CAJ | 학술논문

目的：探讨人工膝关节置换术(栽运A)治疗严重膝关节内翻畸形的手术方法及临床疗效。方法回顾性分析2007年1月至2009年1月我科收治的41例(43膝)严重膝关节内翻畸形患者的临床资料，患者均行人工全膝关节置换术，术后随访18~49个月，记录患者术前和术后的股胫角、膝关节运杂杂评分以及功能评分。结果术后膝关节运杂杂评分为(86.8±3.1)分，高于术前(48.6±7.1)分；术后运杂杂功能评分为(85.3±4.3)分，高于术前(42.6±7.5)分；术后股胫角为(8.3±6.42)o，低于术前(26.4±9.5)o；差异均具有统计学意义(P<0.05)。随访过程未发现膝关节不稳、僵硬、感染和髌骨脱位以及假体松动等并发症。结论人工膝关节置换术是治疗老年人严重膝内翻畸形的一种有效办法，可明显改善患者膝关节功能，有效纠正下肢力线。
목적：탐토인공슬관절치환술(재운A)치료엄중슬관절내번기형적수술방법급림상료효。방법회고성분석2007년1월지2009년1월아과수치적41례(43슬)엄중슬관절내번기형환자적림상자료，환자균행인공전슬관절치환술，술후수방18~49개월，기록환자술전화술후적고경각、슬관절운잡잡평분이급공능평분。결과술후슬관절운잡잡평분위(86.8±3.1)분，고우술전(48.6±7.1)분；술후운잡잡공능평분위(85.3±4.3)분，고우술전(42.6±7.5)분；술후고경각위(8.3±6.42)o，저우술전(26.4±9.5)o；차이균구유통계학의의(P<0.05)。수방과정미발현슬관절불은、강경、감염화빈골탈위이급가체송동등병발증。결론인공슬관절치환술시치료노년인엄중슬내번기형적일충유효판법，가명현개선환자슬관절공능，유효규정하지력선。
Objective To explore the surgical method and clinical efficacy of total knee arthroplasty (TKA) in treating patients with severe knee varus deformity. Methods The clinical data of 41 patients (43 knees) with severe knee varus deformity admitted to our hospital from January 2007 to January 2009 were retrospectively analyzed, all patients were given TKA and followed up for 18~49 months, the femorotibial angle, KSS score and function score were recorded. Results KSS score after operation was 86.8±3.1, higher than 48.6±7.1 before operation;KSS function score after operation was 85.3 ±4.3, higher than 42.6±7.5 before operation;the femorotibial angle after operation was (8.3 ± 6.42)o, lower than (26.4 ±9.5)o before operation; all the difference was statistical (P <0.05). Severe complications (including knee instability, knee stiffness, knee infection, patella dislocation and prosthetic loosening) were not found. Conclusions Total knee arthroplasty is an effective treatment method for patients with severe varus deformity, which can effectively improve patients' knee function and correct alignment of lower limbs.