CAJ | 학술논문

目的：探讨全膝关节置换术对重度屈曲畸形的临床治疗效果。方法跟踪随访于2010年12月至2013年12月在本组进行TKA手术的38例重度屈曲畸形患者，以主动关节活动度、徒手肌力检查、Muller膝关节稳定性评分和美国特种外科医院评价系统为临床指标，比较手术前及随访终末时的变化来衡量手术的疗效。结果术后主动关节活动度、徒手肌力检测、稳定性指标上明显大于术前，与术前比较差异具有统计学意义（P＜0.05）。38例均得到随访，随访时间4个月～2.5年，平均1年。术前HSS评分-5～34分，平均22.6分；术后61～89分，平均77.4分，差别有统计学意义（P＜0.05）。术后优良率达到63.16％。结论 TKA手术对膝关节重度屈曲畸形获得满意效果，是临床治疗的有效方法。
목적：탐토전슬관절치환술대중도굴곡기형적림상치료효과。방법근종수방우2010년12월지2013년12월재본조진행TKA수술적38례중도굴곡기형환자，이주동관절활동도、도수기력검사、Muller슬관절은정성평분화미국특충외과의원평개계통위림상지표，비교수술전급수방종말시적변화래형량수술적료효。결과술후주동관절활동도、도수기력검측、은정성지표상명현대우술전，여술전비교차이구유통계학의의（P＜0.05）。38례균득도수방，수방시간4개월～2.5년，평균1년。술전HSS평분-5～34분，평균22.6분；술후61～89분，평균77.4분，차별유통계학의의（P＜0.05）。술후우량솔체도63.16％。결론 TKA수술대슬관절중도굴곡기형획득만의효과，시림상치료적유효방법。
Objective To investigate the clinical effects of total knee arthroplasty ( TKA ) for severe flexion deformity .Methods 38 patients who underwent TKA in our hospital from December 2010 to December 2013, were selected.The therapeutic effects were evaluated via the active range of motion , manual muscle testing , Muller knee stability rating and Hospital for Special Surgery of US .Results The AROM, MMT and Muller scores after the operation were significantly higher than the preoperative ones ;the differences were statistically significant (P<0.05).Every patient was followed up .The mean follow-up time was one year (range, 4 months to 2.5 years).The mean HSS scores of the knee joint were 18.0 points in the preoperative period and 56.7 points in the postoperative period .The results showed statistical significance (P<0.05).The choiceness rate was 63.16%.Conclusion TKA could achieve satisfactory results for the severe flexion deformity of the knee;it is an effective clinical treatment .