CAJ | 학술논문

目的：分析传统膝关节置换术与髌骨整形术对骨关节炎患者近期预后的影响，为临床治疗提供参考依据。方法将73例骨关节炎患者根据手术方式不同分为两组，观察组39例行髌骨整形术治疗，对照组34例行传统膝关节置换术治疗，对比两组临床效果及并发生情况。结果两组患者围术期情况、美国西部骨关节炎指数（WOMAC）评分、KSS 评分、关节活动度及术后力线对位不良度数、胫骨倾斜度方面比较，差异均无统计学意义（P ＞0.05）；观察组术后并发症发生率5.13％，明显低于对照组的23.53％（P ＜0.05）。结论传统膝关节置换术与髌骨整形术均可有效改善骨关节炎患者预后，但传统膝关节置换术并发症发生率高于髌骨整形术，值得临床重视。
목적：분석전통슬관절치환술여빈골정형술대골관절염환자근기예후적영향，위림상치료제공삼고의거。방법장73례골관절염환자근거수술방식불동분위량조，관찰조39례행빈골정형술치료，대조조34례행전통슬관절치환술치료，대비량조림상효과급병발생정황。결과량조환자위술기정황、미국서부골관절염지수（WOMAC）평분、KSS 평분、관절활동도급술후력선대위불량도수、경골경사도방면비교，차이균무통계학의의（P ＞0.05）；관찰조술후병발증발생솔5.13％，명현저우대조조적23.53％（P ＜0.05）。결론전통슬관절치환술여빈골정형술균가유효개선골관절염환자예후，단전통슬관절치환술병발증발생솔고우빈골정형술，치득림상중시。
Objective To analyze the influence of the traditional knee joint replacement and patellar plasty on prognosis of patients with osteoarthritis.Methods Seventy -three cases of osteoarthritis patients were divided into two groups according to the oper-ation methods.39 patients in the observation group were given patellar plasty and 34 in the control group underwent traditional knee joint replacement.The clinical response was compared between the two groups.Results There was no statistical difference in the peri-operative period,WOMAC score,KSS score,joint range of motion(ROM)and postoperative tibial slope and the lines of force of dislo-cation degree between the two groups (P >0.05 ).The incidence rate of complications in the observation group was 5.1 3%,signifi-cantly lower than that in the control group,which was 23.53% (P <0.05 ).Conclusion Both traditional knee joint replacement and patellar plasty can effectively improve the prognosis of patients with osteoarthritis,but more complications are reported in the pa-tients treated by traditional knee joint replacement than patellar plasty patella,which is worthy of attention.