人工全膝关节置换术治疗膝关节骨关节炎Total knee replacement for osteoarthritis of knee joint
王英振;王湘达;吕成昱;刘勇;马进峰;季爱玉;
摘要(Abstract):
[目的]评价人工膝关节置换术治疗骨关节炎的临床疗效。[方法]本院自1994年10月~2003年10月采用人工全膝关节置换术治疗膝关节骨关节炎81例(95膝),男10例,女71例;平均年龄65.5岁(50~82岁);左膝35例,右膝26例,双侧同时置换17例;保留后交叉韧带假体18膝,后方稳定性假体62膝,活动衬垫15膝。[结果]本组平均随访42个月(14~108个月),应用HSS膝关节评分系统进行分析,优:80膝(84.21%),良:10膝(10.53%),可:3膝(3.16%),差:2膝(2.10%)。优良率94.74%。[结论]作者认为人工全膝关节置换术能有效的缓解膝关节骨关节炎的疼痛,改善膝关节功能。正确的选择假体、精细的手术操作和严格的术后康复是保证手术效果的关键。
关键词(KeyWords): 人工假体;置换术;膝关节;关节炎
基金项目(Foundation):
作者(Author): 王英振;王湘达;吕成昱;刘勇;马进峰;季爱玉;
Email:
DOI:
参考文献(References):
- [1]赵汉平,李佩佳.有关人工膝关节适应证及手术[J].中国矫形外科杂志,2004,12(16):1277.
- [2]M isra AN,Hussain MR,A F idd ian NJ,et al.The role of the posteriorcruciate ligam ent in total knee replacem ent[J].J Bone Joint Surg,2003,85:389.
- [3]M ichael JA,R ichard AB,Regina M,et al.Posterior cruciate ligam entretain ing total knee arthroplasty in patients w ith rheumatoid arthritis[J].J Bone Joint Surg,2001,83A:1231.
- [4]Most E,Zayontz S,Li G,et al.Femoral rollback after cruciate retain ingand stab ilizing total knee arthroplasty[J].C lin Orthop,2003,410:101.
- [5]Scudefi GR,C larke HD.Cem ented posterior stab ilized total knee ar-throplasty[J].The Joint ofArthoplasty,2004,19(4):17.
- [6]Robert LB,A lexander JB,M ichaelWW,et al.Patellar resuffacing intotal knee arthroplasty[J].J Bone Joint Surg,2001,83:1376.