卢宏章;朱天岳;柴卫兵;李军;刘震宁;张道俭;叶一林;

• 1:北京大学第一医院骨科

摘要(Abstract)：

[目的]探讨不置换髌骨的全膝关节置换术后髌骨的X线变化。[方法]对1999年～2004年间所进行的51例64个膝关节假体进行随访,常规不置换髌骨。平均年龄68.5岁(57～78岁),平均随访4.8年(2.5～8年)。在X线正侧位片和髌骨轴位片观察病人髌骨的退变、髌骨外移和倾斜程度的变化。[结果]手术后髌骨倾斜和外移均明显改善。随时间延长,大多数髌骨轨迹居中,没有明显退变。最常见的X线改变有髌骨上下极和外侧面增生,部分髌骨轨迹出现恶化。髌股关节的症状与髌骨的退变无明确相关。[结论]不置换髌骨的膝关节置换术后,髌骨的轨迹可得到明显改善,髌骨不会出现明显退变。

关键词(KeyWords)： 全膝关节置换术;髌骨;影像学

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 卢宏章;朱天岳;柴卫兵;李军;刘震宁;张道俭;叶一林;

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