(平均10个月),所有患者均能直立行走而无明显跛行.末次随访时固定平台组、旋转平台组膝关节评分(HSS)与膝关节活动度(ROM)分别为(83.17 ±7.12)分、(81.32±5.39)分和(109.73±6.35)°、(103.12±4.28)°,与术前差异有统计学意义(A组HSS:t =22.10,ROM:t =9.21;B组HSS:t=30.69,ROM:t =9.54,均P＜0.01),但组间差异无统计学意义(HSS:t =0.88,ROM:t=3.63,均P＞0.05).结论 采用PFC与RP假体系统行全膝关节表面置换早期均有良好疗效,两者早期关节功能改善差异无统计学意义,但远期疗效需要进一步观察.
目的 觀察PFC固定平檯假體與RP鏇轉平檯假體兩種人工膝關節置換繫統治療成年人膝關節骨性關節炎術的早期療效.方法 對39例(39膝)膝關節骨性關節炎患者行全膝關節置換術(TKA).根據術中採用的假體類型不同而分為兩組:固定平檯組和鏇轉平檯組.其中,固定平檯組16例;鏇轉平檯組23例,術後觀察傷口愈閤情況、患者行走步態和膝關節活動度.結果 3例術後髮生深靜脈血栓,經保守治療,癥狀好轉齣院;2例術後傷口脂肪液化,經換藥後傷口愈閤,按時拆線齣院.隨訪3～ 12箇月訪(平均10箇月),所有患者均能直立行走而無明顯跛行.末次隨訪時固定平檯組、鏇轉平檯組膝關節評分(HSS)與膝關節活動度(ROM)分彆為(83.17 ±7.12)分、(81.32±5.39)分和(109.73±6.35)°、(103.12±4.28)°,與術前差異有統計學意義(A組HSS:t =22.10,ROM:t =9.21;B組HSS:t=30.69,ROM:t =9.54,均P＜0.01),但組間差異無統計學意義(HSS:t =0.88,ROM:t=3.63,均P＞0.05).結論 採用PFC與RP假體繫統行全膝關節錶麵置換早期均有良好療效,兩者早期關節功能改善差異無統計學意義,但遠期療效需要進一步觀察.
목적 관찰PFC고정평태가체여RP선전평태가체량충인공슬관절치환계통치료성년인슬관절골성관절염술적조기료효.방법 대39례(39슬)슬관절골성관절염환자행전슬관절치환술(TKA).근거술중채용적가체류형불동이분위량조:고정평태조화선전평태조.기중,고정평태조16례;선전평태조23례,술후관찰상구유합정황、환자행주보태화슬관절활동도.결과 3례술후발생심정맥혈전,경보수치료,증상호전출원;2례술후상구지방액화,경환약후상구유합,안시탁선출원.수방3～ 12개월방(평균10개월),소유환자균능직립행주이무명현파행.말차수방시고정평태조、선전평태조슬관절평분(HSS)여슬관절활동도(ROM)분별위(83.17 ±7.12)분、(81.32±5.39)분화(109.73±6.35)°、(103.12±4.28)°,여술전차이유통계학의의(A조HSS:t =22.10,ROM:t =9.21;B조HSS:t=30.69,ROM:t =9.54,균P＜0.01),단조간차이무통계학의의(HSS:t =0.88,ROM:t=3.63,균P＞0.05).결론 채용PFC여RP가체계통행전슬관절표면치환조기균유량호료효,량자조기관절공능개선차이무통계학의의,단원기료효수요진일보관찰.
Objective To observe the early clinical efficacy of PFC fixed platform and RP rotating platform prosthesis two kinds of artificial knee replacement system for the treatment of knee osteoarthritis.Methods 39 cases (39 knees)with knee osteoarthritis were treated with total knee arthroplasty(TKA).According to intraoperative use of different types of prosthesis,the cases were divided into two groups:fixed platforms group 16 cases and rotating platform group 23 cases.The wound healing,patients with gait and knee activity after operation were observed.Results Three cases took place postoperative deep vein thrombosis,after conservative treatment,the symptoms improved and discharged,two cases of postoperative wound fat liquefaction,by dressing wound healing,time stitches discharged.3 to 12 months follow-up visit(average 10 months),all patients could walk uptight without noticeable limp.Last follow-up group,fixed platforms,rotating platform group Knee Score (HSS) and knee activity (ROM) were (83.17 ± 7.12),(81.32 ± 5.39) points and (109.73 ± 6.35) °,(103.12 ± 4.28) °,compared with the preoperative differencewasstatisticallysignificant (AgroupHSS:t =22.10,ROM:t =9.21 ; BgroupHSS:t =30.69,ROM:t =9.54,all P ＜ 0.01),but the difference between groups was not statistically significant(HSS:t =0.88,ROM:t =3.63,all P ＞ 0.05).Conclusion Using PFC and RP prosthesis after total knee replacement system in early has a good effect,both of which improve joint function early with no significant difference,but long-term effects need further observation.
