同期双侧全膝关节置换术行髌骨置换的自身比较

发布时间：2018-04-05 16:35

本文选题：植入物　切入点：人工假体　出处：《青岛大学》2015年硕士论文

【摘要】：目的人工全膝关节置换术是目前治疗各类终末期或重症膝关节病变最有效、最成功的手术之一,但目前对于全膝关节置换术中是否常规行髌骨置换尚未达成一致意见。探讨同期行双侧膝关节表面置换(Total Knee Arthroplasty,TKA)时同时行髌骨置换对治疗膝关节骨性关节炎(osteoarthritis,OA)的疗效分析。方法选择2013-02/2014-02青岛大学附属医院关节外科收治的膝骨性关节炎行双侧膝关节置换术患者30例(60膝)。患者均签署知情同意书。将60膝不分左右随机分为两组,试验组30膝(左膝17例,右膝13例),术中行髌骨置换,对照组30膝(左膝13例,右膝17例),术中未置换髌骨。对两组术后3月、6月及12月时膝关节功能(knee society score,KSS)评分、膝前痛评分、膝关节活动度和髌前弹响等进行对比分析。结果置换组与未置换组患者术后各项指标均较术前有明显提高,术后3月、6月、12月膝关节功能评分、膝前痛VAS评分及术后3月、6月、12月膝关节活动度差异无显著性意义(P0.05)。结论同期双侧全膝关节置换术行髌骨置换与不置换具有相同的短期疗效。
[Abstract]:Objective Total knee arthroplasty (TKA) is one of the most effective and successful procedures in the treatment of all kinds of end-stage or severe knee diseases, but there is no agreement on whether or not to perform patellar replacement in total knee arthroplasty.Objective to investigate the therapeutic effect of patellar replacement in the treatment of osteoarthritis of knee joint with total Knee arthroplasty (TKAA) at the same time.Methods Thirty patients with bilateral knee arthroplasty underwent bilateral knee arthroplasty in the Department of Arteriology, Qingdao University affiliated Hospital, Qingdao University, 2013-02 / 2014-02.All patients signed informed consent.60 knees were randomly divided into two groups: 30 knees (17 left knee and 13 right knee) were treated with patellar replacement in the experimental group and 30 knees in the control group (13 left knee and 17 right knee without patella replacement).The knee society score, anterior knee pain score, knee motion and prepatellar bounce were compared between the two groups at 3 months, 6 months and 12 months after operation.Results the postoperative indexes in the replacement group and the non-replacement group were significantly higher than those in the preoperative group. There was no significant difference in the knee joint function score, the VAS score for anterior knee pain and the knee motion in the 3rd, 6th and 12th month postoperatively. There was no significant difference in the range of knee motion between 3 months, 6 months and 12 months after operation (P 0.05).Conclusion bilateral total knee arthroplasty has the same short-term effect as non-replacement.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.4

【相似文献】