中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
39期
6881-6886
,共6页
盛文辉%何方生%王春辉%王自刚%尚琦松%韩鹏远
盛文輝%何方生%王春輝%王自剛%尚琦鬆%韓鵬遠
성문휘%하방생%왕춘휘%왕자강%상기송%한붕원
骨关节植入物%人工假体%骨关节置换%骨性关节炎%膝关节置换%膝关节假体%关节活动度
骨關節植入物%人工假體%骨關節置換%骨性關節炎%膝關節置換%膝關節假體%關節活動度
골관절식입물%인공가체%골관절치환%골성관절염%슬관절치환%슬관절가체%관절활동도
背景:Deluxe-PS 型人工膝关节假体是根据中国人膝关节解剖特点尤其是股骨髁的形态特征而设计的,其膝关节假体股骨髁内外侧距(M-L)较进口假体少3.5 mm。<br> 目的:探讨Deluxe-ps膝关节假体行一期双膝关节置换中的近期疗效。<br> 方法:纳入使用Deluxe-ps型膝关节假体行一期双侧膝关节置换的膝关节炎患者15例(30膝)设为实验组,对照组为同期采用P.F.C.Sigma膝关节假体行一期双侧膝关节置换的20例患者(40膝)。采用KSS评分和关节功能HSS评分、膝关节关节活动度评估两组手术前、后膝关节功能,对比两组手术时间、及术中输血量。<br> 结果与结论:两组患者置换后均得到12-24个月随访,平均16个月。置换后患者膝关节疼痛均缓解,关节功能恢复满意。两组膝关节置换后与置换前 KSS 评分、HSS 评分及膝关节关节活动度比较,差异均有显著性意义(P<0.05)。置换后,两组间KSS评分和HSS评分及膝关节关节活动度,差异均无显著性意义(P>0.05),两组间置换过程中出血量比较,差异均无显著性意义(P>0.05),手术时间比较,差异有显著性意义(P<0.05)。说明采用Deluxe-ps膝关节假体行一期双膝关节置换近期疗效满意。
揹景:Deluxe-PS 型人工膝關節假體是根據中國人膝關節解剖特點尤其是股骨髁的形態特徵而設計的,其膝關節假體股骨髁內外側距(M-L)較進口假體少3.5 mm。<br> 目的:探討Deluxe-ps膝關節假體行一期雙膝關節置換中的近期療效。<br> 方法:納入使用Deluxe-ps型膝關節假體行一期雙側膝關節置換的膝關節炎患者15例(30膝)設為實驗組,對照組為同期採用P.F.C.Sigma膝關節假體行一期雙側膝關節置換的20例患者(40膝)。採用KSS評分和關節功能HSS評分、膝關節關節活動度評估兩組手術前、後膝關節功能,對比兩組手術時間、及術中輸血量。<br> 結果與結論:兩組患者置換後均得到12-24箇月隨訪,平均16箇月。置換後患者膝關節疼痛均緩解,關節功能恢複滿意。兩組膝關節置換後與置換前 KSS 評分、HSS 評分及膝關節關節活動度比較,差異均有顯著性意義(P<0.05)。置換後,兩組間KSS評分和HSS評分及膝關節關節活動度,差異均無顯著性意義(P>0.05),兩組間置換過程中齣血量比較,差異均無顯著性意義(P>0.05),手術時間比較,差異有顯著性意義(P<0.05)。說明採用Deluxe-ps膝關節假體行一期雙膝關節置換近期療效滿意。
배경:Deluxe-PS 형인공슬관절가체시근거중국인슬관절해부특점우기시고골과적형태특정이설계적,기슬관절가체고골과내외측거(M-L)교진구가체소3.5 mm。<br> 목적:탐토Deluxe-ps슬관절가체행일기쌍슬관절치환중적근기료효。<br> 방법:납입사용Deluxe-ps형슬관절가체행일기쌍측슬관절치환적슬관절염환자15례(30슬)설위실험조,대조조위동기채용P.F.C.Sigma슬관절가체행일기쌍측슬관절치환적20례환자(40슬)。채용KSS평분화관절공능HSS평분、슬관절관절활동도평고량조수술전、후슬관절공능,대비량조수술시간、급술중수혈량。<br> 결과여결론:량조환자치환후균득도12-24개월수방,평균16개월。치환후환자슬관절동통균완해,관절공능회복만의。량조슬관절치환후여치환전 KSS 평분、HSS 평분급슬관절관절활동도비교,차이균유현저성의의(P<0.05)。치환후,량조간KSS평분화HSS평분급슬관절관절활동도,차이균무현저성의의(P>0.05),량조간치환과정중출혈량비교,차이균무현저성의의(P>0.05),수술시간비교,차이유현저성의의(P<0.05)。설명채용Deluxe-ps슬관절가체행일기쌍슬관절치환근기료효만의。
BACKGROUND:Deluxe-PS knee prosthesis is designed based on the anatomical characteristics of the Chinese peoples’ knee joint, especial y the morphological features of femoral condyle. The distance between median and lateral knee prosthesis femoral condyle is less than that of the imported prosthesis for 3.5 mm. <br> OBJECTIVE:To explore the short-term efficacy of Deluxe-ps knee prosthesis in simultaneous bilateral total knee arthroplasty. <br> METHODS:Fifteen knee osteoarthritis patients (30 knees) were included as the experimental group, and treated with simultaneous bilateral knee arthroplasty by Deluxe-ps knee prosthesis. Twenty patients (40 knees) in the control group were treated with simultaneous bilateral knee arthroplasty by PFCSigma knee prosthesis. The knee society score, hospital for special surgery knee score and knee joint range of motion were compared between two groups;the operation time and the intraoperative blood loss were compared between two groups. <br> RESULTS AND CONCLUSION:The patients in both groups were fol owed-up for 12 to 24 months, with an average of 16 months. Postoperative knee pain was relieved, and the joint function was recovered satisfactorily. The knee society score, hospital for special surgery knee score and knee joint range of motion in two groups were improved significantly after treatment (P<0.05). There were no significant differences in postoperative knee society score, hospital for special surgery knee score and knee joint range of motion between two groups (P>0.05), and there was no significant difference in intraoperative blood loss between two groups (P>0.05), while there was significant difference in operation time between two groups (P<0.05). The results showed that the short-term effect of Deluxe-ps knee prosthesis in simultaneous bilateral total knee arthroplasty was satisfied.