中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
9期
1343-1349
,共7页
张锐%柳海平%谢兴文%尤从新%王承祥
張銳%柳海平%謝興文%尤從新%王承祥
장예%류해평%사흥문%우종신%왕승상
植入物%人工假体%全膝关节置换%膝外翻%畸形
植入物%人工假體%全膝關節置換%膝外翻%畸形
식입물%인공가체%전슬관절치환%슬외번%기형
arthroplasty,replacement,knee%valgus knee%range of motion,joint
背景:膝关节外翻畸形临床相对较少,人工膝关节置换的治疗效果不如膝关节内翻畸形。对于置换入路、软组织松解方法步骤及假体选择目前均无统一看法。<br> 目的:总结病例资料,观察全膝关节置换治疗膝关节外翻畸形的临床效果。<br> 方法:回顾性分析甘肃省中医院关节骨一科同一组医师在2010年1月至2012年12月采用全膝关节置换治疗膝关节外翻畸形患者37例(42膝)的临床资料,其中男11例,13个膝关节;女26例,29个膝关节。年龄56-78岁,平均63.7岁。对比分析患者置换前后膝关节活动范围、股胫角及美国特种外科医院膝关节评分的差异,评估全膝关节置换治疗膝关节外翻畸形的临床效果。<br> 结果与结论:置换后随访6-36个月。患者膝关节活动范围由置换前平均68.5°提高到置换后末次随访时平均108.5°,置换前股胫角平均16.82°减少到置换后末次随访时平均5.62°,置换前美国特种外科医院膝关节评分平均39分提高到置换后末次随访时88分,末次随访时与置换前比较差异有显著性意义(P<0.05)。提示全膝关节置换治疗膝关节外翻畸形疗效肯定,是改善畸形的有效手段。
揹景:膝關節外翻畸形臨床相對較少,人工膝關節置換的治療效果不如膝關節內翻畸形。對于置換入路、軟組織鬆解方法步驟及假體選擇目前均無統一看法。<br> 目的:總結病例資料,觀察全膝關節置換治療膝關節外翻畸形的臨床效果。<br> 方法:迴顧性分析甘肅省中醫院關節骨一科同一組醫師在2010年1月至2012年12月採用全膝關節置換治療膝關節外翻畸形患者37例(42膝)的臨床資料,其中男11例,13箇膝關節;女26例,29箇膝關節。年齡56-78歲,平均63.7歲。對比分析患者置換前後膝關節活動範圍、股脛角及美國特種外科醫院膝關節評分的差異,評估全膝關節置換治療膝關節外翻畸形的臨床效果。<br> 結果與結論:置換後隨訪6-36箇月。患者膝關節活動範圍由置換前平均68.5°提高到置換後末次隨訪時平均108.5°,置換前股脛角平均16.82°減少到置換後末次隨訪時平均5.62°,置換前美國特種外科醫院膝關節評分平均39分提高到置換後末次隨訪時88分,末次隨訪時與置換前比較差異有顯著性意義(P<0.05)。提示全膝關節置換治療膝關節外翻畸形療效肯定,是改善畸形的有效手段。
배경:슬관절외번기형림상상대교소,인공슬관절치환적치료효과불여슬관절내번기형。대우치환입로、연조직송해방법보취급가체선택목전균무통일간법。<br> 목적:총결병례자료,관찰전슬관절치환치료슬관절외번기형적림상효과。<br> 방법:회고성분석감숙성중의원관절골일과동일조의사재2010년1월지2012년12월채용전슬관절치환치료슬관절외번기형환자37례(42슬)적림상자료,기중남11례,13개슬관절;녀26례,29개슬관절。년령56-78세,평균63.7세。대비분석환자치환전후슬관절활동범위、고경각급미국특충외과의원슬관절평분적차이,평고전슬관절치환치료슬관절외번기형적림상효과。<br> 결과여결론:치환후수방6-36개월。환자슬관절활동범위유치환전평균68.5°제고도치환후말차수방시평균108.5°,치환전고경각평균16.82°감소도치환후말차수방시평균5.62°,치환전미국특충외과의원슬관절평분평균39분제고도치환후말차수방시88분,말차수방시여치환전비교차이유현저성의의(P<0.05)。제시전슬관절치환치료슬관절외번기형료효긍정,시개선기형적유효수단。
BACKGROUND:Valgus knee deformity is rare in the clinic. The therapeutic effects of artificial knee arthroplasty are worse than varus knee deformity. There is no unified opinion for replacement approach, soft tissue release method and procedure and prosthetic choice at present. <br> OBJECTIVE:To summarize case data and to observe clinical effects of total knee arthroplasty for valgus knee deformity. <br> METHODS:Clinical data of 37 cases of valgus knee deformity (42 knees) undergoing total knee arthroplasty, who were treated by the same group of physicians in the First Department of Orthopedics, Gansu Provincial Hospital of Traditional Chinese Medicine from January 2010 to December 2012 were retrospectively analyzed. There were 11 males (13 knees) and 26 females (29 knees), at the age from 56 to 78 years, with an average age of 63.7 years. The differences in range of motion, femorotibial angle and Hospital for Special Surgery knee score were compared before and after replacement. Clinical effects of total knee arthroplasty for valgus knee deformity were evaluated. <br> RESULTS AND CONCLUSION:The postoperative fol ow-up lasted from 6 to 36 months. Knee joint range of motion increased from preoperative 68.5° to an average of postoperative 108.5°. Femorotibial angle reduced from preoperative 16.82° to postoperative 5.62° on average. The average Hospital for Special Surgery knee score increased from preoperative 39 points to postoperative 88 points (P<0.05). These results suggested that the curative effect of total knee arthroplasty for valgus knee deformity is proved. Total knee arthroplasty is an effective way to improve deformity.