CAJ | 학술논문

目的：探讨人工全膝关节置换术近、中期临床疗效。方法施行人工全膝关节置换术215例（260膝）中，男93例，女122例，年龄（36~89）岁，平均67.5岁；左膝135例，右膝125例；原发疾病骨性关节炎（120例），类风湿性关节炎（38例），创伤性关节炎（26例），不明病因31例。双侧膝关节同期置换45例90膝，单侧膝关节置换170例。随访时间6个月~10年，平均50个月，采用HSS、KSS膝关节评分系统对手术前后进行分析。结果术后膝关节功能有显著改善，膝关节评分系统HSS、KSS术前及随访时比较差异有统计学意义（P<0.05）。结论人工全膝关节置换术显著改善了膝关节功能，提高了患者生活质量，其近、中期疗效确切。
목적：탐토인공전슬관절치환술근、중기림상료효。방법시행인공전슬관절치환술215례（260슬）중，남93례，녀122례，년령（36~89）세，평균67.5세；좌슬135례，우슬125례；원발질병골성관절염（120례），류풍습성관절염（38례），창상성관절염（26례），불명병인31례。쌍측슬관절동기치환45례90슬，단측슬관절치환170례。수방시간6개월~10년，평균50개월，채용HSS、KSS슬관절평분계통대수술전후진행분석。결과술후슬관절공능유현저개선，슬관절평분계통HSS、KSS술전급수방시비교차이유통계학의의（P<0.05）。결론인공전슬관절치환술현저개선료슬관절공능，제고료환자생활질량，기근、중기료효학절。
Objective To study the short and medium-term clinical clinical effect of total knee arthroplasty(TKA)in 215 patients in our hospital. Methods From February 1999 to June 2011,215 patients(260 knees)were retrospectively reviewed and followed up,the mean follow-up period was 50 months(range from 6 months to 10 years).The HSS score and the KSS score were used to evaluate the outcomes of TKA at the time of pre-operation and follow-up respectively. Results The follow-up showed that after the operation,the function of knee was improved effectively,The HSS score and the KSS score were significantly improved compared with pre-operation(P<0.05). Conclusion TKA improves the function of knee effectively and the quality of patients' life, the short and medium-term effects of TKA are satisfactory.