张长成;刘瑜;王峰;姬林松;裴飞舟;李振武;

• 1:河南省南阳市中心医院骨科

摘要(Abstract)：

[目的]比较固定平台假体(FB)与旋转平台假体(RP)应用于人工全膝关节置换术(TKA)治疗终末期膝骨关节炎的效果。[方法]2014年6月~2015年6月本院骨科收治的终末期膝骨关节炎患者86例,所有患者均行全膝关节置换术,根据受试者选择置换假体的意愿分为FB组(共40例)和RP组(共46例)。记录比较两组围手术期情况(包括手术时间、切口长度、术中失血量、术后引流量、下地时间等)及术后并发症发生情况,比较术前及末次随访时两组KSS评分、疼痛评分及髌骨评分,并摄膝关节X线片进行影像学评估。[结果]两组患者的手术时间、切口长度、术中失血量、术后引流量及下地时间比较,差异均无统计学意义(P>0.05),RP组术后6 d发生脱位1例,处理后未再发生脱位,随访未发现其他严重并发症;两组末次随访KSS评分、膝评分及功能评分、疼痛评分、髌骨评分均较术前显著升高(P<0.05),末次随访组间同期比较差异无统计学意义(P>0.05);术后正侧位X线片显示两组术后假体位置均良好,无松动,末次随访膝关节活动度较术前显著增大,胫骨角较术前显著减小(P<0.05),末次随访组间膝关节活动度、胫骨角同期比较差异无统计学意义(P均>0.05)。[结论]RP与FB应用于TKA术治疗终末期膝骨关节炎均可显著改善膝骨关节功能,术后膝关节疼痛明显改善或消失,膝内外翻等畸形得到改善,疗效显著,安全性高。

关键词(KeyWords)： 膝骨关节炎;固定平台;旋转平台;全膝关节置换术

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张长成;刘瑜;王峰;姬林松;裴飞舟;李振武;

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参考文献(References)：

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