髁限制性假体治疗复杂膝关节病变的早期疗效观察

发布时间：2018-03-27 22:34

本文选题：髁限制性假体　切入点：膝关节置换　出处：《广西医科大学》2016年硕士论文

【摘要】：目的观察髁限制性膝关节假体治疗复杂膝关节病变的早期临床疗效。方法收集2015年7月至2015年12月在我科因复杂膝关节病变行全膝关节置换术病例5例5膝病历资料。所有患者均应用ZIMMER公司髁限制性膝关节假体进行手术,其中男1例,女4例；年龄50-65岁,平均58.0岁；初次置换术2例(包含1例创伤性关节炎,1例胫骨平台病变),翻修术3例(均为术后假体松动)。通过比较术前和术后末次随访时HSS评分、KSS临床和功能评分来评估疗效。结果本组5例患者均获得随访,随访时间4-5个月,平均随访时间4.7个月,末次随访时5例患者患膝均可满足日常活动。术后末次随访时HSS评分、KSS临床和功能评分较术前评分升高。结论髁限制性假体应用于膝关节置换治疗复杂膝关节病变早期临床疗效良好,可明显减轻膝关节疼痛,纠正关节畸形,恢复关节功能及提高生活质量。
[Abstract]:Objective To observe the clinical effect of early constrained condylar knee prosthesis for the treatment of complex knee diseases. Methods from July 2015 to December 2015 in our department of complex knee joint lesions underwent total knee arthroplasty in 5 cases of 5 knees of medical records. All patients were treated with ZIMMER constrained condylar knee prosthesis surgery, including 1 cases of male 4 cases were female; the age is 50-65 years old, the average age of 58; 2 cases of primary arthroplasty (including 1 cases of traumatic arthritis, 1 cases of tibial plateau lesions, 3 cases (Revision) for postoperative prosthesis loosening). By the last follow-up comparison of preoperative and postoperative HSS score, KSS score and clinical features to assess the efficacy. Results 5 cases were followed up, follow-up time of 4-5 months, the average follow-up time of 4.7 months, at the end of the follow-up of 5 patients suffering from knee can meet the daily activities. At the end of postoperative follow-up, HSS score, KSS and clinical function were Conclusion the application of condylar restrictive prosthesis in knee joint replacement for complex knee joint disease has good clinical effect at early stage, which can significantly reduce knee pain, correct joint deformity, restore joint function and improve quality of life.

【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R687.4

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