CAJ | 학술논문

目的：分析旋转铰链型膝关节置换术治疗膝部骨肿瘤临床疗效。方法随机选取2011年2月至2014年2月在我院采用旋转铰链型膝关节置换术治疗膝部骨肿瘤的40例患者作为研究对象，对术后患者进行随访和Enneking肢体功能评分，分析旋转铰链型膝关节置换术治疗膝部骨肿瘤的临床治疗效果。结果40例患者经过治疗后，有2例患者出现肢体麻木，不敢行走的现象，有3例肿患者出现伤口感染现象；通过6个月的随访，所有患者的膝关节运动良好，行走时未出现跛行状况，与正常肢体无大差异；Enneking肢体功能评分，在胫骨上端行旋转铰链型膝关节置换术的患者评分为优的有29例，在股骨下端行旋转铰链型膝关节置换术的患者评分为优的有32例，对所有患者进行X片检查，未出现假体松动、下沉等异样。结论旋转铰链型膝关节置换术治疗膝部骨肿瘤效果良好，是膝部骨肿瘤保肢的良好方法。
목적：분석선전교련형슬관절치환술치료슬부골종류림상료효。방법수궤선취2011년2월지2014년2월재아원채용선전교련형슬관절치환술치료슬부골종류적40례환자작위연구대상，대술후환자진행수방화Enneking지체공능평분，분석선전교련형슬관절치환술치료슬부골종류적림상치료효과。결과40례환자경과치료후，유2례환자출현지체마목，불감행주적현상，유3례종환자출현상구감염현상；통과6개월적수방，소유환자적슬관절운동량호，행주시미출현파행상황，여정상지체무대차이；Enneking지체공능평분，재경골상단행선전교련형슬관절치환술적환자평분위우적유29례，재고골하단행선전교련형슬관절치환술적환자평분위우적유32례，대소유환자진행X편검사，미출현가체송동、하침등이양。결론선전교련형슬관절치환술치료슬부골종류효과량호，시슬부골종류보지적량호방법。
Objective Analysis of the rotating hinge knee replacement treatment of bone tumors of the knee clinical curative effect. Methods Randomly selected from February 2011 to February 2014 in our hospital USES the rotating hinge knee replacement treatment of bone tumors of the knee of 40 patients as the research object, follow-up and Enneking limb function in patients with postoperative scores, type analysis of rotating hinge knee arthroplasty clinical treatment effect for the treatment of bone tumors of the knee. Results 40 patients after treatment, 2 cases with numbness, dare not walk phenomenon, there are 3 cases of patients with wound infection;Through six months of follow-up, all patients with knee joint movement is good, does not appear when walking limp, and normal body no big difference;Enneking limb function score, at the upper tibia type line of rotating hinge knee arthroplasty patients score for optimal in 29 cases, the bottom line of femoral rotation hinged knee arthroplasty scores for 32 cases of patients, to X-ray examination, all patients were not present prosthesis loosening, sink, etc. Conclusion Type rotating hinge knee replacement treatment effect is good, the knee bone tumors is a good method for limb-salvage knee bone tumors.