旋转铰链膝关节置换术治疗严重膝关节畸形近期疗效观察

发布时间：2018-04-29 14:44

本文选题：铰链膝关节置换 + 膝关节严重畸形　；参考：《中国矫形外科杂志》2017年15期

【摘要】：[目的]探讨旋转铰链膝关节置换术治疗严重膝关节畸形的近期疗效。[方法]对2012年1月~2015年4月应用旋转铰链型膝关节假体置换治疗严重膝关节畸形患者的临床资料进行分析,其中男17例,女13例,平均年龄60.5岁(51~70岁),原发疾病分别为骨性关节炎合并严重的膝内翻、膝外翻畸形20例,类风湿性关节炎10例,比较手术前后膝关节活动度及HSS(hospital for special surgery)评分,明确其疗效。[结果]手术时间平均(62.00±10.20)min。无1例发生感染、血栓、神经血管损伤等并发症。所有患者均获得随访,随访时间9~27个月,平均14个月,所有病例患膝疼痛明显缓解,内外翻和屈曲畸形均纠正,关节活动范围由术前的89.0°(60°~110°)改善为术后的117°(100°~130°)。HSS评分从术前的42.5分(21~62分)增加到术后的平均90分(80~98分)。[结论]旋转铰链型膝关节置换对严重膝关节畸形患者近期效果良好,可以很好的解除膝关节疼痛,矫正畸形,改善关节功能及提高生活质量,但远期效果有待进一步观察。
[Abstract]:Objective: to investigate the short-term effect of rotary hinge knee arthroplasty in the treatment of severe knee joint malformation. [methods] from January 2012 to April 2015, the clinical data of patients with severe knee joint malformation treated with rotary hinged knee prosthesis replacement were analyzed, including 17 males and 13 females. The average age was 60.5 years old or 51to 70 years old. The primary diseases were osteoarthritis with severe varus genu, genu valgus deformity in 20 cases and rheumatoid arthritis in 10 cases. The knee motion and HSS(hospital for special surgery) score before and after operation were compared to determine the curative effect. [results] the average operation time was 62.00 卤10.20 min. There were no complications such as infection, thrombosis and neurovascular injury. All the patients were followed up for 9 ~ 27 months (mean 14 months). The range of joint motion was improved from 89.0 掳/ 60 掳/ 110 掳to 117 掳/ 100 掳/ 130 掳HSS after operation from 42.5 / 21 / 62) to an average of 90 / 98 / 90. [conclusion] rotation hinge knee arthroplasty has a good short-term effect on the patients with severe knee joint malformation, which can relieve the pain of the knee joint, correct the deformity, improve the function of the joint and improve the quality of life, but the long-term effect needs to be further observed.
【作者单位】：解放军第404医院骨科;
【分类号】：R687.4

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