医学信息
醫學信息
의학신식
MEDICAL INFORMATION
2014年
5期
95-95
,共1页
费俊梁%王黎明%蒋纯志%梁斌
費俊樑%王黎明%蔣純誌%樑斌
비준량%왕려명%장순지%량빈
骨关节炎,膝%畸形%短缩,关节置换
骨關節炎,膝%畸形%短縮,關節置換
골관절염,슬%기형%단축,관절치환
Osteoarthritis%Knee%Deformity%Shortening%Replacement
目的：探讨RT-PLUS MODULAR组配式人工膝关节假体治疗膝关节骨关节炎合并股骨远端严重畸形短缩的可行性及其疗效。方法2010年3月~2013年2月对9例膝关节骨关节炎合并股骨远端严重畸形短缩患者一期行 RT-PLUS MODULAR组配式人工膝关节假体全膝关节置换，男3例，女6例；年龄（5l±6.8）岁。关节外截骨髓腔延长杆纠正下肢力线和长度，金属垫块修复股骨远端缺损。采用HSS评分标准对手术疗效进行评价。结果手术切口均一期愈合，无感染、无下肢深静脉血栓，肢体短缩内外翻畸形纠正。1例腓总神经出现不完全麻痹，给予神经营养药物对症治疗后症状逐渐缓解。患者均获得随访，术后随访7~16个月，1例患者骨折延迟愈合。末次随访时，本组患者未见假体松动、下沉、再骨折等迹象，关节稳定性好，关节活动度为（102.1±20.6）°，HSS评分为（85.3±8.8）分，与术前比较差异有统计学意义（P<0.05）。结论 RT-PLUS MODULAR组配式膝关节假体系统提供了金属垫块和髓腔延长杆等简便、可靠的工具，提高了膝关节骨关节炎合并股骨远端严重畸形短缩全膝关节置换的手术的疗效。
目的：探討RT-PLUS MODULAR組配式人工膝關節假體治療膝關節骨關節炎閤併股骨遠耑嚴重畸形短縮的可行性及其療效。方法2010年3月~2013年2月對9例膝關節骨關節炎閤併股骨遠耑嚴重畸形短縮患者一期行 RT-PLUS MODULAR組配式人工膝關節假體全膝關節置換，男3例，女6例；年齡（5l±6.8）歲。關節外截骨髓腔延長桿糾正下肢力線和長度，金屬墊塊脩複股骨遠耑缺損。採用HSS評分標準對手術療效進行評價。結果手術切口均一期愈閤，無感染、無下肢深靜脈血栓，肢體短縮內外翻畸形糾正。1例腓總神經齣現不完全痳痺，給予神經營養藥物對癥治療後癥狀逐漸緩解。患者均穫得隨訪，術後隨訪7~16箇月，1例患者骨摺延遲愈閤。末次隨訪時，本組患者未見假體鬆動、下沉、再骨摺等跡象，關節穩定性好，關節活動度為（102.1±20.6）°，HSS評分為（85.3±8.8）分，與術前比較差異有統計學意義（P<0.05）。結論 RT-PLUS MODULAR組配式膝關節假體繫統提供瞭金屬墊塊和髓腔延長桿等簡便、可靠的工具，提高瞭膝關節骨關節炎閤併股骨遠耑嚴重畸形短縮全膝關節置換的手術的療效。
목적：탐토RT-PLUS MODULAR조배식인공슬관절가체치료슬관절골관절염합병고골원단엄중기형단축적가행성급기료효。방법2010년3월~2013년2월대9례슬관절골관절염합병고골원단엄중기형단축환자일기행 RT-PLUS MODULAR조배식인공슬관절가체전슬관절치환，남3례，녀6례；년령（5l±6.8）세。관절외절골수강연장간규정하지력선화장도，금속점괴수복고골원단결손。채용HSS평분표준대수술료효진행평개。결과수술절구균일기유합，무감염、무하지심정맥혈전，지체단축내외번기형규정。1례비총신경출현불완전마비，급여신경영양약물대증치료후증상축점완해。환자균획득수방，술후수방7~16개월，1례환자골절연지유합。말차수방시，본조환자미견가체송동、하침、재골절등적상，관절은정성호，관절활동도위（102.1±20.6）°，HSS평분위（85.3±8.8）분，여술전비교차이유통계학의의（P<0.05）。결론 RT-PLUS MODULAR조배식슬관절가체계통제공료금속점괴화수강연장간등간편、가고적공구，제고료슬관절골관절염합병고골원단엄중기형단축전슬관절치환적수술적료효。
Objective The purpose of the present study was to investigate the clinical result of RT-PLUS MODULAR prosthesis in the treatment of osteoarthritis with severe deformity and shortening in distal femoral. Method From March 2010 to February 2013, Nine patients with severe deformity and shortening in distal femoral were selected for total knee arthorplasty using RT-PLUS MODULAR prosthesis. The average age was 51 years. Metal augmentation was used for uncontained bone defects and soft tissue balance combined with intramedul ary stem was feasible to accomplish. Result Al the patients were evaluated by HSS score were fol owed up 7-16 months (mean, 13 months). During fol ow-up, 1 case was found delayed union. At last fol ow-up, the ROM of knee was (102.1 ± 20.6)° and the HSS score was85.3 ± 8.8, there were significant dif erences when compared with preoperative values (P< 0.05), X-ray films showed good position of the prosthesis with no loosening, subsidence or displacement. Conclusion RT-PLUS MODULAR prosthesis is an ef ective and reliable prosthesis for severe knee deformity with metal augmentation for bone defects and intramedul ary stem for limb long, it reduce the dif icult of the operation, and enhance success rate of knee arthroplasty of osteoarthritis with severe deformity and shorting in distal femoral.
