冯贵喜;阚世廉;

• 1:天津医科大学研究生院
• 2:天津市天津医院关节外科

摘要(Abstract)：

[目的]观察旋转平台人工膝关节置换术的临床疗效。[方法]对79例患者93膝行TKA,采用正中切口髌旁内侧入路,安装假体,膝关节均未进行髌骨置换。术后复查X线片观察假体固定情况,采用美国膝关节学会评分(KSS评分)评定膝评分及膝功能评分,观察并发症发生情况。[结果]本组平均随访时间(33.61±7.34)个月(24～48个月)。末次随访时,关节总活动度明显增加,由术前68.76°增加至术后107.53°(P<0.01)。KSS膝评分术前平均37.53分(20～55分),术后增加至91.87分(75～100分)。KSS膝功能评分术前平均32.96分(15～65分),术后增加至80.84分(75～95分)。X线片显示:6例OA患者、4例类风湿患者出现胫骨假体周围透亮线,宽度<2mm,但均表现为非进展性。其余病例假体固定良好,未见松动,无髌骨脱位。本组病例未发生并发症。[结论]旋转平台人工全膝关节系统用于TKA近期疗效确切,但长期疗效有待进一步观察。

关键词(KeyWords)： 关节成形术;膝关节;旋转平台

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 冯贵喜;阚世廉;

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参考文献(References)：

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